Piloting a Layperson Prehospital Care System in Rural Uganda
| العنوان: | Piloting a Layperson Prehospital Care System in Rural Uganda |
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| المؤلفون: | Heather A. Brown, Amanda J. Stratton, Joseph Gill, Spencer F. Robinson, Vincent Tumisiime, Caroline Brady |
| المصدر: | Prehospital and Disaster Medicine. 38:179-184 |
| بيانات النشر: | Cambridge University Press (CUP), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Emergency Medicine, Emergency Nursing |
| الوصف: | Introduction:In many low-income countries, basic prehospital Emergency Medical Services (EMS) remain under-developed, resulting in significant delays or the complete inability to access care.Study Objective:The purpose of this study was to analyze the effectiveness of a layperson EMS training targeting motorcycle taxi (boda) drivers in a rural region of Uganda.Methods:Fifty (50) adult boda drivers from Masindi, Uganda were selected for a one-day training course including lectures and simulation. Course content covered basic prehospital skills and transport. Participants were given a first responder kit at completion of the course. Understanding of material was assessed prior to training, immediately after course completion, and four months from the initial course using the same ten question test. Test means were analyzed using a standard linear regression model. At the four-month follow up, all 50 boda drivers participated in semi-structured small group qualitative interviews regarding their perception of the course and experiences implementing course skills in the community. Boda drivers were asked to complete a brief form on each patient transported during the study period. For patients transported to Masindi Kitara Medical Center (MKMC), hospital trauma registry data were analyzed.Results:Trainees showed both knowledge acquisition and retention with pre-test scores of 21.8% improving to 48.0% at course completion and 57.7% at the four-month follow up. Overall, participant’s scores increased by an average of 35% from the pre-test to the second post-test (P Conclusion:Motorcycle taxi drivers can be trained to provide basic prehospital care in a short time and at a low cost. While there is much enthusiasm for additional training and skill acquisition from this cohort, the sustainability and scalability of such programs is still in question. |
| تدمد: | 1945-1938 1049-023X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::9e8dbb758c510d440d638f7533d9c94b https://doi.org/10.1017/s1049023x23000201 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........9e8dbb758c510d440d638f7533d9c94b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19451938 1049023X |
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