Seeking health care from a general hospital in Uganda following a fracture or a dislocation

• Main Authors: Isaac Kajja, Cees Th. Smit Sibinga
• Format: Article
• Language: English
• Published: Elsevier 2016-12-01
• Series: African Journal of Emergency Medicine
• Subjects: Healthcare; Fractures; Dislocations; Uganda
• Online Access: http://www.sciencedirect.com/science/article/pii/S2211419X16300829

Selecting a treatment approach and a facility to get treated from, poses a challenge in musculoskeletal injuries in Africa. The study aimed at determining demographic and injury characteristics of patients with musculoskeletal injuries and how these impact the time and reason for presenting to a general hospital in Uganda. Methods: An observational study was carried out at Entebbe general hospital on patients presenting with musculoskeletal injuries between 1 November 2014 and 28 February 2015. The patient demographics, injury characteristics, duration of injury to presentation for treatment and reason for seeking treatment from this hospital were noted. Results: A total of 101 patients were recruited. Of these, 95 had fractures while six had dislocations. Patients took an average of 96 h before presenting for care, females taking significantly longer than males (191.2 and 58.6 h respectively, p = 0.005). The fractured segment of bone significantly influenced the patients’ choice for care at this hospital (p = 0.02). Discussion: Entebbe General Hospital serves a young and unemployed population for musculoskeletal injuries. These patients present late for care, especially females. Patients base their choice for care from this hospital on the character of the injury.