Table 3.

Kenya emergency medical care framework & objectives.

Vision	Universal access to the highest standards of emergency medical care across the county
Mission	To promote the standardization, regulation, coordination, and development of an EMC system in the county
Goal	To ensure that emergency medical care is provided to all who need it as part of the Universal Health Coverage, thereby minimizing the morbidity and mortality caused by medical emergencies.
Six EMC Objectives in Kenya
National Objective			County Objectives
Infrastructure		To establish an integrated county infrastructure to support universal access to emergency medical care	a) Map out and strengthen emergency departments to adhere to minimum national standards. b) Map out ambulance services and enhance ambulance standards at all levels. c) Establish an Emergency Operations and Ambulance Dispatch Center d) Establish an emergency medical care access number.
Quality		To ensure quality service delivery across the EMC system	a) Strengthen capacity for integrated EMC management b) Implement Standard Operating Procedures (SOPs) for Ambulances and Emergency Departments c) Implement Emergency Medical Care Treatment Guidelines d) Provide and enhance standards of Emergency Health Products and Technologies.
Finance		To provide mechanisms for the financing of emergency medical care	a) Strengthen resource mobilization initiatives for emergency medical care services b) Establish an Emergency Medical Treatment fund in the county budget. c) Establish a framework for the administration and utilization of the Emergency Medical Treatment Fund.
Human Resources		To develop a framework for emergency medical care human resource development and management	a) Ensure that an adequate emergency care workforce is appropriate at all levels of the EMC system, including the prehospital system. b) Implement emergency medical care training for all healthcare workers within the EMC system, including the prehospital system.
Monitoring & Evaluation		To strengthen systems for monitoring, evaluation, surveillance, and research on emergency medical care	a) Implement EMC surveillance systems. b) Increase the use of EMC data for decision-making. c) Conduct and facilitate EMC system surveys. d) Facilitate operational research to enhance the county EMC plan.
Leadership & Governance		To provide emergency medical care leadership and governance	a) Align emergency medical care governance and legislation to county mandates and core functions b) Strengthen intergovernmental coordination of emergency medical care. c) Develop norms and standards for emergency medical care in the county.