ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2020
Emergency care systems in Africa: A focus on quality.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-hospital healthcare center's preparedness assessment toolbar for providing basic emergency care: a sequential exploratory mixed-method study.BMC health services research · 2023Pooled it
- Emergency triage in coastal Kenya: a survey of public Emergency Departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Developing sustainable emergency care systems in sub-saharan africa: milestones and lessons from 15 years of clinical and educational initiatives in Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Strengthening trauma and mass-casualty preparedness in Somalia: an urgent priority for emergency care systems.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Implementing early warning systems for sepsis recognition in African healthcare settings: an Angolan perspective.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Strengthening trauma care in South Africa: Tier 1 integration of emergency first aid responder (EFAR) programmes with emergency medical services.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- 'A race against time': a photovoice study on priorities for quality of injury care with patients, health workers and policymakers in four low- and middle-income countries.BMJ global health · 2026Article
- Quality improvement in emergency units in low resource settings: a qualitative assessment for understanding challenges and delivering solutions.BMJ open quality · 2026Article
- Delays in Initiating Ambulance Transport Following Emergency Patient Referral to Mulago National Referral Hospital.Cureus · 2026Article
- Stroke in Sierra Leone: Insights From a Retrospective Review to Support the Development of a Neurosurgical Department in the Country.Neurosurgery practice · 2026Article
- A qualitative study of healthcare workers' living and working conditions in rural and urban areas of Senegal in the context of Universal Health Coverage: the ANRS-12399 Soignants Senegal study.Human resources for health · 2026Article
- Article
- Validation of a mobile application for prehospital transport time data collection in Kigali, Rwanda.BMC global and public health · 2026Article
- Multi-method approach to the development of contextual telephone triage systems.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Pediatric assessment and early resuscitation capacity building: Multi-country implementation of the StART Training-of-Trainers Model in Rwanda, Uganda, and Nigeria.PLOS global public health · 2026Article
- Level of Emergency Preparedness and Associated Barriers at the Accident and Emergency Ward of a LMIC Hospital: A Cross-Sectional Assessment Using the WHO HEAT Tool.Open access emergency medicine : OAEM · 2026Article
- Article
- Improving emergency care capacity with the WHO-ICRC Basic Emergency Care (BEC) course.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Development and implementation of a multiple stage emergency care training program in Kono, Sierra Leone: a clinician-educator curriculum.BMC medical education · 2025Article
- Trauma team members' perceptions of the effectiveness of the current trauma care system in Addis Ababa, Ethiopia: a phenomenological study.BMC health services research · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emergency care systems (ECS) are undergoing a period of rapid development on the African continent. What were formerly large intake zones are now being shaped into dedicated emergency units. Emergency care providers are being trained via certificate and even residency programs. However, significant challenges still exist. Resource limitations, staffing, and other system inputs are often the easiest issues to identify, but they only account for part of the problem. There are other prominent barriers to the delivery of high quality emergency care including lack of governmental leadership, poor system and facility organization, lack of provider training, and community misunderstanding of ECS functions. Released in May 2019, World Health Assembly (WHA) 72 resolution 12.9 "Emergency care systems for universal health coverage: ensuring timely care for the acutely ill and injured" has squarely placed ECS strengthening as a priority item to member state governments. Moving forward, it will be important to ensure that these systems are set up for success, as high-quality emergency care systems have the potential to avert half of all deaths in low- and middle-income countries (LMIC). With momentum building from the recent WHA amendment and the health systems community more focused than ever on the consideration of quality in health systems design, it is of the utmost importance that ECS planners dovetail these interests such that these nascent systems are designed while 1) applying a systems thinking lens and 2) maintaining a focus on quality. This article helps to accomplish this by breaking down ECS into five major categories for evaluation as defined by the WHO Emergency Care Systems Assessment tool, providing an understanding of the functions of each, and identifying which indicators might be used to gauge performance. We also reinforce the notion that these indicators must dive deeper than system inputs and health outcomes, they must be patient centered in order to truly be reflective of success.
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