Surgical Training

Project title

Evaluation of access to care for trauma patients, incidence and outcome of treatment of patients with fractures of the lower extremities in Haydom Lutheran Hospital


5 billion people worldwide have no access to safe surgical and anesthetic care. This unmet need is highest in Low-and Middle-Income Countries, particularly in sub-Saharan Africa. Trauma accounts for a major part of the surgical burden. In Tanzania, the research on trauma is limited. The majority of the research that is done is conducted in the urban areas, which does not represent the health care accessible and provided for the majority of the population. In Haydom Lutheran Hospital we treat a lot of patients with fractures of the hip or lower leg. Little is known about the outcome of fracture treatment and the disability resulting from fractures. With our research, we aim to provide more evidence on access to care for trauma patients and the outcome of the treatment they received.

We hope to identify possibilities for improvement of access to care in East Africa and patient outcome. The research will be done by Grayson Mtui, a medical doctor from Tanzania, and Anneloes Eleveld, a Dutch Global Health doctor. Together they will collect data during a period of 2 years in Haydom Lutheran Hospital. After the data collection has been completed, we need an estimate of 1 year to process and publish all data. In order to make this possible, we are in need of financial support.

This research study will be unique in evaluating access to trauma care and outcome of treatment for patients who suffer a fracture in a rural area of Tanzania. It is a collaboration between Haydom Lutheran Hospital and Global Surgery Amsterdam, a collaboration between a team of Tanzanian doctors and a team of Dutch Global Health doctors and trauma care specialists. Together we hope to improve health care in an area where it is most needed.