ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2026
Implementing the WHO/ICRC Basic Emergency Care course training for health workers in conflict-affected regions in Somalia.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Emergency care is critical in regions affected by humanitarian crises. Somalia's prolonged conflict has strained the health system, leaving health workers under-prepared and limiting access to training. The Basic Emergency Care (BEC) course was developed to address gaps in emergency care by training healthcare providers to stabilize critically ill and injured patients. This study evaluates the implementation of BEC in Somalia, focusing on strategies to adapt this course to a conflict-affected setting. Methods: Two consecutive 5-day BEC courses and a 1-day Training-of-Trainers course were conducted in Mogadishu, Somalia (October 2023). Participants were doctors and nurses providing first-contact emergency care at health facilities in Mogadishu, Jowhar, Baidoa, and Gaalkayo, selected by the Somalia Federal Ministry of Health (FMOH) in collaboration with International Medical Corps (IMC). Knowledge was assessed with multiple choice pre- and post-course exams, and confidence was assessed with pre- and post-course Likert-scale surveys. Data were analysed using paired Results: A total of 55 participants enrolled in BEC, 54 completed the post-test and were included in paired pre/post knowledge analyses Conclusion: The BEC course increased emergency care knowledge and confidence among Somali health workers. Centralized training, peer-teaching, and the integration of conflict-related modules can address issues of feasibility, sustainability, and relevance in a conflict setting. Further studies are needed to evaluate the conflict-related injury modules, assess the clinical impact of BEC training in this setting, and determine the effectiveness of sustainability strategies.
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