Equitable access to quality injury care; Equi-Injury project protocol for prioritizing interventions in four low- or middle-income countries: a mixed method study

Equitable access to quality care after injury is an essential step for improved health outcomes in low- and middle-income countries (LMICs). We introduce the Equi-Injury project, in which we will use integrated frameworks to understand how to improve equitable access to quality care after injury in...

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Published in:	BMC health services research Vol. 24; no. 1; p. 429
Main Authors:	Davies, Justine, Chu, Kathryn, Tabiri, Stephen, Byiringiro, Jean Claude, Bekele, Abebe, Razzak, Junaid, D'Ambruoso, Lucia, Ignatowicz, Agnieszka, Bojke, Laura, Nkonki, Lungiswa, Laurenzi, Christina, Sitch, Alice, Bagahirwa, Irene, Belli, Antonio, Sam, Napoleon Bellua, Amberbir, Alemayehu, Whitaker, John, Ndangurura, Denys, Ghalichi, Leila, MacQuene, Tamlyn, Tshabalala, Ntombekhaya, Fikadu Berhe, Derbew, Nepomuscene, Ntezimana Jean, Agbeko, Anita Eseenam, Sarfo-Antwi, Frederick, Babar Chand, Zaheer, Wajidali, Zabin, Sahibjan, Fazila, Atiq, Huba, Mali, Yonela, Tshabalala, Zola, Khalfe, Faieeza, Nodo, Olwethu, Umwali, Ghislaine, Twizeyimana, Eric, Mugisha, Nadine, Munyura, Ngirabeza Oda, Nakure, Solange, Ishimwe, Sage Marie Consolatrice, Nzasabimana, Pascal, Dramani, Adams, Acquaye, Jane, Tanweer, Ahmed
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 04-04-2024 BioMed Central BMC
Subjects:	Analysis Capacity development Care and treatment Community involvement Developing countries Emergency medical care Equity Evidence-based medicine Health care access Health care expenditures Health disparities Injuries Injury LDCs LMIC Medical care Methods Mixed method Mortality Quality management Stakeholders Sustainable development Trauma Wounds and injuries Pakistan Africa South Africa United Kingdom Ghana Rwanda Equity LMIC Mixed method Injury
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Summary:	Equitable access to quality care after injury is an essential step for improved health outcomes in low- and middle-income countries (LMICs). We introduce the Equi-Injury project, in which we will use integrated frameworks to understand how to improve equitable access to quality care after injury in four LMICs: Ghana, Pakistan, Rwanda and South Africa. This project has 5 work packages (WPs) as well as essential cross-cutting pillars of community engagement, capacity building and cross-country learning. In WP1, we will identify needs, barriers, and facilitators to impactful stakeholder engagement in developing and prioritising policy solutions. In WP2, we will collect data on patient care and outcomes after injuries. In WP3, we will develop an injury pathway model to understand which elements in the pathway of injury response, care and treatment have the biggest impact on health and economic outcomes. In WP4, we will work with stakeholders to gain consensus on solutions to address identified issues; these solutions will be implemented and tested in future research. In WP5, in order to ascertain where learning is transferable across contexts, we will identify which outcomes are shared across countries. The study has received approval from ethical review boards (ERBs) of all partner countries in South Africa, Rwanda, Ghana, Pakistan and the University of Birmingham. This health system evaluation project aims to provide a deeper understanding of injury care and develop evidence-based interventions within and across partner countries in four diverse LMICs. Strong partnership with multiple stakeholders will facilitate utilisation of the results for the co-development of sustainable interventions.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1472-6963 1472-6963
DOI:	10.1186/s12913-024-10668-y