The evolution and current state of emergency care in Ghana

Osei‐Ampofo, Maxwell; Oduro, George; Oteng, Rockefeller; Zakariah, Ahmed; Jacquet, Gabrielle A.; Donkor, Peter

doi:10.1016/j.afjem.2012.11.006

Cited by 46 publications

(58 citation statements)

References 10 publications

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“…Built in 2008, the KATH AEC is home to the first emergency medicine (EM) residency training program in Ghana. 12 Subspecialty care at KATH includes orthopedic surgery, trauma and burn care, and various medical and surgical sub-specialties.…”

Section: Introductionmentioning

confidence: 99%

Assessment of emergency medical services in the Ashanti region of Ghana

Mould-Millman¹,

Oteng²,

Zakariah³

et al. 2015

Ghana Medical Journal

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SUMMARYBackground: We aimed to assess the structure, function and performance of Ashanti Region's emergency medical services system in the context of the regional need for prehospital emergency care. Design: A mixed-methods approach was employed, using retrospective collection of quantitative data and prospectively gathered qualitative data. Setting -pertinent data were collected from Ghanaian and international sources; interviews and technical assessments were performed primarily in the Ashanti Region of Ghana. Participants: All stakeholders relevant to emergency medical services in the Ashanti Region of Ghana were assessed; there was a special focus on National Ambulance Service (NAS) and Ashanti Region healthcare personnel. Intervention: This was an observational study using qualitative and quantitative assessment techniques. Main outcome measures: The structure, function and performance of the Ashanti emergency medical services system, guided by a relevant technical assessment framework. Results: NAS is the premier and only true prehospital agency in the Ashanti Region. NAS has developed almost every essential aspect of an EMS system necessary to achieve its mission within a low-resource setting. NAS continues to increase its number of response units to address the overwhelming Ashanti region demand, especially primary calls. Deficient areas in need of development are governance, reliable revenue, public access, community integration, clinical care guidelines, research and quality assurance processes. Conclusions:The Ashanti Region has a growing and thriving emergency medical services system. Although many essential areas for development were identified, NAS is well poised to meet the regional demand for prehospital emergency care and transport.

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Section: Introductionmentioning

confidence: 99%

Assessment of emergency medical services in the Ashanti region of Ghana

Mould-Millman¹,

Oteng²,

Zakariah³

et al. 2015

Ghana Medical Journal

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“…The A&E department uses the South African Triage Scoring System to determine illness acuity; patients with a final triage score of Red, Orange, or Yellow are seen and treated in the A&E department, and those who score Green are referred the KATH Polyclinic for further management. 21 In this study, we found a prevalence of HIV seropositivity of 13.5% in patients who consented to be tested whilst being attended to at the KATH A&E department. This prevalence of HIV was tenfold higher than the current national HIV prevalence rate of 1.4%.…”

Section: Discussionmentioning

confidence: 75%

Hiv/Aids prevalence at the accident & emergency centre of a tertiary and referral health institution in Ghana

Biney¹,

Oduro²,

Yar³

et al. 2016

Ghana Medical Journal

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“…9 The process was accelerated when public awareness heightened following the 2001 collapse of the Accra Sports Stadium, in which 126 people died and countless others were critically injured. 11 The high mortality and morbidity associated with this mass casualty surge was likely exacerbated by a deficit of formally trained first responders and trained emergency physicians at receiving hospitals.…”

Section: The Role Of Emergency Medicine In Ghanamentioning

confidence: 99%

The Development of Sustainable Emergency Care in Ghana: Physician, Nursing and Prehospital Care Training Initiatives

Martel

Oteng

Mould‐Millman

et al. 2014

The Journal of Emergency Medicine

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Background Ghana’s first Emergency Medicine residency and nursing training programs were initiated in 2009 and 2010, respectively, at Komfo Anokye Teaching Hospital in the city of Kumasi in association with Kwame Nkrumah University of Science and Technology and the Universities of Michigan and Utah. In addition, the National Ambulance Service was commissioned initially in 2004 and has developed to include both prehospital transport services in all regions of the country and Emergency Medical Technician training. Over a decade of domestic and international partnership has focused on making improvements in emergency care at a variety of institutional levels, culminating in the establishment of comprehensive emergency care training programs. Objective We describe the history and status of novel post-graduate emergency physician, nurse and prehospital provider training programs as well as the prospect of creating a board certification process and formal continuing education program for practicing emergency physicians. Discussion Significant strides have been made in the development of emergency care and training in Ghana over the last decade, resulting in the first group of Specialist level EM physicians as of late 2012, as well as development of accredited emergency nursing curricula and continued expansion of a national EMS. Conclusion This work represents a significant move toward in-country development of sustainable, interdisciplinary, team-based emergency provider training programs designed to retain skilled healthcare workers in Ghana and may serve as a model for similar developing nations.

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The evolution and current state of emergency care in Ghana

Cited by 46 publications

References 10 publications

Assessment of emergency medical services in the Ashanti region of Ghana

Assessment of emergency medical services in the Ashanti region of Ghana

Hiv/Aids prevalence at the accident & emergency centre of a tertiary and referral health institution in Ghana

The Development of Sustainable Emergency Care in Ghana: Physician, Nursing and Prehospital Care Training Initiatives

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