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- W4247553843 abstract "Abstract Background: Trauma and injury contribute to 11% of the all-cause mortality in Afghanistan. We aimed to explore the perceptions of the stakeholders of the public and private health sectors to identify the challenges in the provision of an effective trauma care in Kabul, Afghanistan.Methods: We utilized a mixed method design, including key-informant interviews of the trauma management stakeholders (N=18) and subsequent structured emergency care system assessment questionnaire (N = 35). Interviews were analyzed using thematic analysis and questionnaire data were descriptively analyzed. Results: We identified four themes that describe the challenges: 1) pre-hospital care, 2) cohesive trauma management system, 3) physical and human resources and 4) stewardship. We found some key challenges related to scene and transportation care, in-hospital care and emergency preparedness within the wider trauma care system. Less than 25% of the population is covered by the pre-hospital ambulance system (n=23, 65.7%) and no communication process between health care facilities to facilitate transfer (n=28, 80%). Less than 25% of patients with an injury requiring emergent surgery have access to surgical care in a staffed operating theatre within two hours of injury (n=19, 54.2%) and there is no regular assessment of the ability of the emergency care system to mobilize resources (human and physical) to respond to disasters, and other large-scale emergencies (n=28, 80%). Conclusion: This study highlighted major challenges in the delivery of trauma care services across Kabul, Afghanistan. Systematic improvement in the workforce training, structural organization of the trauma system and implementing externally validated clinical guidelines for trauma management could possibly enhance the functions of the existing trauma care services. However, an integrated state-run trauma care system will address the current burden of traumatic injury more effectively within the wider healthcare system of Afghanistan." @default.
- W4247553843 created "2022-05-12" @default.
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- W4247553843 date "2020-05-08" @default.
- W4247553843 modified "2023-10-16" @default.
- W4247553843 title "Perception of the healthcare professionals towards the current trauma and emergency care system in Kabul, Afghanistan: A mixed method study" @default.
- W4247553843 doi "https://doi.org/10.21203/rs.3.rs-26649/v1" @default.
- W4247553843 hasPublicationYear "2020" @default.
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