Evaluation of Health Services Provided at theGovernmental Burn Units-Gaza Governorates

Alaa Jamel Abdel Rahaman
علاء جميل عبد الرحمن
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Al-Quds University
Burn injuries can be a potential cause of death, lifelong disfigurement and impairment. In the context of Palestine, with ongoing occupation and Israeli military incursions there is a greater risk of burn injuries. There is increased risk of domestic burn injuries due to limited fuel sources and electrical current, so appropriate burn management is essential to reduce the risk of fatality and lifelong impairment as well as improve the quality of life of those who have suffered a burn injury. This study aimed to evaluate health services provided at governmental burn units in Gaza governorates. The design of the study is triangulated between quantitative and qualitative designs. Quantitative part is represented by descriptive, analytical the data registered in both two Shifa and Nasser hospitals for patients admitted to the burn units in 2014 and cross sectional for assessing facilities, services and multidisciplinary team in two burn units. The sample of study consisted of all cases of burns admitted in two burn units during year 2014 were 458 burn patients and 52 health care providers who are working in both burn units. For data collection, a copy of the database was provided to the researcher about an admitted patients to burn units in 2014, the researcher used checklist for facilities and services, questionnaire for health care providers and focus group discussions with a health care provider. A pilot study was conducted with 4 health care providers. Statistical test used for data analysis included frequency, percentage, mean and percentage mean. Also the qualitative data were categorized and interpreted to integrate the quantitative data. The results showed that the incidence rate for admitted burn patients for year 2014 was 25.5 per 100,000 for hospitalized burn patients. The highest incidence rate for admitted burns patients observed in Khanyounis governorate was 50.8 per 100,000 in the year 2014 and the lowest rate in Middle zone of Gaza governorates. The mortality rate of burn patients in Gaza governorates was 0.89 per 100,000 for the year 2014. Regarding gender of burn patients, male were 60.3% and female were 39.7%. The less five age group was the highest percentage was 41.9%, the second one age group from 21 to 30 years old was 16.4% and the more than 51 years was the lowest percentage was 4.6%. The most burn injuries occurred in Summer and the second one was Winter season. Regarding to health facilities and services were 57.1% were available in burn units of Shifa and 42.8% were in Nasser hospitals. For Multidisciplinary team, nearly two third of multidisciplinary team elements were unavailable in burn units of Shifa and Nasser hospital. Recognizing burn services as a priority area that needs more support. Multidisciplinary team approach to burn care services are among areas need attention and need to employ adequate qualified physicians and nurses to offer quality care to burn patients.