Table 2

Major themes and sub-themes derived from the data, North West Ethiopia

Views of stakeholders on the establishment of the systemIt 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 responseAmbulances 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
OpportunitiesAvailability 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 countryRequires 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
SustainabilityEstablishing 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.