Infrastructure.

The Children’s Hospitals in Africa Mapping Project (CHAMP) survey was developed and implemented to assess the capabilities of some of the best resourced sub-Saharan African hospitals serving children. The aim was to evaluate hospital facilities, infrastructure, equipment, supplies, services, staffing, and readiness to care for children amid public health emergencies. This report analysed a subset of survey questions that characterised the hospitals and assessed facilities, equipment, supplies, infrastructure and capacity to respond to emergencies and outbreaks. Twenty-four sites were recruited. Twenty hospitals from 15 countries completed the survey from 2018 to 2019. This portion of the CHAMP study identified issues with facilities, equipment, supplies, infrastructure, and the capacity to respond to emergencies and infectious disease outbreaks. On a day-to-day basis, most hospitals were operating at or near capacity and frequently experienced power outages and water shortages. Overall, most hospitals were ill-prepared to manage a major disaster or infectious disease outbreak. If countries are to be prepared to deal with current needs as well as to prevent, detect, and rapidly respond to public health threats, hospitals that care for children will require significant investments.

非洲儿童医院测绘项目（Children’s Hospitals in Africa Mapping Project, CHAMP）开发并执行了本次调研，旨在评估撒哈拉以南非洲部分资源禀赋最优的儿童专科医院的服务能力。本次调研的核心目标为评估医院的设施、基础设施、设备、耗材、服务、人员配置，以及突发公共卫生事件下的儿童救治应对筹备能力。本报告聚焦于调研问卷中的部分细分问题，用于刻画受访医院的整体特征，并评估其设施、设备、耗材、基础设施以及应对突发公共卫生事件与疫情暴发的能力。本次调研共招募24家调研站点，其中来自15个国家的20家医院于2018至2019年间完成了全部调研内容。CHAMP研究的本次分析环节发现，受访医院在设施、设备、耗材、基础设施以及应对突发公共卫生事件与传染病暴发的能力方面均存在显著短板。日常运营中，多数医院处于满负荷或近满负荷运行状态，且频繁遭遇停电与水资源短缺问题。总体而言，多数医院在应对重大灾害或传染病暴发方面筹备严重不足。若各国希望做好应对当前医疗需求的准备，并能够预防、侦测并快速响应公共卫生威胁，则儿童专科医院亟需获得大额投入以全面提升服务能力。