Dataset Information

Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey.

ABSTRACT:

Introduction

Low- and middle-income countries (LMICs) have a large percentage of global mortality and morbidity rates from non-communicable diseases, including trauma. The establishment and development of emergency care systems is crucial for addressing this problem. Defining gaps in the resources and capacity to provide emergency healthcare in LMICs is essential for proper design and operation of ECS (emergency care services) reinforcement programs. Myanmar has particular challenges with road access for providing timely emergency medical care, and a shortage of trained health workers. To examine the ECS capacity in Myanmar, we used the Emergency Care Assessment Tool (ECAT), which features newly developed tools for assessing sentinel conditions and signal functions (key interventions to address morbidity and mortality) in emergency care facilities.

Methods

ECAT is composed of six emergent sentinel conditions and corresponding signal functions. We surveyed a total of nine hospitals in five states in Myanmar. A constructed survey sheet was delivered by e-mail, and follow-up interviews were conducted via messenger to clarify ambiguous answers.

Results

We categorized the nine participating institutions according to predefined criteria: four basic-level hospitals; four intermediate-level; and one advanced-level hospital. All basic hospitals were weak in trauma care, and two of 12 signal functions were unavailable. Half of the intermediate hospitals showed weakness in trauma care, as well as critical care such as shock management. Only half had a separate triage area for patients. In contrast, all signal functions and resources listed in ECAT were available in the advanced-level hospital.

Conclusion

Basic-level facilities in Myanmar were shown to be suboptimal in trauma management, with critical care also inadequate in intermediate facilities. To reinforce signal functions in Myanmar health facilities, stakeholders should consider expanding critical functions in selected lower-level health facilities. A larger scale survey would provide more comprehensive data to improve emergency care in Myanmar.

SUBMITTER: Seo DH

PROVIDER: S-EPMC6860398 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Publications

Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey.

Seo Dong Hyun DH Kim Hoon H Kim Kyung Hwan KH Park Junseok J Shin Dong Wun DW Park Joon Min JM Kim Hyunjong H Jeon Woochan W Kim Jung Eon JE

The western journal of emergency medicine 20191024 6

<h4>Introduction</h4>Low- and middle-income countries (LMICs) have a large percentage of global mortality and morbidity rates from non-communicable diseases, including trauma. The establishment and development of emergency care systems is crucial for addressing this problem. Defining gaps in the resources and capacity to provide emergency healthcare in LMICs is essential for proper design and operation of ECS (emergency care services) reinforcement programs. Myanmar has particular challenges wit ...[more]

PMID: 31738717

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Dataset Information

Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey.

Introduction

Methods

Results

Conclusion

Publications

Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey.

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