Slides from the Care-Seeking and Referral Community of Practice webinar held on July 2, 2020
Emergency care systems (ECS) address a wide range of acute conditions, including emergent conditions from communicable diseases, non-communicable diseases, pregnancy and injury. Together, ECS represent an area of great potential for reducing morbidity and mortality in low-income and middle-income countries (LMICs). It is estimated that up to 54% of annual deaths in LMICs could be addressed by improved prehospital and facility-based emergency care. Research is needed to identify strategies for enhancing ECS to optimise prevention and treatment of conditions presenting in this context, yet significant gaps persist in defining critical research questions for ECS studies in LMICs. The Collaborative on Enhancing Emergency Care Research in LMICs seeks to promote research that improves immediate and long-term outcomes for clients and populations with emergent conditions. The objective of this paper is to describe systems approaches and research strategies for ECS in LMICs, elucidate priority research questions and methodology, and present a selection of studies addressing the operational, implementation, policy and health systems domains of health systems research as an approach to studying ECS. Finally, we briefly discuss limitations and the next steps in developing ECS-oriented interventions and research.
Emergency medicine (EM) throughout Africa exists in various stages of development. The number
and types of scientific EM literature can serve as a proxy indicator of EM regional development and activity. The
goal of this scoping review is a preliminary assessment of potential size and scope of available African EM
literature published over 15 years.
Reducing maternal death remains a challenge in
many low-income countries. Preventing maternal deaths depends
significantly on the presence of a skilled birth attendant at child
delivery. The main objective of this study was to find out whether
use of mobile transport vouchers would result in an increased
number of pregnant women choosing to deliver at a health facility
rather than at home.
Transportation interventions seek to decrease delay in reaching a health facility for emergency obstetric care and are, thus, believed to contribute to reductions in such adverse pregnancy and childbirth outcomes as maternal deaths, stillbirths, and neonatal mortality in low- and middle-income countries (LMICs). However, there is limited empirical evidence to support this hypothesis. The objective of the proposed review is to summarize and critically appraise evidence regarding the effect of emergency transportation interventions on outcomes of labor and delivery in LMICs.
Interventions for the Saving Mothers, Giving Life (SMGL) initiative aimed to ensure all pregnant women in SMGL-supported districts have timely access to emergency obstetric and newborn care (EmONC). Spatial travel-time analyses provide a visualization of changes in timely access.
Timely access to emergency obstetric care is crucial in preventing mortalities associated with
pregnancy and childbirth. The referral of patients from lower levels of care to higher levels has been identified as
an integral component of the health care delivery system in Ghana. To this effect, in 2012, the National Referral
Policy and Guidelines was developed by the Ministry of Health (MOH) to help improve standard procedures and
reduce delays which affect access to emergency care. Nonetheless, ensuring timely access to care during referral of
obstetric emergencies has been problematic. The study aimed to identify barriers associated with the referral of
emergency obstetric cases to the leading national referral centre. It specifically examines the lived experiences of
patients, healthcare providers and relatives of patients on the referral system.