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Developing emergency medical care policy across Kenya: A framework for policy development.
Afr J Emerg Med
December 2024
Accident & Emergency Department, The Aga Khan University, Nairobi, Nairobi, Kenya.
Background And Objectives: The Kenya Emergency Medical Care (EMC) Policy 2020-2030 was created to guide the advancement of EMC throughout Kenya. This report describes and maps the ongoing EMC policy development process across Kenya's 47 counties, serving as a real-world example of EMC policy development within a decentralized healthcare system in a low-or middle-income country (LMIC).
Methods: This report evaluates the development of county-specific EMC policies using the Kenya Institute for Public Policy Research and Analysis (KIPPRA) six stages for policy development: 1) problem identification, 2) agenda setting, 3) policy design, 4) approval, 5) implementation, and 6) monitoring and evaluation.
Impact of COVID-19 pandemic on the utilization of emergency medical services in Nairobi, Kenya.
Afr J Emerg Med
December 2024
Department of Medical Microbiology, The University of Nairobi, Nairobi, Kenya.
Introduction: Emergency medical services (EMS) are vital for providing immediate medical or trauma care to patients and stabilizing them for transportation to hospitals. Following the confirmation of the first case of coronavirus disease 2019 (COVID-19) in Kenya on March 13th, 2020, the government announced several measures to curb its spread, including movement restrictions and the use of ambulance services for confirmed or suspected COVID-19 patients. This study aimed to determine the utilization of EMS in Kenya the year before and one year into the COVID-19 pandemic.
View Article and Find Full Text PDFHIV testing services and HIV self-testing programming within emergency care in Kenya: a qualitative study of healthcare personnel to inform enhanced service delivery approaches.
AIDS Care
January 2025
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
In Kenya, persons insufficiently engaged in HIV Testing Services (HTS) are often treated in emergency departments (ED). There are limited data from healthcare workers on ED-HTS. A qualitative study was completed to understand challenges and facilitators for ED-HTS and HIV self-testing (HIVST).
View Article and Find Full Text PDFImpact of advanced trauma life support training on 30-day mortality in severely injured patients at a Kenyan tertiary center: a retrospective matched case-control study.
Int J Emerg Med
October 2024
Department of Surgery, Aga Khan University Hospital, Nairobi, Kenya.
Introduction: Trauma is a leading cause of mortality worldwide, particularly in low and middle-income countries (LMICs) like Kenya. This study evaluates the impact of Advanced Trauma Life Support (ATLS) training on 30-day mortality outcomes in severely injured patients at a tertiary care center in Kenya.
Methods: A retrospective matched case-control study was conducted at Aga Khan University Hospital, Nairobi.
This study aims to describe the circumstances under which women obtained abortions in two sites, explore more nuanced approaches to classify abortion safety and examine the relationship between safety and self-reported health outcomes. We analyze data on the most recent abortion or only abortion reported by 551 women in Nairobi slums and 479 women in rural Kaya ages 15-49 years within the three years preceding the study, recruited via respondent-driven sampling. Using the most liberal safety classification, there were very few safe abortions (8 percent in Nairobi and 5 percent in Burkina Faso).
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