Geospatial relationship of road traffic crashes and healthcare facilities with trauma surgical capabilities in Nairobi, Kenya: defining gaps in coverage

Trauma Surgery & Acute Care Open
Brian I ShawCatherine Juillard

Abstract

Road traffic injuries (RTIs) are a cause of significant morbidity and mortality in low- and middle-income countries. Access to timely emergency services is needed to decrease the morbidity and mortality of RTIs and other traumatic injuries. Our objective was to describe the distribution of roadtrafficcrashes (RTCs) in Nairobi with the relative distance and travel times for victims of RTCs to health facilities with trauma surgical capabilities. RTCs in Nairobi County were recorded by the Ma3route app from May 2015 to October 2015 with latitude and longitude coordinates for each RTC extracted using geocoding. Health facility administrators were interviewed to determine surgical capacity of their facilities. RTCs and health facilities were plotted on maps using ArcGIS. Distances and travel times between RTCs and health facilities were determined using the Google Maps Distance Matrix API. 89 percent (25/28) of health facilities meeting inclusion criteria were evaluated. Overall, health facilities were well equipped for trauma surgery with 96% meeting WHO Minimal Safety Criteria. 76 percent of facilities performed greater than 12 of three pre-selected 'Bellweather Procedures' shown to correlate with surgical capability. The average ...Continue Reading

References

Aug 11, 2004·Injury·Manjul JoshipuraMargie Peden
Jun 2, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Abdhalah Kasiira ZirabaEliya Msiyaphazi Zulu
Mar 21, 2012·Traffic Injury Prevention·Abdulgafoor M BachaniKent A Stevens
Mar 16, 2013·Journal of Emergencies, Trauma, and Shock·Mamta SwaroopMarie L Crandall
Aug 11, 2016·Surgery·Molly P JarmanAdil H Haider
Sep 1, 2016·JAMA Surgery·Micaela M EsquivelThomas G Weiser

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Methods Mentioned

BETA
cesarean section

Software Mentioned

Google Maps
Stata
Ma3route
Flare
Uber
ArcGIS
Google Maps Distance Matrix API
Lyft

Related Concepts

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Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

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