First things first: effectiveness and scalability of a basic prehospital trauma care program for lay first-responders in Kampala, Uganda.

摘要: Author(s): Jayaraman, Sudha; Mabweijano, Jacqueline R; Lipnick, Michael S; Caldwell, Nolan; Miyamoto, Justin; Wangoda, Robert; Mijumbi, Cephas; Hsia, Renee; Dicker, Rochelle; Ozgediz, Doruk | Abstract: BackgroundWe previously showed that in the absence of a formal emergency system, lay people face heavy burden injuries Kampala, Uganda, and we demonstrated feasibility basic prehospital trauma course for people. This study tests effectiveness this estimates costs cost-effectiveness scaling up training.Methods findingsFor six months, prospectively followed 307 trainees (police, taxi drivers, community leaders) who completed one-day care program 2008. Cross-sectional surveys fund knowledge were used to measure their frequency skill supply use, reasons not providing aid, perceived utility kit, confidence using skills, first-aid. We then estimated program. At 188 (62%) up. Their retention remained high or increased. The mean correct score on test was 92%, from 86% after initial training (n = 146 pairs, p 0.0016). 97% participants had at least one course: most commonly haemorrhage control, recovery position lifting/moving 96% first-aid item. Lack less barrier significantly more confident Based cost World Health Organization, local injury data, modelling previous studies, projected $0.12 per capita $25-75 life year saved. Key limitations include small sample size, possible reporter bias, preliminary validation instruments, an indirect estimate mortality reduction.ConclusionsLay first-responders effectively retained confidently skills supplies months. intervention cover Kampala are very modest. may be cost-effective first step toward developing services Uganda other resource-constrained settings. Further research is needed critical area low-income countries.