Evidence map›Paper›PMID 30400927›Full record

ArticleBMC health services research2018

Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study.

Philip M Koka, Hendry R Sawe, Khalid R Mbaya, Said S Kilindimo, Juma A Mfinanga, Victor G Mwafongo, Lee A Wallis, Teri A Reynolds

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Mass casualty training for prehospital and emergency providers in Kigali, Rwanda: a quasi-experimental pre-post educational study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
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  11. Quantitative Assessment of Surge Capacity in Rwandan Trauma Hospitals: A Survey Using the 4S Framework.International journal of environmental research and public health · 2025
    Article
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  19. Disaster response readiness assessment of public hospitals in Addis Ababa City, Addis Ababa, Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Philip M KokaEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Hendry R SaweEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania. hsawe@muhas.ac.tz.ORCID http://orcid.org/0000-0002-0395-5385
Khalid R MbayaEmergency Department, Al-Zahra Hospital Sharjah, Sharjah, United Arab Emirates.
Said S KilindimoEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Juma A MfinangaEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Victor G MwafongoEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Lee A WallisDivision of Emergency Medicine, University of Cape Town, Cape Town, South Africa.
Teri A ReynoldsDepartment for the Management of NCDs, Disability, Violence and Injury Prevention, World Health Organization (WHO), Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundTanzania has witnessed several disasters in the past decade, which resulted in substantial mortality, long-term morbidity, and significant socio-economic losses. Health care facilities and personnel are critical to disaster response. We assessed the current state of disaster preparedness and response capacity among Tanzanian regional hospitals.

methodsThis descriptive cross-sectional survey was conducted in all Tanzanian regional hospitals between May 2012 and December 2012. Data were prospectively collected using a structured questionnaire based on the World Health Organization National Health Sector Emergency Preparedness and Response Tool. Trained medical doctors conducted structured interviews and direct observations in each hospital.

resultsWe surveyed 25 regional hospitals (100% capture) in mainland Tanzania, in which interviews were conducted with 13-hospital doctors incharge, 9 matrons and 4 heads of casualty. All the hospitals were found to have inadequate numbers of all cadres of health care providers to support effective disaster response. 92% of hospitals reported experiencing a disaster in the past 5 years; with the top three being large motor vehicle accidents 22 (87%), floods 7 (26%) and infectious disease outbreaks 6 (22%). Fifteen hospitals (60%) had a disaster committee, but only five (20%) had a disaster plan. No hospital had all components of surge capacity. Although all had electricity and back-up generators, only 3 (12%) had a back-up communication system.

conclusionThis nationwide survey found that hospital disaster preparedness is at an early stage of development in Tanzania, and important opportunities exist to better prepare regional hospitals to respond to disasters.

Indexed as

DisastersCross-Sectional StudiesDisaster PlanningHospitals, DistrictHumansMass Casualty IncidentsSurveys and QuestionnairesTanzaniaAfricaDisaster preparednessEmergency careEmergency responseTanzania

Identifiers

PMID30400927
PMCPMC6219171

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.