Improved Poisoning Management at Secondary and Tertiary Level Hospitals

Last update: February' 2013

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Objective:

Comprehensive and practical emergency management is a vital part of hospital services delivery. Effective and timely management of poisoning cases can help to save lives and at the same time prevent physical and social morbidity. The activity Improved poisoning management at secondary and tertiary level hospital was incorporated in 2008 in the OP- IHSM. An updated version of the training manual for doctors was formulated by a high level working group. According to DGHS 2009 report, the second major cause of death in public hospitals is due to poisoning. As many of the doctors providing services at secondary and tertiary level hospitals do not have specific training and updated knowledge on poisoning management, the capacity development of doctors in this regard was a burning necessity. This activity was designed to train all doctors of secondary and tertiary level hospitals phase by phase and also to set up a proper “poisoning management corners” at district and medical college hospitals with necessary logistic and supplies.

Success during 2008-20010:

  • Under this activity several 3 days workshops were organized in Dhaka with theoretical sessions at IPH, IEDCR, and DGHS and the practical sessions were conducted at Dhaka Medical college hospital.
  • The updated 2008 edition of training manual was followed. Best possible resource persons with expertise in respective poisoning management conducted the workshop as resource persons.
  • The Residential medical officers and emergency medical officers from all District hospitals were trained phase by phase and Indoor Medical officers of Pediatrics and Medicine departments along with EMOs of all public medical colleges were trained in large numbers.
  • Doctors attended the sessions with great zeal and enthusiasm. Several recommendations were also made about establishment of effective “poisoning management corners” at secondary and tertiary level hospitals.

 

Challenges:

  1. Provision of necessary logistics for different types of poisons is a big challenge
  2. Diagnosis of specific poisoning is not possible
  3. Public awareness about the prevention of different types of accidental poisoning
  4. The resource persons should be trained in foreign countries to gain updated knowledge about the modern methods of poisoning management
  5. Anti venom for snakebite management is not at all supplied by govt. to public hospitals, even if supplied it is not in adequate amount.
  6. The anti venom available at markets are very expensive and not affordable by general public
  7. Retention of trained manpower is difficult at the public hospitals

Future Activities:

  1. Doctors from DHs and Medical College hospitals will be trained phase by phase to cover all concerned.
  2. Poisoning Management Corners will be established at all public hospitals
  3. Necessary logistics and supplies will be provided at public hospitals for effective management of poisoning
  4. Capacity development of doctors from Upazilla Health Complexes will be done phase wise
  5. Area wise poisoning pattern will be studied to make a comprehensive plan of action
  6. Work on preparing a national guideline/ protocol on poisoning management

 

 Status at the end of HNPSP Period:

Total 284 Service providers (EMO & MO) received 3-days training from 59-Ditrict Hospital.

 

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Improved Poisoning Management at Secondary and Tertiary Level Hospitals

Last update: September' 2011

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ACTION PLAN

Activities

2011-12

2012-13

2013-14

2014-15

2015-16

Capacity development of service provider of secondary & tertiary level hospitals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Logistics support

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monitoring & Supervision

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

Improved Poisoning Management at Secondary and Tertiary Level Hospitals

Last update: September' 2011

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Present Status

 

 RMO & EMO of 59 DH received training regarding poisoning management