Evidence map›Paper›PMID 31721766›Full record

ArticlePloS one2019

Results from a World Health Organization pilot of the Basic Emergency Care Course in Sub Saharan Africa.

Andrea G Tenner, Hendry R Sawe, Stas Amato, Joseph Kalanzi, Muhumpu Kafwamfwa, Heike Geduld, Nikki Roddie, Teri A Reynolds

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Implementing the WHO/ICRC Basic Emergency Care course training for health workers in conflict-affected regions in Somalia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
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  16. Introduction of WHO BEC course for nurses at Bugando Medical Center in Mwanza, Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
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  17. Essential human and material resources for emergency care in the district hospitals of Burundi.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea G TennerEmergency Department, University of California San Francisco, San Francisco, California, United States of America.
Hendry R SaweEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-0395-5385
Stas AmatoDepartment of General Surgery, University of Vermont, Newport, Vermont, United States of America.
Joseph KalanziDepartment of Emergency Medicine, Makerere University, Kampala, Uganda.
Muhumpu KafwamfwaCavendish University Zambia, Lusaka, Zambia.
Heike GeduldDivision of Emergency Medicine, University of Cape Town, Cape Town, South Africa.
Nikki RoddieDepartment for the Management of NCDs, Disability, Violence and Injury Prevention, World Health Organization (WHO), Geneva, Switzerland.
Teri A ReynoldsDepartment for the Management of NCDs, Disability, Violence and Injury Prevention, World Health Organization (WHO), Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundFrontline providers around the world deliver emergency care daily, often without prior dedicated training. In response to multiple country requests for open-access, basic emergency care training materials, the World Health Organization (WHO), in collaboration with the International Committee of the Red Cross (ICRC) and the International Federation for Emergency Medicine (IFEM), undertook development of a course for health care providers-Basic Emergency Care: Approach to the acutely ill and injured (BEC). As part of course development, pilots were performed in Uganda, the United Republic of Tanzania, and Zambia to evaluate course feasibility and appropriateness. Here we describe participant and facilitator feedback and pre- and post-course exam performance.

methodsA mixed methods research design incorporated pre- and post-course surveys as well as participant examination results to assess the feasibility and utility of the course, and knowledge transfer. Quantitative data were analyzed using Stata, and simple descriptive statistics were used to describe participant demographics. Survey data were coded and grouped by themes and analyzed using ATLAS.ti.

resultsPost-course test scores showed significant improvement (p-value < 0.05) as compared to pre-course. Pre- and post-course questionnaires demonstrated significantly increased confidence in managing emergency conditions. Participant-reported course strengths included course appropriateness, structure, language level and delivery methods. Suggested changes included expanding the 4-day duration of the course.

conclusionThis pilot demonstrates that a low-fidelity, open-access course taught by local instructors can be successful in knowledge transfer. The BEC course was well-received and deemed context-relevant by pilot facilitators and participants in three East African countries. Further studies are needed to evaluate this course's impact on clinical practice and patient outcomes.

Indexed as

Emergency Medical ServicesAfrica South of the SaharaEducational MeasurementEmergency MedicineHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansPilot ProjectsWorld Health Organization

Identifiers

PMID31721766
PMCPMC6853313

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.