Pub Date : 2025-03-08DOI: 10.1016/j.afjem.2025.02.005
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-02-01DOI: 10.1016/j.afjem.2025.01.001
Sulaiman Bugosera Wasukira , Carl Trevor Kambugu , Judith Nanyondo S , Emmanuel Candia , Stephen Emmanuel Aporu , Patricia Ikwaru , Racheal Kwagala , Andrew Kwiringira , Peter Mukiibi , Costance Murungi , Marek Ma , Celine Jacobs , Cliff Asher Aliga , Afizi Kibuuka , Dathan M. Byonanebye , Sylvia Natukunda , Kenneth Bagonza , Rose Muhindo , Prisca Kizito , Benard Toliva Opar , Annet Alenyo-Ngabirano
Introduction
The COVID-19 pandemic highlighted the gaps and the need to strengthen the emergency care system in Uganda. The Ugandan Ministry of Health implemented an emergency care capacity-building program during the COVID-19 pandemic response to improve COVID-19 case management in Uganda. We describe the curriculum development and rollout using a cascade model.
Methods
In June 2021, the World Health Organisation (WHO) Hospital Emergency Unit Assessment Tool (HEAT) was used to assess emergency units and document existing capacity gaps in regional referral hospitals and general hospitals. The WHO Basic Emergency Care curriculum was modified to a training curriculum for emergency care principles for COVID-19 management. Training of trainers was conducted across 14 health regions in July and August 2021. The trainers trained cascaded the training through facility-based training during continuous professional development sessions.
Results
Using the HEAT, 115 health facilities (14 regional and 101 general hospitals) were assessed. Only 31.3% (36/115) of the health facilities had a formal triage system. 53.5% (54/101) of general hospitals lacked non-rotating staff in the emergency unit. Some 511 healthcare workers from 205 facilities were trained as trainers, of whom 51.8% were nurses. The trainers trained cascaded the training to 3,550 healthcare workers. There was a significant difference between the overall median pre-test (71%) and median post-test (86.8%) scores of trainers trained (p<0.001).
Conclusion
There was a general lack of emergency unit protocols and a shortage of fixed staff at the emergency units. The cascade model facilitated the dissemination of emergency care knowledge to seven times more healthcare workers than the trainers trained. This demonstrates the efficiency of this approach in knowledge dissemination and its ability to be replicated in other low resource settings.
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Pub Date : 2025-01-18DOI: 10.1016/j.afjem.2025.01.002
Petra Brysiewicz
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Pub Date : 2025-01-15DOI: 10.1016/j.afjem.2024.10.230
Dr Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-01-14DOI: 10.1016/j.afjem.2024.10.234
Dr. Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-01-14DOI: 10.1016/j.afjem.2024.10.227
Dr. Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-01-14DOI: 10.1016/j.afjem.2024.10.223
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-01-14DOI: 10.1016/j.afjem.2024.10.232
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-01-14DOI: 10.1016/j.afjem.2024.10.233
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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Pub Date : 2025-01-14DOI: 10.1016/j.afjem.2024.10.231
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
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