Jurnal Internasional Afrika vol.9 issue.3 2019
African Journal of Emergency Medicine
Needs assessment for a formal emergency medicine residency program in southern Madagascar
Dublin Core
Title
Jurnal Internasional Afrika vol.9 issue.3 2019
African Journal of Emergency Medicine
Needs assessment for a formal emergency medicine residency program in southern Madagascar
African Journal of Emergency Medicine
Needs assessment for a formal emergency medicine residency program in southern Madagascar
Subject
Needs assessment
Emergency medicine
Madagascar
International emergency medicine
Global medicine
Emergency medicine
Madagascar
International emergency medicine
Global medicine
Description
Introduction: World Health Organization data for Madagascar reveal that the nation's under age five mortality
rate is 56/1000, and that its maternal mortality rate is 440/100,000. Malaria, leprosy, plague, and tuberculosis
remain significant communicable disease threats. Malnutrition rates are improving but continue to impact ne-
gatively on the general health of the Malagasy population, especially in the southern region with its 1.9 million
inhabitants. There are no emergency medicine (EM) training programs to serve the southern half of Madagascar,
which has a large urban population in Fianarantsoa. This study aimed to assess the need for and potential
feasibility of an emergency medicine training program in southern Madagascar.
Methods: We met with the institutional leadership on site at the university hospital in Fianarantsoa. A needs
assessment was performed on multiple domains. Domain 1: existing hospital infrastructure and its physical plant
and emergency centre (EC) space allotment. Domain 2: existing clinical and technological resources. Domain 3:
educational resources and the existing curriculum for EM. Domain 4: medical student educational program and
availability of prospective residency candidates. Domain 5: pre-hospital care and emergency medical services.
Results: The size of the EC is adequate for the current census. Clinical resources are typical of many developing
countries, with significant need for technological advancement and support, which we delineate in the body of
our paper. There is an existing curriculum in Antananarivo and in Majanga, as well as one available through the
African Federation for Emergency Medicine. The medical school in the area is relatively new, with graduating
classes numbering approximately 30. There is no organised pre-hospital care system, no 9-1-1 equivalent, and no
pre-hospital treatment from within metropolitan Fianarantsoa.
Conclusions: While the needs assessment indicates substantial need for emergency medicine development in southern
Madagascar, the yield (particularly for the metropolitan Fianarantsoa area) would serve the population well.
rate is 56/1000, and that its maternal mortality rate is 440/100,000. Malaria, leprosy, plague, and tuberculosis
remain significant communicable disease threats. Malnutrition rates are improving but continue to impact ne-
gatively on the general health of the Malagasy population, especially in the southern region with its 1.9 million
inhabitants. There are no emergency medicine (EM) training programs to serve the southern half of Madagascar,
which has a large urban population in Fianarantsoa. This study aimed to assess the need for and potential
feasibility of an emergency medicine training program in southern Madagascar.
Methods: We met with the institutional leadership on site at the university hospital in Fianarantsoa. A needs
assessment was performed on multiple domains. Domain 1: existing hospital infrastructure and its physical plant
and emergency centre (EC) space allotment. Domain 2: existing clinical and technological resources. Domain 3:
educational resources and the existing curriculum for EM. Domain 4: medical student educational program and
availability of prospective residency candidates. Domain 5: pre-hospital care and emergency medical services.
Results: The size of the EC is adequate for the current census. Clinical resources are typical of many developing
countries, with significant need for technological advancement and support, which we delineate in the body of
our paper. There is an existing curriculum in Antananarivo and in Majanga, as well as one available through the
African Federation for Emergency Medicine. The medical school in the area is relatively new, with graduating
classes numbering approximately 30. There is no organised pre-hospital care system, no 9-1-1 equivalent, and no
pre-hospital treatment from within metropolitan Fianarantsoa.
Conclusions: While the needs assessment indicates substantial need for emergency medicine development in southern
Madagascar, the yield (particularly for the metropolitan Fianarantsoa area) would serve the population well.
Creator
Gretchen Mockler, Rivo Andry Rakotoarivelo, Jaona Ranaivo, Rolando Valenzuela, Katherine Pierson, Dalia Calix, William Mallon
Source
https://doi.org/10.1016/j.afjem.2019.05.001
Date
10 May 2019
Contributor
peri irawan
Format
pdf
Language
ENGLISH
Type
text
Files
Citation
Gretchen Mockler, Rivo Andry Rakotoarivelo, Jaona Ranaivo, Rolando Valenzuela, Katherine Pierson, Dalia Calix, William Mallon, “Jurnal Internasional Afrika vol.9 issue.3 2019
African Journal of Emergency Medicine
Needs assessment for a formal emergency medicine residency program in southern Madagascar,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1764.
African Journal of Emergency Medicine
Needs assessment for a formal emergency medicine residency program in southern Madagascar,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1764.