Emergency and trauma care in Pakistan: A cross-sectional study of healthcare levels

Junaid Razzak, Syed M. Baqir, Uzma Rahim Khan, David Heller, Junaid Bhatti, Adnan A. Hyder

Research output: Contribution to journalArticle

Abstract

Background The importance of emergency medical care for the successful functioning of health systems has been increasingly recognised. This study aimed to evaluate emergency and trauma care facilities in four districts of the province of Sindh, Pakistan. Method We conducted a cross-sectional health facility survey in four districts of the province of Sindh in Pakistan using a modified version of WHO's Guidelines for essential trauma care. 93 public health facilities (81 primary care facilities, nine secondary care hospitals, three tertiary hospitals) and 12 large private hospitals were surveyed. Interviews of healthcare providers and visual inspections of essential equipment and supplies as per guidelines were performed. A total of 141 physicians providing various levels of care were tested for their knowledge of basic emergency care using a validated instrument. Results Only 4 (44%) public secondary, 3 (25%) private secondary hospitals and all three tertiary care hospitals had designated emergency rooms. The majority of primary care health facilities had less than 60% of all essential equipments overall. Most of the secondary level public hospitals (78%) had less than 60% of essential equipments, and none had 80% or more. A fourth of private secondary care facilities and all tertiary care hospitals (n=3; 100%) had 80% or more essential equipments. The average percentage score on the physician knowledge test was 30%. None of the physicians scored above 60% correct responses. Conclusions The study findings demonstrated a gap in both essential equipment and provider knowledge necessary for effective emergency and trauma care.

Original languageEnglish (US)
Pages (from-to)207-213
Number of pages7
JournalEmergency Medicine Journal
Volume32
Issue number3
DOIs
StatePublished - Mar 1 2015
Externally publishedYes

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Pakistan
Emergency Medical Services
Cross-Sectional Studies
Health Facilities
Delivery of Health Care
Secondary Care Centers
Equipment and Supplies
Tertiary Care Centers
Wounds and Injuries
Private Hospitals
Tertiary Healthcare
Physicians
Primary Health Care
Public Facilities
Guidelines
Public Hospitals
Health Surveys
Health Personnel
Hospital Emergency Service
Public Health

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

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Emergency and trauma care in Pakistan : A cross-sectional study of healthcare levels. / Razzak, Junaid; Baqir, Syed M.; Khan, Uzma Rahim; Heller, David; Bhatti, Junaid; Hyder, Adnan A.

In: Emergency Medicine Journal, Vol. 32, No. 3, 01.03.2015, p. 207-213.

Research output: Contribution to journalArticle

Razzak, Junaid ; Baqir, Syed M. ; Khan, Uzma Rahim ; Heller, David ; Bhatti, Junaid ; Hyder, Adnan A. / Emergency and trauma care in Pakistan : A cross-sectional study of healthcare levels. In: Emergency Medicine Journal. 2015 ; Vol. 32, No. 3. pp. 207-213.
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