AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development

Mould-Millman, N-K; Naidoo, Rishendran; Vries, Shaheem de; Stein, Christopher; Wallis, Lee

doi:10.1016/j.afjem.2014.02.001

Cited by 37 publications

(52 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emergency care uses a range of services to address the time-sensitive needs of acutely ill and injured patients 1. It addresses the management of a wide variety of time-sensitive medical, surgical and obstetric health issues, many of which consistently pose as major burdens in low-income and middle-income countries (LMICs), including in sub-Saharan Africa 2–9.…”

Section: Introductionmentioning

confidence: 99%

Emergency healthcare needs in the Lavender Hill suburb of Cape Town, South Africa: a cross-sectional, community-based household survey

2020

View full text Add to dashboard Cite

ObjectiveEmergency care is a key component of healthcare systems, but little is known about its real impact on communities. This study evaluated access, utilisation and barriers to healthcare, and specifically emergency care, in the low socioeconomic Cape Town suburb of Lavender Hill.DesignA cross-sectional, community-based household survey.SettingLavender Hill suburb in the Cape Flats of Cape Town, South Africa.ParticipantsTwo-stage cluster sampling was used to identify approximately 13 households in each of 46 clusters, for a total of 608 households. A senior householder responded on behalf of each household surveyed.Primary outcome measuresAccess to, utilisation of and unmet needs related to healthcare at large and emergency care.ResultsIn August 2018, 608 households were surveyed, encompassing 2754 individuals, with a response rate of 96.4%. Almost a quarter of respondents (n=663, 24.1%) used the healthcare system within the last year. Female gender, advancing age, lower levels of education, recipients of disability grants, smaller household sizes and living in formal dwellings were factors associated with increased risk of unmet healthcare and emergency care needs. Only a small proportion of respondents (n=39, 1.4%) reported having unmet emergency healthcare needs, with wait times at facilities (n=9, 23.1%), emergency medical service delays (n=7, 17.9%) and personal safety (n=6, 15.4%) being prominent. There was a high prevalence of chronic medical conditions (hypertension, diabetes and dyslipidaemias) and recent deaths predominantly from trauma and malignancy.ConclusionThe emergency healthcare needs of the community appear to be well catered for, although community expectations may not be high and many barriers exist, particularly in accessing emergency care—be it via ambulance services or at healthcare facilities—and caring for chronic diseases in the ageing population. The Lavender Hill community could benefit from programmes addressing chronic disease management and emergency care delivery within the community.

show abstract

Section: Introductionmentioning

confidence: 99%

Emergency healthcare needs in the Lavender Hill suburb of Cape Town, South Africa: a cross-sectional, community-based household survey

2020

View full text Add to dashboard Cite

show abstract

“…Emergency medical services (EMS) are a community’s gateway to acute and emergency medical care for members of the public facing time-sensitive, condition-critical illness and injury. 1 , 2 When implemented appropriately, EMS systems are an effective, frontline, public health intervention to reduce the disproportionately high morbidity and mortality in low- and middle-income countries. 1 , 3 , 4 The formation of locally appropriate EMS systems in low-resource settings, to provide emergency care and transport, has been promoted by international bodies, such as the World Health Organization and the African Federation for Emergency Medicine.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Accessing Emergency Medical Services in Accra, Ghana: Development of a Survey Instrument and Initial Application in Ghana

Mould‐Millman

Rominski

Bogus

et al. 2015

Glob Health Sci Pract

View full text Add to dashboard Cite

Most respondents thought the number of ambulances insufficient and said they would rather use a taxi—perceived to be faster—in a medical emergency. Nevertheless, people generally had favorable attitudes of existing public ambulance services, although few knew of the toll-free emergency number and many thought it appropriate to use ambulances to transport corpses. Targeted public education, along with improved capacity of ambulance agencies to handle increased caseload, could improve use.

show abstract

“…The services provided by an EMD system must be timely, safe, locally-appropriate, and reliable -attributes endorsed by experts at the 2013 AFEM Out-ofHospital Emergency Care Consensus Conference. 5 The term ''dispatch'' specifically describes the process of activating and sending resources to the scene which, in Africa, may include community first-responders, participating taxis or mini-buses, fire services, law enforcement, or ambulances if available.…”

