TY - JOUR
T1 - Trauma systems in Kenya
T2 - A qualitative analysis at the district level
AU - Wesson, Hadley K.H.
AU - Stevens, Kent A.
AU - Bachani, Abdulgafoor M.
AU - Mogere, Stephen
AU - Akungah, Daniel
AU - Nyamari, Jackim
AU - Masasabi Wekesa, John
AU - Hyder, Adnan Ali
N1 - Publisher Copyright:
© The Author(s) 2015.
PY - 2015/5/4
Y1 - 2015/5/4
N2 - Injury is a leading cause of death and disability in low- and middle-income countries. Kenya has a particularly high burden of injuries, accounting for 88.4 deaths per 100,000 population. Despite recent attempts to prioritize injury prevention in Kenya, trauma care systems have not been assessed. We assessed perceptions of formal and informal district-level trauma systems through 25 qualitative semi-structured interviews and 16 focus group discussions with Ministry of Health officials, district hospital administrators, health care providers, police, and community members. We used the principles of theoretical analysis to identify common themes of prehospital and hospital trauma care. We found prehospital care relied primarily on "good Samaritans" and police. We described hospital care in terms of human resources, infrastructure, and definitive care. The interviewers repeatedly emphasized the lack of hospital infrastructure. We showed the need to develop prehospital care systems and strengthen hospital trauma care services.
AB - Injury is a leading cause of death and disability in low- and middle-income countries. Kenya has a particularly high burden of injuries, accounting for 88.4 deaths per 100,000 population. Despite recent attempts to prioritize injury prevention in Kenya, trauma care systems have not been assessed. We assessed perceptions of formal and informal district-level trauma systems through 25 qualitative semi-structured interviews and 16 focus group discussions with Ministry of Health officials, district hospital administrators, health care providers, police, and community members. We used the principles of theoretical analysis to identify common themes of prehospital and hospital trauma care. We found prehospital care relied primarily on "good Samaritans" and police. We described hospital care in terms of human resources, infrastructure, and definitive care. The interviewers repeatedly emphasized the lack of hospital infrastructure. We showed the need to develop prehospital care systems and strengthen hospital trauma care services.
KW - Africa, sub-Saharan
KW - health care, access to
KW - health seeking
KW - research, qualitative
KW - trauma
UR - http://www.scopus.com/inward/record.url?scp=84926457663&partnerID=8YFLogxK
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U2 - 10.1177/1049732314562890
DO - 10.1177/1049732314562890
M3 - Article
C2 - 25563630
AN - SCOPUS:84926457663
SN - 1049-7323
VL - 25
SP - 589
EP - 599
JO - Qualitative Health Research
JF - Qualitative Health Research
IS - 5
ER -