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PROJECT TO PROVIDETHE HOPITAL DU CINQUANTENAIRE DE KISANGANIWITH A SCANNER (COMPUTED TOMOGRAPHY)

 1. BACKGROUND AND JUSTIFICATION

The Kisangani Cinquantenaire Hospital, offered to the DRC on the occasion of its 50th anniversary of independence by the Gertler Family Foundation, is one of the best hospitals in the country and the only one in the eastern parts of the Republic.

Like the Kinshasa Cinquantenaire Hospital, Kisangani Hospital is ultramodern with state-of-the-art equipment.

Although it receives patients of all ages, it has above all a paediatric vocation, with the objective of reducing high infant mortality in the region.

The hospital employs 33 doctors, including specialists, 68 nurses, including laboratory and radio technicians, as well as 53 administrative staff.

Since its inauguration in January 2013, the Kisangani Cinquantenaire Hospital sets a consultation fee within the reach of as many.

In addition, though equipped, this hospital does not have so far the scanner (Computed tomography) to be able to give more details on the results of an X-ray or ultrasound, such as the location and extent of a lesion on an organ or tissue. Most patients requiring this examination are transferred to Kinshasa, the capital of the country or to Goma (North Kivu), either abroad (Kigali-Rwanda or Kampala-Uganda).

This negatively affects the supply of quality care to our patients. This very fact therefore makes it less beneficial to use this service.

2. PROBLEM

No scanner in an ultra-modern hospital?

Shall this challenge in the eastern parts of the republic taken on or not?

Our study focused on the number of patients requiring CT scan, the number of patients who underwent the CT scan, and those who did not undergo CT scan in Kisangani City.

We visited all the hospitals in the city of Kisangani, starting with the Kisangani university clinics, the Kisangani Cinquantenaire Hospital, the five reference general hospitals as well as the private clinics, briefly detailed in the table below.

STRUCTURESNumber of exams / monthNumber of exams performed / monthNombre d’examen non réalisé
UNIVERSITY CLINICS1257
CINQUANTENAIRE1055
HGR MAKISO743
HGR KABONDO624
HGR LUBUNGA422
HGR MANGOBO 514
HGR TSHOPO211
PRIVATES1266
NEIGHBORING PROVINCESindéterminéeindéterminéeindéterminée

According to this study, 44.8% of the total number of examinations requested monthly in the city of Kisangani (about 58 cases in total) travel to Kampala (Uganda), Kigali (Rwanda) to Goma or Kinshasa for medical examinations and the remaining 55.2% of patients do not travel due to lack of means and other patients die from treatment.

We believe that the purchase of a scanner at the Kisangani Cinquantaire Hospital could limit the movement of patients to Kinshasa and the eastern part of the Republic (Goma, Kigali, Kampala) and would contribute to the reduction of morbidity and mortality In the face of inefficient management due to a lack of diagnostic resources.

3. SCANNER OVERVIEW

A. : Computed tomography or CT scan : is an examination that gives cross-sectional images of an organ. It is intended to provide more detail on the results of an X-ray or ultrasound, such as the location and extent of a lesion on an organ or tissue. The CT scan studies the brain, rib cage, abdomen or bones. It detects abnormalities that are not visible on standard x-rays or ultrasound. It helps to detect infections, hemorrhage, cysts, tumors, ganglions. It serves to accurately locate one organ with respect to another, to define the path of a vessel to guide organ punctures profoundly avoiding surgery.

B. Scanner Reference of choice :

Device: Scanner

Manufacturer: Siemens

Model: SOMATOM Definition 32 -64 Barrettes

Two-tube scanner: SOMATOM Definition Flash, High-speed scanner, Reference in dose reduction, Dual source and dual energy for all patients

Whether for clinical research or everyday exams, SOMATOM® scanner performance is recognized by many clinical and healthcare experts.

This scanner is sold with a warranty of up to one year.

C. Estimated Budget: Price /Cost

STATEMENTSPRICEOBSERVATION
New Scanner250.000$
Expertise and Choice 10.000$
Transportation and installation costs30.000$
Other fees and miscellaneous10.000$
Construction of premises and equipment50.000$
Training of 2 physicians50.000$

The overall estimated budget of this device and the routing to Kisangani is $ 400,000.

In Kinshasa, the cost of this examination per patient varies between $ 250 and $ 300; and it’s almost the same price in Goma, Kampala and Kigali.

4. CONCLUSION

By way of conclusion, the Cinquantaire Hospital deserves a special attention given its tertiary status of care and in order to maintain its reputation in the region, it requires a new acquisition of equipment and materials after 4 years of operations.

However, our request for a scanner remains a challenge in the chief town of the former Province Orientale now broken up.

The purchase of a scanner at the Kisangani Fifth Anniversary Hospital could limit the movement of patients to Kinshasa and the eastern part of the Republic and thus contribute to reducing overall morbidity and mortality in the face of ineffective healthcare due to a lack of means of diagnostics.

For the Kisangani Cinquantenaire Hospital,

Dr BAMBALE LIMENGO Jean-Paul,

Head of Department of Medical Imaging

+ 243814209943 / +32466377556