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. 2017 Feb 6;7(2):e014573.
doi: 10.1136/bmjopen-2016-014573.

Evaluation of demands, usage and unmet needs for emergency care in Yaoundé, Cameroon: a cross-sectional study

Young Sun Ro  1 , Sang Do Shin  2 , Joongsik Jeong  3   4 , Min Jung Kim  1 , Young Hee Jung  1 , Joseph Kamgno  5 , Etoundi Mballa Georges Alain  6 , Bonaventure Hollong  4
Affiliations

Evaluation of demands, usage and unmet needs for emergency care in Yaoundé, Cameroon: a cross-sectional study

Young Sun Ro et al. BMJ Open. .

Abstract

Objectives: To assess the burden of emergent illnesses and emergency care system usage by Yaoundé residents and to evaluate unmet needs for emergency care and associated barriers.

Design: A cross-sectional study using a community-based survey.

Setting: Yaoundé, Cameroon.

Participants: All residents living in Yaoundé were selected as the target population to investigate the needs and usage of emergency care in Yaoundé. 14 households in every health area (47 in total) were selected using 2-stage sampling.

Primary outcome measures: Unmet needs for emergency care.

Results: Among the 3201 participants from 619 households who completed the survey, 1113 (34.8%) with median age of 22 experienced 1 or more emergency conditions in the previous year. Respondents who experienced emergency conditions used emergency units (7.0%), outpatient clinics (46.5%) or hospitalisation (13.0%), and in overall, 68.8% of them reported unmet needs for emergency care. The primary reasons for not seeking healthcare were economic issues (37.2%) and use of complementary medicine (22.2%). Young age (adjusted OR (95% CI) 1.80 (1.23 to 2.62)), rental housing (1.50 (1.11 to 2.03)) and moderate household income (0.60 (0.36 to 0.99)) were associated with unmet needs for emergency care.

Conclusions: Residents of Yaoundé had a high demand for emergency care, and high unmet needs were observed due to low emergency care usage. Development of a cost-effective, universal emergency care system is urgently needed in Cameroon.

Keywords: Cameroon; Emergency Medical Services; Needs Assessment.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Survey participants.
See this image and copyright information in PMC

References

    1. Razzak JA, Kellermann AL. Emergency medical care in developing countries: is it worthwhile? Bull World Health Organ 2002;80:900–5. - PMC - PubMed
    1. Levine AC, Presser DZ, Rosborough S et al. Understanding barriers to emergency care in low-income countries: view from the front line. Prehosp Disaster Med 2007;22:467–70. - PubMed
    1. Hofman K, Primack A, Keusch G et al. Addressing the growing burden of trauma and injury in low- and middle-income countries. Am J Public Health 2005;95:13–17. 10.2105/AJPH.2004.039354 - DOI - PMC - PubMed
    1. Anderson PD, Suter RE, Mulligan T et al. World Health Assembly Resolution 60.22 and its importance as a health care policy tool for improving emergency care access and availability globally. Ann Emerg Med 2012;60:35–44. e3 10.1016/j.annemergmed.2011.10.018 - DOI - PubMed
    1. Dalal S, Beunza JJ, Volmink J et al. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol 2011;40:885–901. 10.1093/ije/dyr050 - DOI - PubMed

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