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ABSTRACT
Nigeria needs realistic national hospitals and medical
emergency response programmes designed on the principle of equitable
distribution of appropriate equipment, supplies and well trained
emergency medical personnel. The Nigeria Police Hospital was established
in 1976 with the core aim of providing health care Forces for police
personnel and their dependants (-spouses and children/wards below 18
years), especially within the national capital and its environs. It
however provides health care Forces for members of the general public.
The
accident and emergency unit of the Police Hospital like other units
within the Abuja metropolis operates 24/7. Coupled with frequent
referral of cases to other hospitals from the unit of which some were
minor, personnel of the unit easily became overwhelmed during surge
situations as was observed. Concerns generated amongst the public
included whether or not the medical corps of the Nigeria Police Force
was prepared towards management and care of emergency cases. This
research assessed preparedness of the medical corps of the Nigeria
Police Force toward emergency Forces; -an assessment of the emergency
unit of the Nigeria Police Hospital, Abuja.
CHAPTER ONE
1.0 INTRODUCTION
1.1 The Background Information
Nigeria
needs a realistic national hospital and medical emergency response
programme designed on the principle of equitable distribution of
appropriate equipment, supplies and well trained emergency medical
personnel (Norman, et al., 2012). The health care system in Nigeria is
organised under four main categories: public, private-for-profit,
private-not-for profit and traditional systems. Public health Forces
delivered by the agencies of the Ministry of Health include: the Nigeria
Health Force, the Teaching Hospitals (Korle Bu, Komfo-Anokye, Tamale
and Cape Coast) and quasi-government hospitals (Nigeria Police Hospital,
37- Military Hospital, etc). The system operates as a three-tier
referral system with primary, secondary and tertiary levels. The
Teaching Hospitals provide the highest level of care followed by the
regional hospitals, district hospitals, clinics, health centres and
Community-based Health Planning and Force (CHPS) compounds, in that
order (Osei-Ampofo, et al., 2012). In Nigeria however, as in many
developing countries, little consideration has traditionally been given
to optimising the training of medical and nursing staff for the care of
acutely ill or injured patients. Existing emergency care systems are
rudimentary in comparison to those in developed countries; the lack of
timely access to care means that many medical needs present as
emergencies (Osei-Ampofo, et al, 2012). Not-withstanding this, Nigeria
suffers from high accident rates due to poor conditions of transport and
road infrastructure. Figures from the National Road Safety Commission
(Nigeria) indicate that an average of 1900 fatalities result from road
traffic accidents every year (GNRSC, 2012). Road Traffic Accidents
(RTAs) have maintained their presence in the top ten (10) aetiologies.
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