Publications by authors named "Irene Bagahirwa"

Delays in getting injured patients to hospital in a timely manner can increase avoidable death and disability. Like many low- or middle-income countries (LMICs), Rwanda experiences delays related to lack of efficient prehospital communication and formal guidelines to triage patients for hospital care. This paper describes the protocol to develop, roll out, and evaluate the effectiveness of a Destination Decision Support Algorithm (DDSA) integrated in an electronic communication platform, '912Rwanda'.

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Background: Surgical capacity building has gained substantial momentum. However, care at the hospital level depends on improved access to emergency services. There is no established model for facilitating trauma and EMS system capacity in LMIC settings.

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Background: Injuries are a leading cause of mortality among children globally, with children in low- and middle-income countries more likely to die if injured compared to children in high-income countries. Timely and high-quality care are essential to reduce injury-related morbidity and mortality.

Objectives: This study describes patterns, management, and outcomes of children 0-15 years presenting with unintentional injuries at three district hospitals in rural Rwanda between January 1 and December 31, 2017.

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Article Synopsis
  • Injuries contribute significantly to disability and death in low- and middle-income countries, where timely access to care is often hindered by various barriers throughout the recovery process.* ! -
  • A workshop in Kigali, Rwanda, identified 42 barriers to injury care access, with the top four being the need for specialist staff training, greater health education on injury severity, improved geographical reach of trauma centers, and established referral protocols.* ! -
  • Addressing these barriers requires a comprehensive strategy that covers the entire patient journey from injury to rehabilitation, providing valuable insights for researchers and policymakers in planning effective interventions.* !
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Ministries of Health (MoHs) and health organizations are compelled to work across sectors and build coalitions, strengthening health systems to abate the rise of noncommunicable diseases (NCDs). A critical element of NCD prevention and control involves significant and difficult changes in attitudes, policies and protective behavior at the population level. The population-level impact of NCD interventions depends on the strength of the health system that delivers them.

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