Emergency care capacity in Africa: A clinical and educational initiative in Tanzania

Reynolds, Teri; Mfinanga, Juma A.; Sawe, Hendry R.; Runyon, Michael S.; Mwafongo, Victor

doi:10.1057/jphp.2012.41

Cited by 88 publications

(98 citation statements)

References 18 publications

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“…EM education was introduced in Tanzania in 2010 at MNH and has been challenged by the country's limited basic healthcare infrastructure and access to training, [13,14] barriers exemplified in other sub-Saharan African countries. [15][16][17] Regardless, the demand for improved prehospital and hospitalbased EM specialty training in this country continues to grow.…”

Section: Emergency Medicine In Tanzaniamentioning

confidence: 99%

Pioneering small-group learning in Tanzanian emergency medicine: Investigating acceptability for physician learners

Lim

Geduld

Checkett

et al. 2017

AJHPE

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Background. Emergency medicine (EM) is a relatively new, but growing medical specialty in sub-Saharan Africa. African EM training programmes have used small-group learning (SGL) modalities in their curricula. However, there is little knowledge of whether SGL modalities are perceived to be effective in these African EM training programmes. Objectives. To investigate the acceptability of SGL for physicians' training in an academic Tanzanian emergency department using a novel EM curriculum. Methods. Using responses to a written questionnaire, we explored the perceived effectiveness of SGL compared with traditional didactic lectures among 38 emergency department physician learners in Dar es Salaam, Tanzania. Perceptions of SGL were identified from qualitative responses, and regression analyses were used to determine strength of association between quantitative outcomes. Results. Reported benefits of SGL included team building, simulation training, enhancement of procedural skills, and the opportunity to discuss opinions on clinical management. SGL scored more favourably with regard to improving clinical practice, enjoyment of learning, and building peer-to-peer relations. Lectures scored more favourably at improving medical knowledge. Preference towards SGL over lectures for overall training increased with years of clinical experience (95% confidence interval (CI) 0.16 -0.62, p=0.002, Spearman's rho 0.51), and the perception that SGL reinforces learner-teacher relationships correlated with seniority within residency training (95% CI 0.14 -0.86, p=0.007, Spearman's rho 0.47). Conclusion. Techniques of SGL were perceived as effective at improving clinical practice in the emergency department setting. These modalities may be more favourably accepted by more experienced physician learners -therefore, new EM teaching programmes in Africa should consider these factors when targeting educational strategies for their respective regions and learner cohorts.

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Section: Emergency Medicine In Tanzaniamentioning

confidence: 99%

Pioneering small-group learning in Tanzanian emergency medicine: Investigating acceptability for physician learners

Lim

Geduld

Checkett

et al. 2017

AJHPE

View full text Add to dashboard Cite

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“…Health-care facilities often lack an integrated approach to triage and resuscitation of acutely ill patients: This means acutely ill patients may be cared for by several different departments, depending on age, pregnancy status, and specific disease states. This vertical approach means that there is rarely a dedicated acute intake area staffed with nonrotating personnel who can be trained in resuscitation and stabilization (26) . 3.…”

Section: Challenges and Recommendationsmentioning

confidence: 99%

Challenges in Emergency Medical Services in a ResourceLimited Setting in Sub-Sahara Africa; Perspectives from Cameroon: a Review Article

Tolefac¹,

Theophile²,

Chichom³

et al. 2017

IAM

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Emergency medical services with pre-hospital care remain poorly developed in sub-Saharan Africa and the developing world at large. The provision of timely treatment during life-threatening emergencies is not a priority for many health systems in developing countries. In this review, the authors reviewed the evidence indicating the need to develop and/or strengthen emergency medical care systems in sub-Sahara Africa with perspectives drawn from Cameroon.

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“…However, in a low-resource setting, often the last mandate developed in healthcare is emergency medicine, which, while contributing to saving lives in the pre- or in-hospital phase of life-threatening situations, is an enormously demanding financial burden (4). Interestingly, several studies have reported that emergency medicine and its training/education is not as quite expensive as previously thought, and is likely to be more dependent on how problems are solved (5–7). Therefore, a realistic and non-demanding financial burden approach should be considered for the fundamental capacity building of the emergency medicine field in underfunded countries.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Sustainable Training System for Emergency in Vietnam

Kang

Seo

et al. 2018

Front. Public Health

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PurposeThis study analyzed the project outcomes to share lessons regarding the development of an emergency medicine education system in Vietnam.MethodsRetrospective evaluation was implemented using project outcome indicators.ResultsA total of 13 training courses were administered, with the collaboration of international experts in Korea and Vietnam. A total of 23 kinds of emergency medicine education equipment were purchased, and a basic life support (BLS) and two advanced cardiac life support labs were remodeled to provide appropriate simulation training. Throughout the 2 years of the project, nine Vietnamese BLS instructors were approved by the Korea Association of Cardiopulmonary Resuscitation under American Heart Association. Results of evaluation by Korean international development experts were based on five criteria, provided by the Development Assistance Committee of the Organization for Economic Co-operation and Development, were excellent. Success factors were identified as partnership, ownership, commitment, government support, and global networking.ConclusionProject indicators were all accomplished and received an excellent evaluation by external experts. For sustainable success, healthcare policy and legal regulation to promote high quality and safe service to the Vietnamese people are recommended.

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Emergency care capacity in Africa: A clinical and educational initiative in Tanzania

Cited by 88 publications

References 18 publications

Pioneering small-group learning in Tanzanian emergency medicine: Investigating acceptability for physician learners

Pioneering small-group learning in Tanzanian emergency medicine: Investigating acceptability for physician learners

Challenges in Emergency Medical Services in a ResourceLimited Setting in Sub-Sahara Africa; Perspectives from Cameroon: a Review Article

Implementation of a Sustainable Training System for Emergency in Vietnam

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