4_Kalongo Hospital - Journal of Medicine and the Person

Dr. Ambrosoli Memorial Hospital, Kalongo 39
Impatient Activity
The hospital is presently equipped with 320 beds, distributed among a Medical Ward, a Surgical Ward, a
Children’s Ward, a Nutrition Unit, and a Maternity Ward (Table 1).
The inpatient numbers at Kalongo have been constantly rising during the last three financial years, and they still
rose from 2003/2004 to 2004/2005 by 10% (13.078 versus 11.815 of 2003/2004 and 9.440 of 2002/2003) regardless
of a 2% decrease in OPD contacts (figure 1). At the same time, there is a uniform improvement in mortality
rates from the previous years. Since AVSI and ECHO intervention began overall CFR decreased from
4,7% in 2002/2003 to 3,6% in 2003/2004 and 2,2% in 2004/2005 (figure 4). The lower death rates are related
both to improved medical supervision on the wards, as well as to a likely lesser acuity of admitted patients. Meaning
that the increase of admissions might not concern only acute critical cases but better management of preacute
patients. Overall, mortality rates have decreased by disease and in every ward (figure 4 and 6).
Ward
Beds
Ward
Beds
Ward
Beds
Ward
Beds
Surgical Ward 76
Medical Ward 85
Children Ward 83
Maternity Ward 76
Adults 70
Main ward 40
Main ward 43
Main ward 66
Children 6
Tuberculosis 24
Isolation 22
Premature
10 cots
Isolation 21
Nutrition Unit 18
Table 1. KAMH bed allocation.
Figure 3. Ten leading causes of admission
© Punto Effe, 2006