Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Application of the World Health Organization’s Basic Emergency Care course in Zambia
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Application of the World Health Organization’s Basic Emergency Care course in Zambia
African Journal of Emergency Medicine
Application of the World Health Organization’s Basic Emergency Care course in Zambia
Subject
Emergency care
Emergency care systems
Zambia
Education
Basic Emergency Care
Emergency care systems
Zambia
Education
Basic Emergency Care
Description
Background: In 2013, the Zambian Ministry of Health identified action priorities for strengthening their emergency
care system; one of these priorities was emergency care training for healthcare providers. To rapidly train
the existing cadre of frontline providers, trainings were implemented in multiple provinces using the World
Health Organization’s Basic Emergency Care (BEC) course. The BEC course is open-access and emphasizes a
practical syndrome-based approach to critical emergency conditions. This paper describes the first reported
larger scale educational intervention of the BEC course in 7 provinces of Zambia.
Methods: Course delivery occurred at seven Zambian hospitals selected by the Ministry of Health over a 1 year
period. Participant emergency care knowledge was assessed pre- and post-course with a 25-question multiple
choice exam. Participant confidence levels related to emergency care provision and emergency care skills were
assessed pre- and post-course using a Likert scale survey.
Results: Overall, 210 participants were trained at 7 sites. Participants demonstrated significant improvements in
their multiple-choice exam scores; the overall pre-course mean was 61.47, and the post-course mean was 79.87
(p < 0.0001). Self-reported confidence in the care of ill and injured adults and children increased after taking the
course, and participants generally agreed that the BEC course was highly valuable and applicable to local needs.
Conclusion: Implementation of the WHO’s BEC course at seven hospitals throughout Zambia led to improvement
in the participants’ emergency care knowledge and confidence levels at all sites. The BEC course has the potential
to be implemented in a nationwide initiative but would require allocation of significant human and physical
resources. Additional work evaluating patient outcomes and long-term participant educational outcomes is
needed.
care system; one of these priorities was emergency care training for healthcare providers. To rapidly train
the existing cadre of frontline providers, trainings were implemented in multiple provinces using the World
Health Organization’s Basic Emergency Care (BEC) course. The BEC course is open-access and emphasizes a
practical syndrome-based approach to critical emergency conditions. This paper describes the first reported
larger scale educational intervention of the BEC course in 7 provinces of Zambia.
Methods: Course delivery occurred at seven Zambian hospitals selected by the Ministry of Health over a 1 year
period. Participant emergency care knowledge was assessed pre- and post-course with a 25-question multiple
choice exam. Participant confidence levels related to emergency care provision and emergency care skills were
assessed pre- and post-course using a Likert scale survey.
Results: Overall, 210 participants were trained at 7 sites. Participants demonstrated significant improvements in
their multiple-choice exam scores; the overall pre-course mean was 61.47, and the post-course mean was 79.87
(p < 0.0001). Self-reported confidence in the care of ill and injured adults and children increased after taking the
course, and participants generally agreed that the BEC course was highly valuable and applicable to local needs.
Conclusion: Implementation of the WHO’s BEC course at seven hospitals throughout Zambia led to improvement
in the participants’ emergency care knowledge and confidence levels at all sites. The BEC course has the potential
to be implemented in a nationwide initiative but would require allocation of significant human and physical
resources. Additional work evaluating patient outcomes and long-term participant educational outcomes is
needed.
Creator
Morgan C. Broccoli , Julia Dixon , Branden Skarpiak , Godfrey Phiri , Andrew E. Muck , Emilie J. Calvello Hynes
Source
www.elsevier.com/locate/afjem
Publisher
elsevier
Date
11 September 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Morgan C. Broccoli , Julia Dixon , Branden Skarpiak , Godfrey Phiri , Andrew E. Muck , Emilie J. Calvello Hynes, “Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Application of the World Health Organization’s Basic Emergency Care course in Zambia,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/2584.
African Journal of Emergency Medicine
Application of the World Health Organization’s Basic Emergency Care course in Zambia,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/2584.