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Trauma Systems in Kenya

A Qualitative Analysis at the District Level

Bibliographic Data

ID4667629
AuthorsHadley K H Wesson (Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA), Kent A Stevens (Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA), Abdulgafoor M Bachani (0000-0003-4455-9044, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA), Stephen Mogere (0000-0001-8130-234X, Roless Media Management Institute, Nairobi, Kenya), Daniel Akungah (Kenyatta University, Nairobi, Kenya), Jackim Nyamari (0000-0002-1697-8893, Kenyatta University, Nairobi, Kenya), John Masasabi Wekesa (Ministry of Medical Services, Nairobi, Kenya), Adnan A Hyder (0000-0002-7292-577X, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA)
Year2015
Volume25
Issue5
Pages589-599
Publication date2015-05-01
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314562890
PMID25563630
OpenAlexW2144300774
LanguageEN
Citations received4
References cited21

Injury is a leading cause of death and disability in low- and middle-income countries. Kenya has a particularly high burden of injuries, accounting for 88.4 deaths per 100,000 population. Despite recent attempts to prioritize injury prevention in Kenya, trauma care systems have not been assessed. We assessed perceptions of formal and informal district-level trauma systems through 25 qualitative semi-structured interviews and 16 focus group discussions with Ministry of Health officials, district hospital administrators, health care providers, police, and community members. We used the principles of theoretical analysis to identify common themes of prehospital and hospital trauma care. We found prehospital care relied primarily on "good Samaritans" and police. We described hospital care in terms of human resources, infrastructure, and definitive care. The interviewers repeatedly emphasized the lack of hospital infrastructure. We showed the need to develop prehospital care systems and strengthen hospital trauma care services

Business · Christian ministry · Environmental health · Family medicine · Focus group · Health care · Medical emergency · Political science · Population · Qualitative research · Emergency and Acute Care Studies · Injury Epidemiology and Prevention · Medicine · Nursing · Trauma and Emergency Care Studies

  • Demographic profile and pattern of fatal injuries in Nairobi, Kenya, January–June 2014

    Open Access•Gladwell Gathecha, Gladwell Koku Gathecha et al.•BMC Public Health•2017

  • Pathways to care

    Open Access•Thanh Tam Tran, A Sleigh et al.•BMC Public Health•2021

  • Assessing trauma care systems in low-income and middle-income countries

    Open Access•John Whitaker, Nollaig O'Donohoe et al.•BMJ Global Health•2021

  • Healthcare provider perspective on barriers and facilitators in the care of pediatric injury patients at a tertiary hospital in Northern Tanzania

    Open Access•Elizabeth M Keating, Francis Sakita et al.•PLOS Global Public Health•2023

  • Doing and Writing Qualitative Research

    Adrian Holliday•Doing And Writing Qualitative…•2007

  • Strategies for Sampling

    Janice M Morse•Qualitative Nursing Research•1991

  • The Discovery of Grounded Theory

    Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

  • Qualitative Nursing Research

    Janice M Morse, Janice Morse•Qualitative nursing research•1991

  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

  • An array of qualitative data analysis tools

    Nancy L Leech, Anthony J Onwuegbuzie•School Psychology Quarterly•2007

Citations per year0.44
Citation span2017 - 2023 (7)
Highly citedNo

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