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Enhancing Emergency Medicine Services at Rural Outreach Centers: A Comprehensive Needs Assessment for Project ECHO

R K Dangal1, K Barun2, D Thapa2

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Rural healthcare providers in Nepal urgently need enhanced emergency medicine training and resources. Addressing these gaps is critical for improving emergency care delivery in underserved communities.

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Area of Science:

  • Emergency Medicine
  • Global Health
  • Healthcare Systems

Background:

  • Emergency care is vital for Universal Health Coverage, yet rural Nepal faces significant challenges.
  • Limited provider experience, training, and resources hinder emergency care delivery in rural areas.
  • Nepal requires targeted education and capacity building to address critical gaps in emergency services.

Purpose of the Study:

  • To assess the emergency medicine training needs of rural healthcare providers.
  • Focus on providers at Dhulikhel Hospital's Outreach Centers (ORCs).

Main Methods:

  • Cross-sectional study conducted in October-November 2024.
  • Surveyed 60 healthcare providers from 18 Dhulikhel Hospital ORCs using a structured questionnaire.
  • Data collected on demographics, encountered emergencies, barriers, and training interests; analyzed using descriptive statistics.

Main Results:

  • Participants included midwives, health assistants, and medical officers, most with less than 5 years of experience.
  • Key challenges identified were insufficient training (96.7%) and lack of supplies (95%).
  • Commonly managed emergencies included trauma, COPD exacerbations, and uncontrolled diabetes; training interests focused on poisoning, snake bites, and airway management.

Conclusions:

  • The assessment highlights critical challenges and needs for improving rural emergency care in Nepal.
  • Focused investment in training, resources, and support is essential to empower providers.
  • Bridging these gaps can significantly improve emergency care delivery for rural populations.