To make progress, we must be able to measure

Field testing of the tools to strengthen and integrate Emergency Care Services at the Secondary health care settings at Bihar and Goa

World Health Assembly (WHA) resolution 72.16 (2019), recognizes that many emergency care interventions are effective (impact and cost) and that integrated emergency care delivery can save lives across the health systems. Thus, calling for an additional effort globally to strengthen the provision of emergency care as part of universal health coverage ensuring timely and effective delivery of life-saving health care services to those in need and urging its member states to provide universal access to safe, high-quality, needs-based emergency care for all.
To support WHO with the implementation of WHA resolution 72.16, World Health Organization Collaborating Centre for Emergency and Trauma care (WHO CCET), Department of emergency medicine JPN Apex Trauma Centre – All India Institute of Medical Sciences (AIIMS), New Delhi, developed a comprehensive tool for in-depth assessment of integrated emergency care system.

The tool addressed multiple domains of macrosystem like Clinical and Support Services, governance & leadership and finance within the facility to evaluate and provide standard care to a patient in an emergency. The tool was then tested at two sites – Sadar Hospital, Aurangabad, Bihar & Asilo Hospital, Goa. The need-based intervention packages and recommendations on infrastructure, human resources, policies and trainings were developed and implemented at both the sites. After few months the impact assessment of the interventions was conducted. The WHO CCET also delivered long-term recommendations to both sites on how to develop and strengthen an integrated emergency care system.
Development of gap analysis tool for identification of gaps, finalization of the protocols for field testing, conduction of field testing of the tools, preparation of technical materials & presentations and development of essential criteria list for assessing the level of integration of emergency care at the facility were the key deliverables which were achieved by the WHO CCET team in span of 4 months.

The tool has been submitted to WHO for its wider replication in the South-East Asia Region member states to integrate emergency care services at secondary healthcare care settings.