TY - JOUR
T1 - Comparative analysis of three prehospital emergency medical services organizations in India and Pakistan
AU - Sriram, V.
AU - Gururaj, G.
AU - Razzak, J. A.
AU - Naseer, R.
AU - Hyder, A. A.
N1 - Funding Information:
Fieldwork for the case studies was supported by a Global Health Established Field Placement award from the Johns Hopkins Center for Global Health . AAH and JAR were partially supported by the “Johns Hopkins International Collaborative Trauma and Injury Research Training Program” [Grant No. D43TW007292 ] by Fogarty International Center of the United States National Institutes of Health.
Publisher Copyright:
© 2016 The Royal Society for Public Health
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objectives Strengthened emergency medical services (EMS) are urgently required in South Asia to reduce needless death and disability. Several EMS models have been introduced in India and Pakistan, and research on these models can facilitate improvements to EMS in the region. Our objective was to conduct a cross-case comparative analysis of three EMS organizations in India and Pakistan – GVK EMRI, Aman Foundation and Rescue 1122 – in order to draw out similarities and differences in their models. Study design Case study methodology was used to systematically explore the organizational models of GVK EMRI (Karnataka, India), Aman Foundation (Karachi, Pakistan), and Rescue 1122 (Punjab, Pakistan). Methods Qualitative methods – interviews, document review and non-participant observation – were utilized, and using a process of constant comparison, data were analysed across cases according to the WHO health system ‘building blocks’. Results Emergent themes under each health system ‘building block’ of service delivery, health workforce, medical products and technology, health information systems, leadership and governance, and financing were described. Cross-cutting issues not applicable to any single building block were further identified. Conclusions This cross-case comparison, the first of its kind in low- and middle-income countries, highlights key innovations and lessons, and areas of further research across EMS organizations in India, Pakistan and other resource-poor settings.
AB - Objectives Strengthened emergency medical services (EMS) are urgently required in South Asia to reduce needless death and disability. Several EMS models have been introduced in India and Pakistan, and research on these models can facilitate improvements to EMS in the region. Our objective was to conduct a cross-case comparative analysis of three EMS organizations in India and Pakistan – GVK EMRI, Aman Foundation and Rescue 1122 – in order to draw out similarities and differences in their models. Study design Case study methodology was used to systematically explore the organizational models of GVK EMRI (Karnataka, India), Aman Foundation (Karachi, Pakistan), and Rescue 1122 (Punjab, Pakistan). Methods Qualitative methods – interviews, document review and non-participant observation – were utilized, and using a process of constant comparison, data were analysed across cases according to the WHO health system ‘building blocks’. Results Emergent themes under each health system ‘building block’ of service delivery, health workforce, medical products and technology, health information systems, leadership and governance, and financing were described. Cross-cutting issues not applicable to any single building block were further identified. Conclusions This cross-case comparison, the first of its kind in low- and middle-income countries, highlights key innovations and lessons, and areas of further research across EMS organizations in India, Pakistan and other resource-poor settings.
KW - Ambulances
KW - Case studies
KW - Emergency medical services
KW - Health system building blocks
KW - India
KW - Pakistan
UR - http://www.scopus.com/inward/record.url?scp=84964330727&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84964330727&partnerID=8YFLogxK
U2 - 10.1016/j.puhe.2016.02.022
DO - 10.1016/j.puhe.2016.02.022
M3 - Article
C2 - 27080583
AN - SCOPUS:84964330727
SN - 0033-3506
VL - 137
SP - 169
EP - 175
JO - Public Health
JF - Public Health
ER -