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. 2020 Sep 30;10(Suppl 1):S50–S55. doi: 10.1016/j.afjem.2020.09.006

Table 2.

Challenges and solutions for emergency care in Ethiopia.

Challenges Solutions
Specialized training at all hospitals
  • Conduct decentralized training using the Basic Emergency Care course and NIEM depending on level of professionals in tertiary facilities

  • Train health officers, clinical nurses in basic emergency care in secondary and primary health facilities

  • Ensure BEC training is mandatory for all lower level health facilities

  • Development of emergency units in other cities where trained emergency physicians can work

  • Develop trauma technical working groups with including surgical subspecialties

Lack of support from other specialties
Improper ambulance utilization services
  • Technical assistance provided by external experts on emergency medicine and out of hospital services

  • Create out of hospital technical working group with key stakeholders and develop a monitoring and evaluation plan

Lack of equipment and essential drugs
  • Develop list of essential equipment and drugs

  • Ensure supply chain for essential drugs and equipment