The status and future of emergency care in the Republic of Kenya

被引:9
作者
Lee, Austin [1 ]
Wanjiku, Grace [1 ]
Nduku, Naomi [2 ]
Aluisio, Adam R. [1 ]
Kharel, Ramu [1 ]
Simiyu, John Tabu [3 ]
Wachira, Benjamin W. [4 ]
机构
[1] Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, Providence, RI USA
[2] Chogoria Mission Hosp, Presbyterian Church East Afr, Chogoria, Kenya
[3] Moi Univ, Coll Hlth Sci, Eldoret, Kenya
[4] Aga Khan Univ, Nairobi, Kenya
关键词
Kenya; Emergency care; Devolution; Universal health coverage; Medical education;
D O I
10.1016/j.afjem.2021.11.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Kenya is a rapidly developing country with a growing economy and evolving health care system. In the decade since the last publication on the state of emergency care in Kenya, significant developments have occurred in the country's approach to emergency care. Importantly, the country decentralized most health care functions to county governments in 2013. Despite the triple burden of traumatic, communicable, and non-communicable diseases, the structure of the health care system in the Republic of Kenya is evolving to adapt to the important role for the care of emergent medical conditions. This report provides a ten-year interval update on the current state of the development of emergency medical care and training in Kenya, and looks ahead towards areas for growth and development. Of particular focus is the role emergency care plays in Universal Health Coverage, and adapting to challenges from the devolution of health care.
引用
收藏
页码:48 / 52
页数:5
相关论文
共 47 条
[1]  
Accident Kenya Registered Nursing Emergency., KEN REG ACC EM NURS
[2]   Health disparities across the counties of Kenya and implications for policy makers, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016 [J].
Achoki, Tom ;
Miller-Petrie, Molly K. ;
Glenn, Scott D. ;
Kalra, Nikhila ;
Lesego, Abaleng ;
Gathecha, Gladwell K. ;
Alam, Uzma ;
Kiarie, Helen W. ;
Maina, Isabella Wanjiku ;
Adetifa, Ifedayo M. O. ;
Barsosio, Hellen C. ;
Degfie, Tizta Tilahun ;
Keiyoro, Peter Njenga ;
Kiirithio, Daniel N. ;
Kinfu, Yohannes ;
Kinyoki, Damaris K. ;
Kisia, James M. ;
Krish, Varsha Sarah ;
Lagat, Abraham K. ;
Mooney, Meghan D. ;
Moturi, Wilkister Nyaora ;
Newton, Charles Richard James ;
Ngunjiri, Josephine W. ;
Nixon, Molly R. ;
Soti, David O. ;
Van De Vijver, Steven ;
Yonga, Gerald ;
Hay, Simon I. ;
Murray, Christopher J. L. ;
Naghavi, Mohsen .
LANCET GLOBAL HEALTH, 2019, 7 (01) :E81-E95
[3]  
Act The Health, 2017, KENYA GAZETTE SUPPLE
[4]  
[Anonymous], 2021, KENYA MAPS FACTS
[5]  
[Anonymous], Universal Health Coverage (UHC)
[6]   Informing the scale-up of Kenya's nursing workforce: a mixed methods study of factors affecting pre-service training capacity and production [J].
Appiagyei, Ashley A. ;
Kiriinya, Rose N. ;
Gross, Jessica M. ;
Wambua, David N. ;
Oywer, Elizabeth O. ;
Kamenju, Andrew K. ;
Higgins, Melinda K. ;
Riley, Patricia L. ;
Rogers, Martha F. .
HUMAN RESOURCES FOR HEALTH, 2014, 12
[7]  
Assembly World Health, 2019, EM CAR SYST UN HLTH, P5
[8]   Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage [J].
Barasa, Edwine ;
Rogo, Khama ;
Mwaura, Njeri ;
Chuma, Jane .
HEALTH SYSTEMS & REFORM, 2018, 4 (04) :346-361
[9]   ECCCOing the call for emergency and critical care training in low middle-income countries [J].
Brotherton, B. Jason ;
Halestrap, Pete ;
Mbugua, Evelyn ;
Gitura, Hannah ;
Aliba, David ;
Matson, Jonathan E. ;
Lee, Burton W. .
CRITICAL CARE, 2019, 23 (1)
[10]  
Burke Thomas F, 2014, BMJ Open, V4, pe006132, DOI 10.1136/bmjopen-2014-006132