ICRC:

1
ICRC

• 1975 present
• gt100,000 procedures in 14 hospitals
• Only good f/u are amputees

2
MSF

• In 2007
• /- 20,000 procedures in 45 sites
• F/U??

3
EMERGENCY

• 1994 present
• gt65,000 procedures in 10 sites,
• in 6 countries
• F/U lt5

4
OPERATION RAINBOW

• 1989 present
• gt4,300 procedures in a dozen sites
• F/U lt5 (complications, bilaterals)

5
SIGN (Surgical Implant
Generation Network)

• 1999 present
• gt36,000 nails, in 144 sites,
• in 49 countries
• 6 months F/U lt 50

6
Emergency Hospital, Sierra Leone

• 2002-2004
• SCI unit, 7 beds
• 2 full time nurses, 1.5 full time PT.
• 34 admissions, 7 hospital deaths
• mean LOS 2.5 months
• 17 patients with D/C gt 6 months (F/U on 2)
• 13 patients (mean 17.4 months)
• 8 dead (2 dying)
• Emergency wanted to keep the SCI unit,
• but couldnt find interested PTs

7
Is F/U necessary?- As long as there is a need,
the service will be provided, regardless of
outcomes (even a little bit of good is still
better than nothing)

• - May change if institutional donors make funding
  contingent on outcomes