Factors Contributing to Overcrowding at the Emergency Department of the St. Francis Community Hospital in Nairobi Kenya

Emergency department (ED) overcrowding is a major barrier to safe and efficient health services delivery across hospitals. This study sought to identify and assess factors contributing to overcrowding at the ED of the St. Francis Community Hospital in Nairobi. The objectives were to describe the patterns of association between patients’ characteristics and overcrowding at the emergency department of the hospital, examine the institutional factors that contribute to overcrowding and determine the extent to which the hospital is complying with its own throughput target of four hours per client. A quantitative cross-sectional study was subsequently done with patients and staff over a two-week period. Data was collected using a questionnaire. Descriptive statistics were used to describe the association between patients’ characteristics and overcrowding. Non-parametric tests (factor analysis) were used to describe institution factors that contribute to overcrowding, with Wilcoxon rank test being used to check whether patients took the four-hour ED timeframe specified in the hospital charter. The IBM SPSS Statistics software was used for analysis. The study found that different patient characteristics contributed to overcrowding at the ED. Patient factors included age, mode of arrival, level of education and gender.