Emergency care systems provide a net that acutely ill or injured patients fall into when personal and public health systems fail them. For many, effective emergency care systems save lives, improve health, imbue trust, and financially protect clients and communities. In most of the settings where we work, these systems and structures need strengthening, and emergency care systems are not effectively integrated into primary and referral care systems. Without these critical components, patients may not survive to reach a facility; or once at the facility, may not receive high-quality emergency care to either treat their acute condition or stabilize them for a referral to another facility.
sidHARTe works in partnership with governments, universities, and local actors through implementation support and science. We have also worked on task shifting and sharing skills from providers with more training to those with less training though cascading capacity building of frontline providers. Our research is based in generating implementation data. One framework that sidharte has found useful was developed in the NIH Fogarty Global Health Collaborative on Enhancing Emergency Care Research in LMICs (CLEER).
High-Quality Emergency Care System (ECS) Research Framework
Adapted from Moresky RT, Razzak J, Reynolds T, et al. Advancing research on emergency care systems in low-income and middle-income countries: ensuring high-quality care delivery systems. BMJ Glob Health 2019.