Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda

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dc.contributor.advisorWallis, Lee
dc.contributor.advisorTenner, Andrea
dc.contributor.authorFriedman, Alexandra
dc.date.accessioned2020-05-08T07:14:08Z
dc.date.available2020-05-08T07:14:08Z
dc.date.issued2019
dc.date.updated2020-05-06T01:31:54Z
dc.description.abstractBackground Uganda lacks formal emergency care training programs to address its high burden of acute illness and injury. The Ugandan Ministry of Health (MoH) rolled out the World Health Organization’s (WHO) Basic Emergency Care (BEC) course, the first openaccess short course to provide comprehensive basic emergency training for health workers in low-resource settings. The BEC and its new online cases both require further evaluation. Aim and Objectives The study aimed to assess the BEC course and online cases’ impact with the following objectives: 1. Determine participants’ knowledge acquisition and self-efficacy in emergency care. 2. Evaluate BEC participants’ perceptions of the course and online cases. 3. Assess the online cases’ impact on participants’ knowledge and self-efficacy in emergency care. Methods Mixed methods design explored the BEC’s impact. MCQs and Likert scales assessed knowledge and self-efficacy, respectively, among 137 participants pre-BEC, post-BEC and six-months post-BEC using mixed model analysis of variance (ANOVA). FGDs assessed perceptions of the course and online cases post-BEC and six-months postBEC among 74 participants using thematic content analysis. Results Participants gained and maintained significant increases in MCQ averages and Likert scores. The pre-course cases group scored significantly higher on the pre-test MCQ than controls (p=0.004) and found cases most useful pre-BEC. Nurses experienced more significant initial gains and long-term decays in MCQ and self-rated knowledge than doctors (p=0.009, p< 0.05). Providers valued the ABCDE approach and reported improved emergency care management post-BEC. Resource constraints, untrained colleagues and knowledge decay limited the course’s utility. Conclusions Basic emergency care courses for low-resource settings can increase frontline providers’ long-term knowledge and self-efficacy in emergency care. Nurses experience greater initial gains and long-term losses in knowledge than doctors. Online adjuncts can enhance health professional education in LMICs. Future efforts should focus on increasing trainings and determining the need for re-training.
dc.identifier.apacitationFriedman, A. (2019). <i>Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda</i>. (). ,Faculty of Health Sciences ,Division of Emergency Medicine. Retrieved from en_ZA
dc.identifier.chicagocitationFriedman, Alexandra. <i>"Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda."</i> ., ,Faculty of Health Sciences ,Division of Emergency Medicine, 2019. en_ZA
dc.identifier.citationFriedman, A. 2019. Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda. . ,Faculty of Health Sciences ,Division of Emergency Medicine. en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Friedman, Alexandra AB - Background Uganda lacks formal emergency care training programs to address its high burden of acute illness and injury. The Ugandan Ministry of Health (MoH) rolled out the World Health Organization’s (WHO) Basic Emergency Care (BEC) course, the first openaccess short course to provide comprehensive basic emergency training for health workers in low-resource settings. The BEC and its new online cases both require further evaluation. Aim and Objectives The study aimed to assess the BEC course and online cases’ impact with the following objectives: 1. Determine participants’ knowledge acquisition and self-efficacy in emergency care. 2. Evaluate BEC participants’ perceptions of the course and online cases. 3. Assess the online cases’ impact on participants’ knowledge and self-efficacy in emergency care. Methods Mixed methods design explored the BEC’s impact. MCQs and Likert scales assessed knowledge and self-efficacy, respectively, among 137 participants pre-BEC, post-BEC and six-months post-BEC using mixed model analysis of variance (ANOVA). FGDs assessed perceptions of the course and online cases post-BEC and six-months postBEC among 74 participants using thematic content analysis. Results Participants gained and maintained significant increases in MCQ averages and Likert scores. The pre-course cases group scored significantly higher on the pre-test MCQ than controls (p=0.004) and found cases most useful pre-BEC. Nurses experienced more significant initial gains and long-term decays in MCQ and self-rated knowledge than doctors (p=0.009, p< 0.05). Providers valued the ABCDE approach and reported improved emergency care management post-BEC. Resource constraints, untrained colleagues and knowledge decay limited the course’s utility. Conclusions Basic emergency care courses for low-resource settings can increase frontline providers’ long-term knowledge and self-efficacy in emergency care. Nurses experience greater initial gains and long-term losses in knowledge than doctors. Online adjuncts can enhance health professional education in LMICs. Future efforts should focus on increasing trainings and determining the need for re-training. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - Emergency Medicine LK - https://open.uct.ac.za PY - 2019 T1 - Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda TI - Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda UR - ER - en_ZA
dc.identifier.urihttps://hdl.handle.net/11427/31832
dc.identifier.vancouvercitationFriedman A. Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda. []. ,Faculty of Health Sciences ,Division of Emergency Medicine, 2019 [cited yyyy month dd]. Available from: en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of Emergency Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.subjectEmergency Medicine
dc.titleEvaluation of the World Health Organization’s basic emergency care course and online cases in Uganda
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMSc
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