Implementing the first standardised and validated paediatric triage system at a national hospital in Guinea Bissau
Tomas Mendez Quintin1,&, Rocaspana
Moncayo Mercè2, Luraschi Danila1, Valle del Barrio Beatriz1
1Médecins Sans Frontières, OCBA, Guinea-Bissau Mission, Guinea-Bissau, 2Médecins Sans Frontières, OCBA, Barcelona, Spain
Tomas Mendez Quintin, Médecins Sans Frontières, OCBA, Guinea-Bissau Mission, Guinea-Bissau
Guinea-Bissau is situated on the west coast of Sub-Saharan Africa; the country population is very young: 44% under 15 years old. Simâo Mendes National Hospital, run by the Ministry of Health (MoH), is the only tertiary level facility and therefore the reference hospital for the whole country. Paediatric emergency room (ER) did not have a proper triage system before the beginning of MSF support in January 2017.
the implemented triage is based on A,B,C,D (Airway, Breathing, Circulation, Disability) system, respecting MSF-OCBA paediatric guidelines. Patients are triaged in 3 colour categories (severe to mild: red, yellow and green). Red and Yellow are immediately forwarded to MSF supported ER and mild patients are referred to the MoH outpatient department (OPD). Initial training lasted 14 days and included 14 doctors and 18 nurses (both MSF and MoH staff).
during the first 6 intervention months 19,668 children were screened, resulting:
1.35% red, 12.45% yellow and 86.2% green. Mortality rate < 24h
was 0.48%. Admission rates from ER: 51.84% to observation room and 31.81% to
general paediatrics and 14.59% to the paediatric or neonatal intensive care
unit. Only 1.76% of “triaged severe” returned home right after being treated
in ER MSF.
this was a successful triage implementation that benefited from staff motivation, close collaboration with MoH and standardized, user-friendly algorithms and organisation.
Dates: 15 Dec 17 - 16 Dec 17
Venue: Hotel Ngor Diarama
Contact person: Dr. Laurent Hiffler (firstname.lastname@example.org)