“…In-hospital improvement priorities highlighted issues with referral procedures from district hospitals and delays to access appropriate and definitive care in emergency departments. Additionally, issues with the Similar conferences have been held to represent East Africa, Sub-Saharan Africa, Cape Town and Tanzania [15,23,24]. The Sub-Saharan Africa Emergency Care Consensus Conference recommendations paralleled many that we made in Rwanda, such as educating and empowering communities surrounding emergency health care, timely access to acute care diagnostics, the need for emergency clinical practice guidelines, and regionally appropriate courses for care [23].…”