title: Survey of care and evaluation of East African burn unit feasibility: an academic burn center exchange.
abstract: Weill Cornell Medical College in New York, partnered with Weill Bugando Medical College and Sekou Toure Regional Referral Hospital, in Mwanza, Tanzania, to consider the development of a burn unit there. This institutional partnership provided a unique opportunity to promote sustainable academic exchange and build burn care capacity in the East African region. A Weill Cornell burn surgeon and burn fellow collaborated with the Sekou Toure department of surgery to assess its current burn care capabilities and potential for burn unit development. All aspects of interdisciplinary burn care were reviewed and institutional infrastructure evaluated. Sekou Toure is a 375-bed regional referral center and teaching hospital of Weill Bugando Medical College. In 2010-2011, it admitted 5244 pediatric patients in total; 100 of these patients were burn-injured children (2% of admissions). There was no specific data kept on percentage of body surface burned, degree of burn, length of stay, or complications. No adult, operative, or outpatient burn data were available. There are two operating theaters. Patient's families perform wound care with nursing supervision. Rehabilitation therapists consult as needed. Meals are provided three times daily by a central kitchen. Public health outreach is possible through village-based communication networks. Infrastructure to support the development of a burn care unit exists at Sekou Toure, but needs increased clinical focus, human resource capacity building, and record-keeping to track accurate patient numbers. A multidisciplinary center could improve record-keeping and outcomes, encourage referrals, and facilitate outreach through villages.
authors.affiliation: New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA.
authors.forename: Katrina B
authors.initials: KB
authors.lastname: Mitchell
authors.forename: Geofrey
authors.initials: G
authors.lastname: Giiti
authors.forename: James J
authors.initials: JJ
authors.lastname: Gallagher
mesh_terms: D002053:Burn Units / Q000458:organization & administration*; D005240:Feasibility Studies; D006301:Health Services Needs and Demand; D006801:Humans; D007391:International Cooperation; D009518:New York; D013636:Tanzania