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. 2021 Mar;11(1):140-143.
doi: 10.1016/j.afjem.2020.09.011. Epub 2020 Oct 17.

Application of the World Health Organization's Basic Emergency Care course in Zambia

Morgan C Broccoli  1 , Julia Dixon  2 , Branden Skarpiak  3 , Godfrey Phiri  4 , Andrew E Muck  3 , Emilie J Calvello Hynes  2
Affiliations

Application of the World Health Organization's Basic Emergency Care course in Zambia

Morgan C Broccoli et al. Afr J Emerg Med. 2021 Mar.

Abstract

Background: In 2013, the Zambian Ministry of Health identified action priorities for strengthening their emergency care system; one of these priorities was emergency care training for healthcare providers. To rapidly train the existing cadre of frontline providers, trainings were implemented in multiple provinces using the World Health Organization's Basic Emergency Care (BEC) course. The BEC course is open-access and emphasizes a practical syndrome-based approach to critical emergency conditions. This paper describes the first reported larger scale educational intervention of the BEC course in 7 provinces of Zambia.

Methods: Course delivery occurred at seven Zambian hospitals selected by the Ministry of Health over a 1 year period. Participant emergency care knowledge was assessed pre- and post-course with a 25-question multiple choice exam. Participant confidence levels related to emergency care provision and emergency care skills were assessed pre- and post-course using a Likert scale survey.

Results: Overall, 210 participants were trained at 7 sites. Participants demonstrated significant improvements in their multiple-choice exam scores; the overall pre-course mean was 61.47, and the post-course mean was 79.87 (p < 0.0001). Self-reported confidence in the care of ill and injured adults and children increased after taking the course, and participants generally agreed that the BEC course was highly valuable and applicable to local needs.

Conclusion: Implementation of the WHO's BEC course at seven hospitals throughout Zambia led to improvement in the participants' emergency care knowledge and confidence levels at all sites. The BEC course has the potential to be implemented in a nationwide initiative but would require allocation of significant human and physical resources. Additional work evaluating patient outcomes and long-term participant educational outcomes is needed.

Keywords: Basic Emergency Care; Education; Emergency care; Emergency care systems; Zambia.

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Conflict of interest statement

The authors have no conflicts of interest to report.

References

    1. Reynolds T.A., Sawe H., Rubiano A.M., Do Shin S., Wallis L., Mock C.N. Disease control priorities: improving health and reducing poverty. 3rd ed. The International Bank for Reconstruction and Development/The World Bank; Nov 27 2017. Strengthening health systems to provide emergency care. - PubMed
    1. Chang C.Y., Abujaber S., Reynolds T.A., Camargo C.A., Obermeyer Z. Burden of emergency conditions and emergency care usage: new estimates from 40 countries. Emerg Med J. Nov 1 2016;33(11):794–800. - PMC - PubMed
    1. Zambia BBC; 2013. Many dead in bus and lorry crash north of Lusaka. https://www.bbc.com/news/world-africa-21373965 Available at:
    1. Report on Chibombo Accident Review Meeting. Lusaka; Mar 2013.
    1. National Stakeholders Consultative Meeting on Emergency Health Services . Mar 2013. Action plan. Lusaka.

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