During the 2019, the numbers of attendances at the outpatient departments overall decreased by 7.5% but still remaining by 20% above the mean of the previous years and with an increase of 10% of admissions (mainly caused by the higher number of institutional deliveries occurred), compared to 2018. In 2019 we had 1 malaria death for late presentation of a patient coming from outside our catchment population area. Despite the impossibility of transferring patients to central hospital from September to end of January 2020, due to a shutdown of the referral system at tertiary level, the overall death rate decreased from 5.5% to 4.3%.
The actual economic crisis and increased poverty among people, still contributes to the fact that a relevant number of the very sick patients come as late presentations, due to financial challenges within the community and out of our catchment population area.
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