Development and Pilot testing of Tool for Rapid Assessment of Pre-hospital System
Injuries are a major cause of death and disability in Uganda and many victims die before reaching the hospital. Prompt and coordinated pre-hospital care is an important part of trauma care but absence of formal Emergency Medical Services (EMS) makes it challenging. The system is fragmented at best and many informal players such as laypersons, taxi drivers, and hospital transport vehicles are operating in place of EMS. There is little evidence in hand to understand the capacity of the existing system, its strength and weaknesses, and sustainability as well as priority areas of improvement. There are no tools or instruments, which can be used for EMS system assessment and identify gaps and prioritize interventions. We propose this study to develop a tool for Rapid Assessment of EMS system and pilot test it in the city of Kampala by using the WHO guidelines on health systems framework and pre-hospital trauma care. We aim to use health systems framework to understand the capacity of the existing EMS system and identify the gaps in pre-hospital care in a developing country setting. Findings from the proposed work will lead to the development of a National Institute of Health R-21 grant proposal for conducting a multi-country pilot of the newly developed methods in Africa, Asia, and Latin America.
Adnan Hyder, Kent Stevens