Table 1.
Emergency and critical care directorate objectives and targets.
| Objective | Targets |
|---|---|
| Reduce the incidence and impact of trauma/injuries | Reduce road traffic accident related mortality from the baseline 62/10,000 by one third |
| Improve quality of pre-hospital care services | 1. Increase ambulances operating with the set basic standards from 3.2% to 35%. 2. Increase ambulance coverage to 100% from the current 70% (in average 1:50,000) 3. Introduce 15 ALS ambulance for selected big cities in the country 4. Conduct base line Community satisfaction assessment and improve from the base line by 10% every year |
| Strengthen EMS system network | Establish call & dispatch center which will work with the set standards in all regions/zones |
| Reduce the health impact of natural and manmade disasters | Develop National medical disaster response system |
| Strengthen community-based emergency prevention and response | 1. Deliver first aid training to 100,000 people 2. Develop community-based injury and acute illness prevention awareness 3. Improve Job safety standards implementation |
| Improvement of facility-based emergency care | 1. Develop 2 nationally, to serve as centers of excellence in teaching, service and research 2. Advance 20 EDs to advanced EDs, 50EDs to intermediate level ED and all other EDs to basic level. 2. Increase ED patients' satisfaction from 60% to 85%. 3. Reduce 24 h ED mortality to 0.2%. |
| Establish and strengthen emergency and critical care structure, and EM coordination and referral system | 1. Establish EMCC structure in 100% of regions/zones 2. Establish emergency coordination and referral system in all zones/regions 3. Establish national referral networking will be 4. Increase the proportion of referrals through networking and communication to 40% |
| Strengthen and scale up critical care services in health facilities | 1. Enhance 10 ICUs to level I, 20 ICUs to level II and 20 ICUs to level III 2. Initiate new ICUs in 40 additional hospitals 3. Reduce ICU mortality to 25% |
| Develop and strengthen trauma care system | 1. Establish 8 trauma units 2. Establish trauma care system in 10 major cities |
| Strengthen and expand burn care service in health facilities | Establish 8 burn units and 1 burn center |
| Initiate and strengthen poisoning center service at selected facilities | Establish 1 national toxicology center and 4 satellite poisoning information centers |
| Emphasize the development of emergency and critical care in emerging regions and special population groups | 1. Link 10 institutions from emerging regions with better setups 2. Enhance emergency care access for special population for 40% of selected institutions |
| Enhance collaboration, networking and engagement with national, regional and international partners | Train 320 emergency unit staff on NIEM course |