The journey with family

The present study analyses the characteristics and needs of surgical practice in the paediatric
population of Malindi Subcounty Hospital, Kenya. The non-interventional observational
retrospective study was conducted on 1019 patients from 0 to 18 years (including 29 new-borns)
hospitalized from 1/3/2017 to 24/5/2019. The distribution of surgical diagnoses, the incidence of
septic surgery (14.5{cf8a2d6901bbf0671e93936c02db73053f794e831dc1af7251ec7f440b0abcbb}), the use of anesthesia (general 56{cf8a2d6901bbf0671e93936c02db73053f794e831dc1af7251ec7f440b0abcbb}, spinal 28{cf8a2d6901bbf0671e93936c02db73053f794e831dc1af7251ec7f440b0abcbb}, local / sedation 16{cf8a2d6901bbf0671e93936c02db73053f794e831dc1af7251ec7f440b0abcbb}), the
length of hospital stays (10.2 days on average, range 1-121 days), mortality (1.27{cf8a2d6901bbf0671e93936c02db73053f794e831dc1af7251ec7f440b0abcbb}) and its causes
were analysed. The study was integrated with a perspective narrative part carried out through
interviews with the hospital staff regarding the referring system, the availability of surgical
instruments, the hygienic conditions, the costs incurred by the patients, the hypothetical
improvements.Our data highlight a profound connection between paediatric surgery and society, as
many surgical indications are the earliest signs of poverty and bad habits. In addition, many
accesses to the operating room are due to septic surgery. Too high a number of caesarean sections
still emerge in adolescents, denouncing unwanted pregnancies and obsolete obstetric practices. The
staff, in the interviews, demonstrates a good understanding of possible solutions. Africa needs
sustainable development strategies: the health of children, including those suffering from surgical
diseases, is one of the essential keys.