PROJECT 47 | Emergency Departments in 47 Counties
For many people in Kenya and across the world, the emergency department (ED) is the primary point of access to the health system. An increasing number of patients with acute disease currently present to EDs across Kenya. This is due to the rising incidence of non-communicable diseases (NCDs) (such as cancer, diabetes and hypertension), mental illness and trauma (largely secondary to road traffic injuries) in the background of an already existing large burden of communicable diseases. Recently, the need for strengthening Kenya’s emergency medical care system has gained more recognition by the government and other stakeholders involved in the healthcare system in Kenya. The gap in lack of an emergency medical care system is a good opportunity for the County Governments to step in and provide the necessary critical services for its people. An absence of an emergency medical care system is furthermore a barrier to achieving Universal Health Coverage (UHC), a top priority for President Kenyatta’s big four agenda in his last term. The goal of Project 47 was to assess the current state and locations of emergency care centres in all 47 counties in Kenya, identify gaps, and set priority actions for use by County Governments, planners and partners as a road map toward universal emergency care coverage.
The primary objective was to gather information about the current location and state of public emergency care centres in Kenya including spatial access to these centres. An emergency care centre here was defined as any dedicated intake area for acutely ill and injured patients that is open and staffed 24 h in a facility that has a functioning operating theatre. [WATCH VIDEO]
Reporting, Validation & Presentation of Findings
Detailed key findings were presented to the County Executives Committee Members for Health. We are now working with the County Governments to plan priority actions for the county in response to the identified gaps and goals and draft an implementation roadmap for each of the County Governments to complete these priority actions. We will also design ways for the County Government to monitor the implementation progress. A final discussion and feedback on the findings and roadmap will be done and amendments agreed upon reflected in the Final Report given to each County Government.