Evidence map›Paper›PMID 33853936›Full record

ArticleEmergency medicine journal : EMJ2021

Strengthening emergency care knowledge and skills in Uganda and Tanzania with the WHO-ICRC Basic Emergency Care Course.

Sean M Kivlehan, Julia Dixon, Joseph Kalanzi, Hendry R Sawe, Emily Chien, Jordan Robert, Lee Wallis, Teri A Reynolds

Open access · hybridAbstract read
In one paragraph

Article in Emergency medicine journal : EMJ, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
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

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Impact of the First Basic Emergency Care Training Course in Ethiopia.Journal of the American College of Emergency Physicians open · 2026
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  4. 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 · 2025
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  12. 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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  15. Observational
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  17. Training and certification in first responder care among mountaineering practitioners in east Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022
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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 at 7 institutions in 5 countries.

Sean M KivlehanDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA smkivlehan@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-4857-4316
Julia DixonDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID http://orcid.org/0000-0002-9229-2658
Joseph KalanziDepartment of Emergency Medicine, Makerere University, Kampala, Uganda.
Hendry R SaweDepartment of Emergency Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID http://orcid.org/0000-0002-0395-5385
Emily ChienDepartment of Emergency Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.
Jordan RobertDepartment of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.
Lee WallisDepartment of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.ORCID http://orcid.org/0000-0003-2711-3139
Teri A ReynoldsIntegrated Health Services, World Health Organization, Geneve, Switzerland.
University of Cape Town · ZABrigham and Women's Hospital · USMakerere University · UGMuhimbili University of Health and Allied Sciences · TZSUNY Downstate Health Sciences University · USUniversity of Colorado Denver · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThere is a pressing need for emergency care (EC) training in low-resource settings. We assessed the feasibility and acceptability of training frontline healthcare providers in emergency care with the World Health Organization (WHO)-International Committee of the Red Cross (ICRC) Basic Emergency Care (BEC) Course using a training-of-trainers (ToT) model with local providers.

methodsQuasiexperimental pretest and post-test study of an educational intervention at four first-level district hospitals in Tanzania and Uganda conducted in March and April of 2017. A 2-day ToT course was held in both Tanzania and Uganda. These were immediately followed by a 5-day BEC Course, taught by the newly trained trainers, at two hospitals in each country. Both prior to and immediately following each training, participants took assessments on EC knowledge and rated their confidence level in using a variety of EC skills to treat patients. Qualitative feedback from participants was collected and summarised.

resultsFifty-nine participants completed the four BEC Courses. All participants were current healthcare workers at the selected hospitals. An additional 10 participants completed a ToT course. EC knowledge scores were significantly higher for participants immediately following the training compared with their scores just prior to the training when assessed across all study sites (Z=6.23, p<0.001). Across all study sites, mean EC confidence ratings increased by 0.74 points on a 4-point Likert scale (95% CI 0.63 to 0.84, p<0.001). Main qualitative feedback included: positive reception of the sessions, especially hands-on skills; request for additional BEC trainings; request for obstetric topics; and need for more allotted training time.

conclusionsImplementation of the WHO-ICRC BEC Course by locally trained providers was feasible, acceptable and well received at four sites in East Africa. Participation in the training course was associated with a significant increase in EC knowledge and confidence at all four study sites. The BEC is a low-cost intervention that can improve EC knowledge and skill confidence across provider cadres.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeAdultEducation, Medical, ContinuingEmergency MedicineFeasibility StudiesFemaleHealth PersonnelHumansMaleRed CrossTanzaniaUgandaWorld Health Organizationacute careeducationemergency care systemsglobal health

Identifiers

PMID33853936
PMCPMC8311081
OpenAlexW3155405444

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.