This is a comprehensive digital repository that archives media articles that have been published on emergency care in Kenya.
NAIROBI, Kenya, 29 June 2017 – The Ministry of Health is developing a policy to make emergency medical care an integral component of the health care system.
The Kenya Policy on Emergency Medical Care which is in the final stage of development will coordinate all emergency medical service providers and create an authority to regulate emergency medical care.
Speaking during the inaugural emergency care symposium held at Safari Park Hotel yesterday, CS Cleopa Mailu said the development of policy on emergency medical care, which is in its final stages, will go a long way in improving health care.
This assessment, conducted by external EMS experts with expertise in African and international EMS systems and EMS education, reports several key findings and offers important recommendations to help standardise and enhance the quality of training in Kenyan prehospital care.
In brief, the key recommendations are as follows:
- A standard Kenyan EMS scope of practice (document and policy) is needed that defines levels (i.e. tiers or cadres) of EMS providers and delineates all knowledge and skills required to practice as a prehospital provider at the given level.
- A standard for EMS training should be developed and implemented to help ensure high quality and uniformity in EMS training across institutions, and alignment with the Kenyan EMS scope of practice.
- There should be a transition from over-reliance on non-Kenyan curricula and training content, to more Kenya-specific materials and content targeted to the local burden of disease, healthcare system, and available resources. External reference texts/material can function as a guide for initial training initiatives and provide coarse structure, but training content should be edited as much as possible to reflect local needs.
- The EMS training culture should shift away from diagnosis-based training to syndrome or
- EMS trainees could greatly benefit from stronger foundational didactic classroom-based education (classroom education) at the Basic (EMT) level with a specific focus on clinically relevant basic anatomy and physiology. This should be limited to the knowledge and basics directly relevant to their scope of practice.
- To improve foundational clinical training in emergency care, all trainees should first achieve competencies and attain adequate field experience at a basic (EMT) provider level, before receiving additional training to higher qualifications (e.g. Intermediate Life Support (ILS) or Advanced Life Support (ALS).
- Higher-order and critical thinking skills need to be developed, by integrating basic knowledge and skills into real-world clinical scenarios, which should be heavily woven into all aspects of EMS training programs.
Access to emergency medical care should not be for the privileged few who can afford private evacuation by road, sea or air. It should be available to all. A robust medical emergency response service should be a priority for our Ministry of Health. All our medical facilities must have the necessary infrastructure to support emergency care and we must train and continuously impart skills to our emergency medicine specialists of every cadre, to run these emergency rooms.