Emergency Medical System Review Zambia (Central Province)

Overall goals

Colleagues in the central province of Zambia have prioritised Emergency Medical Services (EMS) for support and have requested -

• education and training for responders to Road Traffic Accidents (RTA) for police and fire personnel
• capacity buidling in the two main Emergency Departments
• training for multi-disciplinary team responses to significant and major incidents along the Great North Road

Key UK Colleagues and Partners

Police Scotland

International Partners

Government of the Republic of Zambia (GRZ) Ministry of Health (MoH).
Emergency Response Zambia
The Ministry of Health, the organisation Emergency Response Zambia
Road Traffic Safety Agency
Zambia Police Service
The Zambia Defence Force (ZDF)
St. John Ambulance
Zambia Red Cross Society
University teaching hospital
African Federation of Emergency Medicine
Specialist Emergency Services (SES)

Sustainable development goals

• SDG 3 - Good health and well-being
• SDG 4 - Quality education
• SDG 17 - Partnerships for the goals

Funding source

Scottish Government.

Project origin

Following a request from colleagues in Zambia for support with emergency care.

Evidence of need

As injuries kill more people globally than HIV/AIDS, Malaria, Tuberculosis and Ebola combined, and given that 1 in 2 deaths in low and middle-income countries are due to causes treatable by Emergency Care, increasing access is essential.

Taking a systems-thinking approach to this as a public health issue, training and capacity building needs to take place across three tiers of the emergency healthcare sector.

1. A confident group of community first responders, with a high propensity to act, who are able to stabilise a casualty at the scene of an accident and transfer patients to the next level of care. (SCENE)

2. A well trained group of co-responders with a duty of care, such as the police service, fire service, and road safety agencies. (TRANSPORT)

3. An group of paramedics and emergency department staff who are able to competently and consistently provide high level care on-route to (or within) one of the government's trauma centres. (FACILITY)

Project areas

Emergency Medical Care

Project activities

Needs assesment visit in country

Changes

Recuction of mortality and morbidity from raod traffic deaths along the great north road.

Next steps

Small test of change March 2019

Partnership principles

• strategic
• harmonised
• effective
• respectful
• organised
• responsible
• flexible

Project gains

• leadership
• teamwork
• clinical
• awareness
• academic
• patient
• resilience