MUSCULOSKELETAL TRAUMA IN ZIMBABWE BY DR G VERA FRCS (Ed) Orthopaedic Surgeon

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MUSCULOSKELETAL TRAUMA IN ZIMBABWEBY DR G
VERA FRCS (Ed)Orthopaedic Surgeon
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AFRICA
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Landlocked
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ZIMBABWE

• AREA 39757 km2
• Population 13 million
• Urbanisation 36
• Health Budget 8

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HEALTH INFRASTRUCTURE

• Solid structure (Referral System)
• Public
• Private health
• Mission hospitals
• Charitable organisations
• 1449 institutions

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DEVELOPED COMMUNICATIONS

• Paved roads
• Rapid evacuation
• Telecommunications (mobile/fixed)

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HEALTH SYSTEM (Public)

• Rural clinic / hospital
• District hospital
• Provincial hospital
• Central hospitals
• Workmens Compensation
• Army
• Police

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PRIVATE MEDICAL HEALTH

• Health insurance (1,5 million)
• Civil servants
• Employers

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MUSCULOSKELETAL TRAUMA SERVICES IN ZIMBABWE
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MUSCULOSKELETAL TRAUMA SERVICES IN ZIMBABWE

• Growing challenge (Paradox)
• Motor vehicle accidents
• Work-related
• Animals
• Conflict and crime

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Occupational Injuries and Fatalities in 2007
YEAR 2001 2002 2003 2004 2005 2006
Injuries IR/100K 14 055 12.4 13 479 12.2 13 834 12.6 10 449 7.5 8 327 6.3 6 369 4.8
Fatalities /100k 122 10.8 121 11.0 107 9.7 129 9.3 82 5.9 81 6
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ROAD ACCIDENTS STATISTICS
YEAR ACCIDENTS FATALS INJURIES
1997 43357 1095 11085
1998 58101 1616 15253
1999 48737 1409 12639
2000 40316 1129 10382
2001 39841 1106 10607
2002 51534 1429 12526
2003 32905 1079 7875
2004 37596 1247 9342
2005 36390 1146 9524
2006 29250 917 7405
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CHALLENGES

• Low priority
• Low economic activity
• Low funding
• Staff exodus
• HIV
• Ineffective legislation

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LOW ECONOMIC ACTIVITY

• Less cars
• Poor condition
• Poor roads
• Poor ethics

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REVERSING CHALLENGES

• Improve economy (reverse paradox)
• Funding
• Legislation
• Priorities
• Innovation

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INNOVATION

• Zimbabwean style road fund
• 6 fuel levy
• Small parastatal (20 staff)
• Parallel to Ministry of Health
• 30 of health budget
• Collateral boost