72nd World Health Assembly, Geneva, Switzerland, 2019

Higgins, Annabel; Morriss, Wayne W.; Gelb, Adrian W.; Makasa, Emmanuel; Gore-Booth, Julian; Vasco, Mauricio; Mellin‐Olsen, Jannicke

doi:10.1213/ane.0000000000004594

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…In this spirit, the 2018 Lancet Commission on Migration [ 8 ] emphasises the responsibility of governments to uphold human rights and provide equitable universal health coverage (UHC) to migrant populations, regardless of their legal status. This goal is also reflected in the 2019 WHA agreement [ 9 ]: that a key WHO member state priority is to integrate migration and refugee health into health policies.…”

Section: Introductionmentioning

confidence: 99%

An analysis of migration and implications for health in government policy of South Africa

Manji

Perera

Hanefeld

et al. 2023

Int J Equity Health

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For over a decade, the global health community has advanced policy engagement with migration and health, as reflected in multiple global-led initiatives. These initiatives have called on governments to provide universal health coverage to all people, regardless of their migratory and/or legal status. South Africa is a middle-income country that experiences high levels of cross-border and internal migration, with the right to health enshrined in its Constitution. A National Health Insurance Bill also commits the South African public health system to universal health coverage, including for migrant and mobile groups. We conducted a study of government policy documents (from the health sector and other sectors) that in our view should be relevant to issues of migration and health, at national and subnational levels in South Africa. We did so to explore how migration is framed by key government decision makers, and to understand whether positions present in the documents support a migrant-aware and migrant-inclusive approach, in line with South Africa’s policy commitments. This study was conducted between 2019 and 2021, and included analysis of 227 documents, from 2002–2019. Fewer than half the documents identified (101) engaged directly with migration as an issue, indicating a lack of prioritisation in the policy discourse. Across these documents, we found that the language or discourse across government levels and sectors focused mainly on the potential negative aspects of migration, including in policies that explicitly refer to health. The discourse often emphasised the prevalence of cross-border migration and diseases, the relationship between immigration and security risks, and the burden of migration on health systems and other government resources. These positions attribute blame to migrant groups, potentially fuelling nationalist and anti-migrant sentiment and largely obscuring the issue of internal mobility, all of which could also undermine the constructive engagement necessary to support effective responses to migration and health. We provide suggestions on how to advance engagement with issues of migration and health in order for South Africa and countries of a similar context in regard to migration to meet the goal of inclusion and equity for migrant and mobile groups.

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Section: Introductionmentioning

confidence: 99%

An analysis of migration and implications for health in government policy of South Africa

Manji

Perera

Hanefeld

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…Emergency medical services (EMS) could address 54% of the 45 million annual deaths in LMICs [3], though 91.3% of the African population still has no access to EMS despite injury being the leading prehospital condition in sub‐Saharan Africa [4]. In 2019, the 72nd World Health Assembly unanimously declared emergency care an essential component of universal health coverage, crucial toward sustainable development goal attainment, and called for global efforts to strengthen emergency care systems to ensure timely, high‐quality care [5].…”

Section: Introductionmentioning

confidence: 99%

Evaluating a Novel Prehospital Emergency Trauma Care Assessment Tool (PETCAT) for Low‐ and Middle‐Income Countries in Sierra Leone

Delaney

Eisner

Thullah³

et al. 2021

World j. surg.

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Background WHO recommends training lay first responders (LFRs) as the first step toward formal emergency medical services development, yet no tool exists to evaluate LFR programs. Methods We developed Prehospital Emergency Trauma Care Assessment Tool (PETCAT), a seven‐question survey administered to first‐line hospital‐based healthcare providers, to independently assess LFR prehospital intervention frequency and quality. PETCAT surveys were administered one month pre‐LFR program launch (June 2019) in Makeni, Sierra Leone and again 14 months post‐launch (August 2020). Using a difference‐in‐differences approach, PETCAT was also administered in a control city (Kenema) with no LFR training intervention during the study period at the same intervals to control for secular trends. PETCAT measured change in both the experimental and control locations. Cronbach's alpha, point bi‐serial correlation, and inter‐rater reliability using Cohen's Kappa assessed PETCAT reliability. Results PETCAT administration to 90 first‐line, hospital‐based healthcare providers found baseline prehospital intervention were rare in Makeni and Kenema prior to LFR program launch (1.2/10 vs. 1.8/10). Fourteen months post‐LFR program implementation, PETCAT demonstrated prehospital interventions increased in Makeni with LFRs (5.2/10, p < 0.0001) and not in Kenema (1.2/10) by an adjusted difference of + 4.6 points/10 (p < 0.0001) (“never/rarely” to “half the time”), indicating negligible change due to secular trends. PETCAT demonstrated high reliability (Cronbach's α = 0.93, Cohen's K = 0.62). Conclusions PETCAT measures changes in rates of prehospital care delivery by LFRs in a resource‐limited African setting and may serve as a robust tool for independent EMS quality assessment.

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Evaluating feasibility of a novel mobile emergency medical dispatch tool for lay first responder prehospital response coordination in Sierra Leone: A simulation-based study

Delaney

Eisner

Thullah³

et al. 2023

Injury

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72nd World Health Assembly, Geneva, Switzerland, 2019

Cited by 5 publications

References 2 publications

An analysis of migration and implications for health in government policy of South Africa

An analysis of migration and implications for health in government policy of South Africa

Evaluating a Novel Prehospital Emergency Trauma Care Assessment Tool (PETCAT) for Low‐ and Middle‐Income Countries in Sierra Leone

Evaluating feasibility of a novel mobile emergency medical dispatch tool for lay first responder prehospital response coordination in Sierra Leone: A simulation-based study

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