Trauma Systems in Kenya: A Qualitative Analysis at the District Level.

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Show simple item record Nyamari, J. M. Akungah, N. D. Wesson, H.K. Stevens, K.A. Bachani, A.M. Mogere, S Masasabi Wekesa J Hyder, A.A. 2015-02-17T08:54:50Z 2015-02-17T08:54:50Z 2015
dc.identifier.citation Qualitative Health Research 1–11 2015 en_US
dc.identifier.issn 1049-7323
dc.identifier.other 1552-7557
dc.description.abstract Injury is a leading cause of death and disability in low- and middle-income countries. Kenya has a particularly high burden of injuries, accounting for 88.4 deaths per 100,000 population. Despite recent attempts to prioritize injury prevention in Kenya, trauma care systems have not been assessed. We assessed perceptions of formal and informal district-level trauma systems through 25 qualitative semi-structured interviews and 16 focus group discussions with Ministry of Health officials, district hospital administrators, health care providers, police, and community members. We used the principles of theoretical analysis to identify common themes of prehospital and hospital trauma care. We found prehospital care relied primarily on “good Samaritans” and police. We described hospital care in terms of human resources, infrastructure, and definitive care. The interviewers repeatedly emphasized the lack of hospital infrastructure. We showed the need to develop prehospital care systems and strengthen hospital trauma care services. en_US
dc.language.iso en en_US
dc.publisher SAGE Publications en_US
dc.subject trauma en_US
dc.subject health seeking en_US
dc.subject health care en_US
dc.subject access to en_US
dc.subject Africa en_US
dc.subject sub-Saharan en_US
dc.subject research en_US
dc.subject qualitative en_US
dc.title Trauma Systems in Kenya: A Qualitative Analysis at the District Level. en_US
dc.type Article en_US

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