ArticleOpen access emergency medicine : OAEM2021
Utilization, Barriers and Determinants of Emergency Medical Services in Mekelle City, Tigray, Ethiopia: A Community-Based Cross-Sectional Study.
Article in Open access emergency medicine : OAEM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 13 citations in OpenAlex.
- Rural-urban disparities in Emergency Medical Services: a qualitative study of barriers and opportunities in Rivers State, Nigeria.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Public awareness of medical emergency telephone numbers: a scoping review.Clinical and experimental emergency medicine · 2026Article
- Mapping the evidence of emergency nursing research in who Afro-region states: A Scoping Review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Article
- Ambulance service satisfaction level and associated factors among service users in Addis Ababa, Ethiopia.BMC emergency medicine · 2024Article
- The practice and determinants of ambulance service utilization in pre-hospital settings, Jimma City, Ethiopia.BMC emergency medicine · 2024Article
- "Smart Emergency Call Point" Enhancing Emergency Medical Services on University Campuses.Prehospital and disaster medicine · 2024Article
- Examining district-level disparity and determinants of timeliness of emergency medical services in Maharashtra, India.Scientific reports · 2023Article
- Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia.PLOS global public health · 2023Article
- Utilization of Ambulance Services and Associated Factors during Pregnancy and Labor Among Lactating Mothers in Buno Bedele Zone, Southwest Ethiopia.Health services insights · 2023Article
- Factors Associated with Willingness to Call Emergency Medical Services for Worsening Symptoms of COVID-19 in Addis Ababa, Ethiopia.Open access emergency medicine : OAEM · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency medical services (EMS) are services that provide out-of-hospital emergency medical care to injured or ill peoples, and transporting to definitive care. EMS is an integral part of the emergency medical system and has been associated with decreased morbidity and mortality related to emergency cases. The aim of this study was to assess the utilization, barriers, and determinants of EMS in Mekelle, Ethiopia.
methodsA community-based cross-sectional study was conducted in selected sub-cities of Mekelle. A multistage sampling method was employed to recruit study participants, and data were collected by trained data collectors using an interviewer-administered questionnaire. Multivariate logistic regression analysis was used to examine the statistical association of the determinants of EMS utilization.
resultsHalf (50.5%) of the respondents had experienced or witnessed an emergency incident in the past year. The common means of transportations used were Bajaj's (39.2%) and ambulances (22.7%). Majority (88.1%) of the respondents did not knew the EMS access phone number of an ambulance. As their preferred mode of transportation in case of emergency conditions, 42.2% of the participants reported an ambulance, followed by Bajaj 33.7%. Where participants who had gynecologic emergencies were 9.4 times (AOR=9.4, 95% CI: 1.04, 85, p=0.046), and those who knew any ambulance numbers were 3.6 times (AOR=3.6, 95% CI: 1.22, 10.8, p=0.02) more likely to use ambulance services in case of emergencies.
conclusionThe ambulance utilization level in Mekelle city was low and victims of emergency conditions were being transported mainly using public transports such as Bajaj's and taxis. Even though the perception of the public towards EMS services is favorable, lack of awareness of EMS access, and lack of integrated EMS system in the city are the barriers that may have contributed to the low utilization. Actions to improve EMS access and integrating the system are warranted to promote the services utilization.
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