The State of Mortuary and Mortuary Services in Public Health Facilities of South Western Uganda
[1]
James Kazungu, Kisoro District Local Government, Kisoro, Uganda.
[2]
Miisa Nanyingi, Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda.
[3]
Simon Peter Katongole, Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda.
[4]
Anguyo Robert DDM, Department of International Public Health, Liverpool School of Tropical Medicine, Kampala, Uganda.
[5]
Lillian Nantume Wampande, Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda.
Mortuaries and mortuary services are very crucial support services to healthcare delivery. Information on the status of mortuary services in Uganda is largely missing. This study therefore was carried out to assess the status and factors associated with the prevailing status of mortuary services. A descriptive cross-sectional study that employed both qualitative and quantitative methods of data analysis was carried out in South Western Uganda. Two regional referral hospitals, four district hospitals and 38 public health centre IV’s were studied. Data in these health facilities were obtained through observation, interviewing the managers of the health facilities and personnel directly responsible for the running of mortuary services about the state of and functionality of mortuaries in the facilities they headed. Out of all the health facilities studied, Nineteen (19/44, 43%) did not have mortuaries at all while 21/25 (84%) facilities’ mortuaries, were ranked to be in a fair state. Out of the health facilities with mortuaries, Nineteen (19/25, 76%) were poorly equipped with instruments required in a mortuary.Most mortuaries did not have adequate and trained human resources. As a result, the mortuary and mortuary services are under utilized in the health facilities in the region and are mostly used as dumping and storage centres for corpses that are picked from the streets by police and corpses that are unclaimed for by relatives. The functionality of mortuaries in the area studied and in the whole country as well should be enhanced by the Ministry of health and local governments in the area. When mortuaries are functionalized, the public should be sensitized on the services offered and the need to utilize the mortuaries so as to undo the inefficiencies delineated in this study.
[1]
Sirohiwa. l B. L., Paliwal, P. K., Sharma, L., Chawla, H. Design and Layout of Mortuary Complex for a Medical College and Periphera Hospitals. J Forensic Res, (2011) Vol. 2:6 102e. doi:10.4172/2157-7145.1000102e.
[2]
Hallgrímur, B., Whitelaw, J., and Indrojit, R. Pathology Services in Developing Countries: A Challenge. Archives of Pathology & Laboratory Medicine, (2007) Vol.131(11), pp.1636-1639.
[3]
Stevens, S, Duncton C, Peters, N and Simmons D,. Mortuary Service Provision in West Sussex. Report by Mortuary Services Task Force. 2010, West Sussex: West Sussex CountyCouncil
[4]
Australasian Health Facility Guidelines, Health Facility Briefing and Planning, (2013) hospital mortuary/autopsy unit>available on http://www.healthfacilityguidelines.com.au/AusHFG_Documents/Guidelines/%5BB-0490%5D%20Hospital%20Mortuary%20Autopsy%20Unit.pdfaccessed on 2/3/2014.
[5]
Commonwealth of Australia, HLTMT303D Maintain a mortuary service, community Services and Health Industry Skills Council; (2012). Department of education, employment and workplace relations Australian Government.> available on https://training.gov.au/TrainingComponentFiles/HLT07/HLTMT303D_R1.pdf.
[6]
National Health Services (NHS) Scotland, Scottish Health Planning Note 20Facilities for Mortuary and Postmortem Room Services Design and briefing guidance, (2002), available on http://www.hfs.scot.nhs.uk/publications/shpn-20-v1.pdf. 26/02/2014.
[7]
Infrastructure Unit Support Systems (IUSS), IUSS HEALTH FACILITY GUIDES Hospital Mortuary Services. 2014, Republic of South Africa. available on http://www.iussonline.co.za/iuss/wp-content/uploads/2013/03/2014_03_19-IUSS-Hospital-Mortuary-Services-proposal.pdf [accessed on 11/10/2014].
