148 lines
4.8 KiB
YAML
148 lines
4.8 KiB
YAML
abstract: 'Background. Tanzania has no formal prehospital system. The Tanzania
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Ministry of Health launched a formal prehospital system to address this
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gap. The Muhimbili University of Health and Allied Sciences (MUHAS) was
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tasked by the Ministry of Health to develop and implement a
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multicadre/provider prehospital curriculum so as to produce necessary
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healthcare providers to support the prehospital system. We aim to
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describe the process of designing and implementing the
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multicadre/provider prehospital short courses. The lessons learned can
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help inform similar initiatives in low- and middle-income countries.
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Methods. MUHAS collaborated with local and international Emergency
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Medicine and Emergency Medical Services (EMS) specialists to form the
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Emergency Medical Systems Team (EMST) that developed and implemented
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four short courses on prehospital care. The EMST used a six-step
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approach to develop and implement the curriculum: problem
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identification, general needs assessment, targeted needs assessment,
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goals and objectives, educational strategies, and implementation. The
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EMST modified current best EMS practices, protocols, and curricula to be
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context and resource appropriate in Tanzania. Results. We developed four
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prehospital short courses: Basic Ambulance Provider (BAP), Basic
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Ambulance Attendant (BAAT), Community First Aid (CFA), and EMS
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Dispatcher courses. The curriculum was vetted and approved by MUHAS, and
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courses were launched in November 2018. By the end of July 2019, a total
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of 63 BAPs, 104 BAATs, 25 EMS Dispatchers, and 287 CFAs had graduated
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from the programs. The main lessons learned are the importance of a
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practical approach to EMS development and working with the existing
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government cadre/provider scheme to ensure sustainability of the
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project; clearly defining scope of practice of EMS providers before
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curriculum development; and concurrent development of a
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multicadre/provider curriculum to better address the logistical barriers
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of implementation. Conclusion. We have provided an overview of the
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process of designing and implementing four short courses to train
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multiple cadres/providers of prehospital system providers in Tanzania.
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We believe this model of curricula development and implementation can be
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replicated in other countries across Africa.'
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affiliation: 'Sawe, HR (Corresponding Author), Muhimbili Univ Hlth \& Allied Sci,
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Emergency Med Dept, Dar Es Salaam, Tanzania.
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Sawe, HR (Corresponding Author), Muhimbili Natl Hosp, Emergency Med Dept, Dar Es
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Salaam, Tanzania.
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Sawe, Hendry R.; Mfinanga, Juma A.; Shao, Patrick; Kulola, Irene B.; George, Upendo
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N.; Runyon, Michael S.; Noste, Erin, Muhimbili Univ Hlth \& Allied Sci, Emergency
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Med Dept, Dar Es Salaam, Tanzania.
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Sawe, Hendry R.; Mfinanga, Juma A.; Kisakeni, Samwel; Shao, Patrick; Kulola, Irene
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B.; George, Upendo N., Muhimbili Natl Hosp, Emergency Med Dept, Dar Es Salaam, Tanzania.
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Nkondora, Paulina; White, Libby; Bollinger, Christina, Emergency Med Assoc Tanzania,
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Dar Es Salaam, Tanzania.
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White, Libby, Alfred Hlth, Melbourne, Vic, Australia.
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Runyon, Michael S., Atrium Hlth, Dept Emergency Med, Charlotte, NC USA.
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Noste, Erin, Univ Calif San Diego, Dept Emergency Med, San Diego, CA 92103 USA.'
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article-number: '3160562'
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author: Sawe, Hendry R. and Mfinanga, Juma A. and Kisakeni, Samwel and Shao, Patrick
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and Nkondora, Paulina and White, Libby and Bollinger, Christina and Kulola, Irene
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B. and George, Upendo N. and Runyon, Michael S. and Noste, Erin
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author-email: hendry\_sawe@yahoo.com
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author_list:
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- family: Sawe
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given: Hendry R.
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- family: Mfinanga
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given: Juma A.
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- family: Kisakeni
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given: Samwel
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- family: Shao
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given: Patrick
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- family: Nkondora
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given: Paulina
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- family: White
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given: Libby
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- family: Bollinger
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given: Christina
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- family: Kulola
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given: Irene B.
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- family: George
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given: Upendo N.
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- family: Runyon
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given: Michael S.
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- family: Noste
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given: Erin
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da: '2023-09-28'
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doi: 10.1155/2019/3160562
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eissn: 2090-2859
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files: []
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issn: 2090-2840
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journal: EMERGENCY MEDICINE INTERNATIONAL
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keywords-plus: EMERGENCY CARE; TRAUMA
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language: English
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month: DEC 1
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number-of-cited-references: '18'
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orcid-numbers: 'Runyon, Michael/0000-0002-1703-4317
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Kulola, Irene Bahoya/0000-0002-4024-5550
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sawe, hendry/0000-0002-0395-5385'
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papis_id: 7fe6447aaea54f922f2d46c8722de19e
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ref: Sawe2019developmentimplement
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researcherid-numbers: 'Runyon, Michael/GNP-7320-2022
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Runyon, Michael/AAR-8899-2021
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'
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times-cited: '4'
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title: 'Development and Implementation of Short Courses to Support the Establishment
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of a Prehospital System in Sub-Saharan Africa: Lessons Learned from Tanzania'
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type: article
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unique-id: WOS:000503428500003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '2019'
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web-of-science-categories: Emergency Medicine
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year: '2019'
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