Pre-hospital emergency care system: Utilization of ambulance services in Nairobi county
Open Access
- 20 December 2021
- journal article
- research article
- Published by PAGEPress Publications in Emergency Care Journal
- Vol. 17 (4)
- https://doi.org/10.4081/ecj.2021.10217
Abstract
Emergency Medical Service (EMS) is the system that organizes all aspects of medical care provided to patients in the pre-hospital environment and emergency department within hospitals. It comprises agencies and organizations (both private and public), communication and transportation networks, hospitals, highly trained professionals and a public aware on how to respond in emergencies. Kenya needs robust EMS due to the high prevalence of acute medical events such as COVID-19, natural and man-made disasters. The objective of this study was to assess utilization of ambulance services in Nairobi County. The study design was descriptive cross-sectional, using quantitative and qualitative research methods. Data was collected using interviewer-administered semi-structured questionnaires and key in-depth interviews from 14 ambulance services, 19 Emergency Care Centers (ECC), and community. Thirty-nine key informants were sampled using purposive sampling technique and 101 community members sampled using simple random sampling technique from 10 sub-counties. Data tools were pretested at Mukuru Kwa Njenga, a populous slum in Nairobi County. Approval to carry out the study was granted by the Ministry of Health, Kenya. Qualitative data was analyzed using NVIVO12 and quantitative data analyzed using descriptive statistics by use of SPSS vs 25 software. Findings are represented as frequencies and percentages. There were 14 ambulance service providers in the Nairobi Metropolitan Services area with a total of 42 ambulances. Forty-one ambulances were facility-based ambulances. All ambulance services had emergency numbers, and only 3 had short-toll free ambulance access numbers. There were 9 different ambulance dispatch centers in the county. Five ambulance services did not have a dispatch Centre. Public members were the first to assist in in 79% emergencies. There was low public awareness on available pre-hospital emergency care services and tollfree lines for emergency services. Ambulances utilization was also low.Keywords
This publication has 10 references indexed in Scilit:
- Health system factors associated with post-trauma mortality at the prehospital care level in Africa: a scoping reviewTrauma Surgery & Acute Care Open, 2020
- Pre-hospital care of road traffic accident victims in the Niger Delta: a private initiative and experienceOpen Access Emergency Medicine, 2019
- Emergency medical services (EMS) training in Kenya: Findings and recommendations from an educational assessmentAfrican Journal of Emergency Medicine, 2017
- Comparative analysis of three prehospital emergency medical services organizations in India and PakistanPublic Health, 2016
- Perceptions of emergency care in Kenyan communities lacking access to formalised emergency medical systems: a qualitative study: Table 1BMJ Open, 2015
- Establishing hospital-based trauma registry systems: lessons from KenyaInjury, 2013
- The state of emergency care in the Republic of KenyaAfrican Journal of Emergency Medicine, 2011
- Establishing a successful pre-hospital emergency service in a developing country: experience from Rescue 1122 service in PakistanEmergency Medicine Journal, 2010
- Initial injury care in Nairobi, Kenya: A call for trauma care regionalisationEast African Medical Journal, 2004
- Experience with road traffic accident victims at the Nairobi HospitalEast African Medical Journal, 2001