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Our group of doctors is collaborative among the 3 facilities and we also have an extended support network of specialists (orthopedics, neurology, oncology, ophthalmology, emergency, and tertiary facilities) locally.
Mass casualty triage was utilized in the ERs of 39.1 % primary, 41.7 % secondary, and 28.6 % of tertiary facilities.
Rapid sequence induction was offered in only one (4.4 %) of the primary ERs and two secondary and tertiary facilities each.
We also identified several specific costs and time measurements that differed between facilities, which can serve as potential targets for tertiary facilities to improve utilization.
Approximately half of physicians working in the ERs had Pediatric Advanced Life Support PALSS) training at primary hospitals, yet less than one third were trained at secondary and tertiary facilities.
Optimal cooperation between our tertiary facilities and non-teaching hospitals and clinics as well as the prehospital transport systems allows significant limitations in avoidable obstetric maternal morbidity and mortality.
International NGOs provided financial and technical assistance to these two government tertiary facilities.
It was not possible to determine how many had attended tertiary facilities nor ascertain the diagnosis.
First, secondary and tertiary facilities and private sector outlets are not willing to procure cheap LPGs.
In tertiary facilities, specialization opportunities were largely reported as a motivator.
Hence, the availability of LPGs in secondary and tertiary facilities must be improved.
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