Yirgalem hospital Dr.Zerihun Alemu

1
Yirgalem hospital(Dr.Zerihun Alemu)

• -Background
• inaugurated in 1968 g.c
• previously run by Norwegians but
  currently it's a self run hospital with
  little informal support from government.
• 200 beds
• Serving 4 million peoples
• 300 k.m south of Addis

2
-The emergency situation

• Acting referral hospital
• 1000-1500 deliveries and 2000 major operations
  per year.
• From Jan -June,2004
• -442 normal labours
• -480 abnormal and complicated labour
• -57 ruptured uterus cases( 11 death)
•  

3
 -The referral situation

• our referrals are mainly from Sidama zone and the
  neighboring zones region which includes Gedeo,
  Amaro, Burji and wolaita Oromia region.
• 75 of our cases are referrals
• most labour related referrals present late in the
  hospital with complicated obstructed labour and
  commonly ruptured uterus.
• The referral system is still poor

4

• Transport is the main cause for the delay
• -not available
• -Very very expensive
• -Usually lorry on a very bad road
• -towards our hospital mothers travel an
  average of 150k.m.

5
HOME (01 day)
HEALTHCENTER (06 hour)
YIRGALEMHOSPITAL
6
-What can be done  

• Transport should be made available()
• Increasing community awareness()
• Refreshing our health center staff with obstetric
  courses
• Strengthening the referral system

7
-Social issues

• Males can marry many wives
• Not willing to give blood accept complication
  of obstructed labour
• Fistula cases
• -Before treatment
• -After treatment

8
-The future

• Fistula hospital with 20 beds
• We need help to give at least two complete circle
  help