TABLE 3.
Resources available at healthcare facilities in Dar es Salaam
S/N | Category of resource | Item | Availability | |
---|---|---|---|---|
RRHs | MNH | |||
1 | Equipment for SCD diagnosis | Sickling test | 3/3 (100) | 1/1 (100) |
Isoelectric focusing (IEF) | 0/3 (0) | 0/1 (0) | ||
Hb electrophoresis | 0/3 (0) | 1/1 (100) | ||
HPLC | 0/3 (0) | 0/1 (0) | ||
Point-of-care tests (e.g., SickleSCAN) | 0/3 (0) | 0/1 (0) | ||
2 | Other laboratory investigations | Hematology analyzer | 3/3 (100) | 1/1 (100) |
Peripheral blood smear | 1/3 (33.3) | 1/1 (100) | ||
Biochemistry analyzer | 3/3 (100) | 1/1 (100) | ||
Blood culture | 1/3 (33.3) | 1/1 (100) | ||
Urine culture | 1/3 (33.3) | 1/1 (100) | ||
Malaria rapid diagnostic test (MRDT) | 3/3 (100) | 1/1 (100) | ||
Blood grouping and cross-matching | 3/3 (100) | 1/1 (100) | ||
Erythrocyte sedimentation rate (ESR) | 2/3 (66.7) | 1/1 (100) | ||
HIV rapid test | 3/3 (100) | 1/1 (100) | ||
PCR machine | 0/3 (0) | 1/1 (100) | ||
3 | Point-of-care clinical tests | BP machine | 3/3 (100) | 1 (100) |
Stethoscope | 3/3 (100) | 1 (100) | ||
Weighing scale | 2/3 (66.7) | 1 (100) | ||
Thermometer | 3/3 (100) | 1 (100) | ||
Tape measure | 1/3 (33.3) | 1 (100) | ||
Pulse oximeter | 3/3 (100) | 1 (100) | ||
Oxygen machine | 3/3 (100) | 1 (100) | ||
Hemocue machine | 3/3 (100) | 1 (100) | ||
Dipstick urinalysis | 3/3 (100) | 1/1 (100) | ||
4 | Imaging | ECHO | 2/3 (66.7) | 1/1 (100) |
ECG | 2/3 (66.7) | 1/1 (100) | ||
Ultrasound | 3/3 (100) | 1/1 (100) | ||
TCD | 1/3 (33.3) | 1/1 (100) | ||
X-Ray | 3/3 (100) | 1/1 (100) | ||
CT machine | 0/3 (0) | 1/1 (100) | ||
MRI | 0/3 (0) | 1/1 (100) | ||
5 | Anti-pain medication | Paracetamol | 3/3 (100) | 1/1 (100) |
Ibuprofen | 3/3 (100) | 1/1 (100) | ||
Diclofenac | 3/3 (100) | 1/1 (100) | ||
Pethidine | 2/3 (66.7) | 1/1 (100) | ||
Morphine | 2/3 (66.7) | 1/1 (100) | ||
6 | Antibiotics and antimalarials | Penicillin V | 3/3 (100) | 1/1 (100) |
Amoxiclav | 3/3 (100) | 1/1 (100) | ||
Ceftriaxone | 3/3 (100) | 1/1 (100) | ||
Metronidazole | 3/3 (100) | 1/1 (100) | ||
Gentamicin | 2/3 (66.7) | 1/1 (100) | ||
Artemether lumefantrine (ALU) | 3/3 (100) | 1/1 (100) | ||
7 | Hydroxyurea | 0/3 (0) | 1/1 (100) | |
8 | Folic acid | 3/3 (100) | 1/1 (100) | |
9 | IV fluids | Normal saline/Ringer’s lactate | 3/3 (100) | 1/1 (100) |
10 | Blood transfusion and exchange transfusion | Blood transfusion | 3/3 (100) | 1/1 (100) |
Exchange transfusion | 0/3 (0) | 0/1 (0) | ||
11 | Emergency surgical and ICU services | Emergency surgical capability | 2/3 (67) | 1/1 (100) |
Intensive care unit (ICU) | 1/3 (33) | 1/1 (100) |