[8]
James, H. Thai Tsunami Victim Identification -Overview To Date. The Journal of Forensic Odonto-Stomatology, (2005), Vol.23 (1).
[9]
WHO. Disposal of dead bodies in emergency condition, Water, Sanitation, Hygiene and Health Unit: (2011) Avenue Appia Geneva 27 Switzerland, available on http://www.who.int/water-sanitation-health.
[10]
Hughes, M.. The Hillingdon Hospital NHS Trust: Policy & Guidance for the provision of Care & Respect in Death (2009) available on http://www.thh.nhs.uk/documents/_Publications/EqualityDiversity/Care_Respect_Death.pdf [accessed on 25/04/2014].
[11]
UK Home Office. Guidance on Dealing With Fatalities in Emergencies, 2004: Available on >https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/61191/fatalities.pdf [accessed on 25/04/2014].
[12]
Ogunnowo, B. E., Anunobi, C., Onajole, A and Odeyemi, K. Research; Exposure to blood among mortuary workers in teaching hospitals in south-west Nigeria. The Pan African Medical Journal. (2012). Vol. 11: 61.
[13]
PAHO and WHO,Management of Dead Bodies in Disaster Situations: Disaster Manual and Guidelines Series (2004) Numbering 5, Washington, D.C> available on www.who.int/hac/techguidance/management_of_dead_bodies.pdf[accessed on 12/11/2013]
[14]
Bajracharya, S., and Magar, A. Embalming: An art of preserving human body, Kathmandu University Medical Journal (2006). Vol. 4 (16), 554-557.
[15]
WHO. Fatal injury surveillance in mortuaries and hospitals: a manual for practitioners. (2012) available on >http://www.who.int/iris/bitstream/10665/75351/1/9789241504072_eng.pdf?ua=1. [accessed on 17/03/2014.
[16]
Ramos, A, and Finch, L. n.d. Utah department of health state office of vital records andstatistics.http://www.health.utah.gov/vitalrecords/fileadeath/webDispInfo_08042010.pdf[accessed on 10/03/2014].
[17]
South Australia, When a person dies, the hospital autopsy process: information for family and friends Department of human service. (2002) Publication No: DHS_0021.
[18]
Hirsch, C. S. Information for Family and Friends: (2008) department of health & mental hygiene office of chief m 520 first M.D., Chxaminer.
[19]
Pollard, D., 2004. Southport & Ormskirk hospital NHS trust policy for the release of bodies from the mortuary (documentation) available on http://www.southportandormskirk.nhs.uk/FOI-old/pdfs/Sheilah%20Finnegan/Clin%20Corp%2024%20Policy%20for%20the%20Release%20of%20Bodies%20from%20the%20Mortuary.pdf [accessed on 10/03/2014].
[20]
Cox, J, A, Lukande, L. R, Kateregga, A. Kizza, H. M., Manabe, C. Y., and Colebunders, R. Autopsy acceptance rate and reasons for decline in Mulago Hospital, Kampala, Uganda: Tropical Medicine and International Health, (2011).Vol. 16, (8), pp 1015–1018
[21]
HURINET-U, The state of Regional Hospitals in Uganda; The report by Economic, Social and Cultural Rights projects with the generous support of Democracy Governance Facility (DFG) Uganda and DIAKONI (2012) available on http://www.hurinet.or.ug/health%20report.pdf.
[22]
WHO, Emergency and Humanitarian Action Uganda (2009) available on http://www.ifrc.org/PageFiles/41164/UGANDA-report.pdf[accessed on 14/4/2014].
[23]
DREF, Uganda Bomb Blast: (2012) International Federation of Red Cross and Red crescent Societies> available on http://www.ifrc.org/docs/appeals/10/MDRUG017.pdf [accessed 6/03/2013.
[24]
MoH. Annual Health Sector Performance Report: Financial Year 2003/2004, republic of Uganda 2004.available on http://www.health.go.ug/docs/ahspr.pdf [accessed on 11/04/2014.