12.1 Introduction
12.2 Experiences from the Field
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There are very few beds compared to the population.
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The wards are normally overcrowded and the mortality rate is high. Due to ongoing conflicts, patients often cause extra caseloads in the wards.
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There is an insufficient supply of drugs and disposable equipment to treat the patients. The patients and their relatives have to purchase drugs and equipment in the local pharmacy, which often delays treatment and results in poor quality of care. To reduce the patients’ financial costs, the staff have to use as little equipment as possible when performing procedures.
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There is a lack of basic medical equipment, such as a blood pressure cuff, stethoscopes, oxygen and mattresses. Some of the equipment is broken. Even if some health personnel wanted to try to maintain the national standard of care, the lack of drugs, disposable equipment and medical equipment makes it impossible.
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Sometimes the hospital has problem with insufficient electricity and water.
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Maintenance of the hospital buildings has not been carried out for years.
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There is a lack of skilled staff because a majority has fled the country. In addition, due to the ongoing conflict there is not enough health staff educated.