Section: Findings and Recommendationsmentioning

confidence: 99%

“…Given the extensive coverage and increasing penetration of cellular phone technology within Africa, and the existence of telecommunication infrastructure, 11 EMD systems that are well-integrated, sustainable, culturally appropriate, comparatively low-cost, and tailored to the local burden of disease are theoretically implementable. 5 Further, the rapid expansion of technological solutions and the proliferation of 'cloud' based services adds a further dimension to the large scale impact that investment in technology could havenot just within a country, but potentially across regions. This may be even more marked in low resource areas where any investment towards greater efficiency and improved resource allocation is accompanied by significant improvements across the service platform.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Developing emergency medical dispatch systems in Africa – Recommendations of the African Federation for Emergency Medicine/International Academies of Emergency Dispatch Working Group

Mould‐Millman

Vries

Stein

et al. 2015

African Journal of Emergency Medicine

View full text Add to dashboard Cite

Emergency medical dispatch (EMD) systems are a crucial component of effective Emergency Medical Services (EMS) systems. They provide a means of public access to emergency care information and out-of-hospital emergency care resources and expertise. EMD systems also link various components of EMS, thereby improving efficiency and performance. As EMS systems are rapidly developing across many parts of Africa, EMD systems which are context appropriate are in great need, but are mostly absent despite the wide availability of telecommunications technology. To facilitate the development of EMD systems appropriate for the African setting, the African Federation for Emergency Medicine (AFEM) and the International Academies of Emergency Dispatch (IAED) convened a working group in November 2014 to provide conceptual, technical, and innovative recommendations for contextually appropriate EMD systems for African settings. It is hoped that these recommendations will augment efficiency, effectiveness, and standardisation within and among African EMD systems, thereby improving health outcomes for sufferers of acute illness or injury.Les syste`mes de Re´partition me´dicale d'urgence (RMU) repre´sentent une composante cruciale des syste`mes efficaces d'Aide me´dicale urgente (SAMU). Ils fournissent un moyen d'acce`s public a`l'information sur les soins d'urgence et aux ressources et expertise en soins d'urgence hors de l'hoˆpital. Les syste`mes de RMU font e´galement le lien entre divers composants de l'AMU, ame´liorant ainsi l'efficacite´et la performance. Alors que les syte`mes d'AMU se de´veloppent rapidement dans de nombreuses re´gions de l'Afrique, il existe un grand besoin de syste`mes de RMU adapte´s au contexte, souvent absents malgre´la grande disponibilite´des technologies de te´le´com munications. Pour faciliter le de´veloppement de syste`mes de RMU approprie´s au contexte africain, la Fe´de´ration africaine de me´decine d'urgence (AFEM, African Federation for Emergency Medicine) et les Acade´mies internationales de re´partition d'urgence (IAED, International Academies of Emergency Dispatch) ont convoque´un groupe de travail en novembre 2014 pour fournir des recommandations conceptuelles, techniques et innovantes aux syste`mes de RMU adapte´s au contexte africain. Il est a`espe´rer que ces recommandations augmenteront l'efficacite´, l'efficience et la normalisation au sein et entre les syste`mes de RMU africains, ame´liorant ainsi les re´sultats en termes de sante´pour les personnes souffrant de maladie aigue¨ou de blessures. African relevanceEmergency Medical Dispatch (EMD) systems are a critical component of, and point of public access into, emergency care systems.

show abstract

AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development

Cited by 37 publications

References 19 publications

Emergency healthcare needs in the Lavender Hill suburb of Cape Town, South Africa: a cross-sectional, community-based household survey

Emergency healthcare needs in the Lavender Hill suburb of Cape Town, South Africa: a cross-sectional, community-based household survey

Barriers to Accessing Emergency Medical Services in Accra, Ghana: Development of a Survey Instrument and Initial Application in Ghana

Developing emergency medical dispatch systems in Africa – Recommendations of the African Federation for Emergency Medicine/International Academies of Emergency Dispatch Working Group

Contact Info

Product

Resources

About