Major themes and sub-themes derived from the data, North West Ethiopia
| Themes | Sub-themes |
| Views of stakeholders on the establishment of the system | It can create a job opportunity for many young people It can save many traumas lives from premature deaths It can fasten hospital response to trauma Care at the scene and on the way to HCF is vital |
| Challenges to establishing an integrated pre-hospital emergency response | Ambulances related factors Financial constraint Inadequate number of trained emergency professionals Poor infrastructure Lack of ownership and commitment Lack of system High turnover of top managers Lack of coordination between stakeholders Lack of attention by higher officials The referral system is not well established, Lack of awareness about pre hospital care by the community |
| Opportunities | Availability of primary hospitals, health posts, and ambulances at the district level Availability of trained emergency professionals and many potential young people Prehospital emergency care is Government agenda recently Availability of liaison office at all hospitals Availability of training sectors Availability/expansion of telecom infrastructure Prehospital emergency care is a shared agenda by different stakeholders Initiation of MECCP Availability of Red cross ambulances |
| How to initiate the system in the country | Requires careful planning and secured resource Can be started as a pilot Can be started with small scale and scaled up Experience sharing from countries with an established prehospital system can help |
| Sustainability | Establishing a health insurance system Community involvement and mobilisation Cost-sharing by all sectors Especial financial support by the federal government |
MECCP, major city emergency and critical care programme.