Applying the WHO-ICRC BEC course to train emergency and inpatient healthcare workers in Sierra Leone early in the COVID-19 outbreak

BMC Health Services Research

Paul D Sonenthal¹  Regan H Marsh²  Joia Mukherjee²  Shada A Rouhani²  Doris Komba³  Matthew J Vandy³  Moses Bangura⁴  Chiyembekezo Kachimanga⁴  Marta Patino⁴  Marta Lado⁴  Rachel B Gerrard⁵  Nicholas Ludmer⁶ 

[1] Brigham and Womens Hospital, Division of Pulmonary and Critical Care Medicine;Harvard Medical School;Ministry of Health and Sanitation;Partners In Health-Sierra Leone;Partners In Health;University of Chicago, Section of Emergency Medicine;

关键词: Emergency and critical care;    COVID-19;    Basic emergency care course;    Capacity building;    Training;   

DOI  :  10.1186/s12913-022-07556-8

来源: DOAJ

【 摘 要 】

Abstract Background Treating critical illness in resource-limited settings during disease outbreaks is feasible and can save lives. Lack of trained healthcare workers is a major barrier to COVID-19 response. There is an urgent need to train healthcare workers to manage COVID-19. The World Health Organization and International Committee of the Red Cross’s Basic Emergency Care course could provide a framework to cross-train personnel for COVID-19 care while strengthening essential health services. Methods We conducted a prospective cohort study evaluating the Basic Emergency Care course for healthcare workers from emergency and inpatient units at two hospitals in Sierra Leone, a low-income country in West Africa. Baseline, post-course, and six month assessments of knowledge and confidence were completed. Questions on COVID-19 were added at six months. We compared change from baseline in knowledge scores and proportions of participants “very comfortable” with course skills using paired Student’s t-tests and McNemar’s exact tests, respectively. Results We enrolled 32 participants of whom 31 completed pre- and post-course assessments. Six month knowledge and confidence assessments were completed by 15 and 20 participants, respectively. Mean knowledge score post-course was 85% (95% CI: 82% to 88%), which was increased from baseline (53%, 48% to 57%, p-value < 0.001). There was sustained improvement from baseline at six months (73%, 67% to 80%, p-value 0.001). The percentage of participants who were “very comfortable” performing skills increased from baseline for 27 of 34 skills post-training and 13 skills at six months. Half of respondents strongly agreed the course improved ability to manage COVID-19. Conclusions This study demonstrates the feasibility of the Basic Emergency Care course to train emergency and inpatient healthcare workers with lasting impact. The timing of the study, at the beginning of the COVID-19 pandemic, provided an opportunity to illustrate the strategic overlap between building human resource capacity for long-term health systems strengthening and COVID-19. Future efforts should focus on integration with national training curricula and training of the trainers for broader dissemination and implementation at scale.

【 授权许可】

Unknown