Global statistic: 2300 children die daily due to injury
(According to the World Health Organization department for violence and injury prevention)
There is a correlation between a country’s economic sustainability and the level of health care that it renders. The Millennium Development Goals (MDG) was set in 2000 by the 189 United Nations members. The members committed to achieving eight goals, three are linked to improving health care (reduce child mortality; improve maternal health and combat HIV/AIDS, Malaria and other disease). As such developing countries have focused and made great progress towards achieving the goals; however I believe that there is an oversight.
International policy makers and donors are following a vertical approach by supporting one aspect of care e.g. HIV projects exclusively. Therefor MDG’s are achieved by improving silos of the health care system as opposed to full system strengthening.
The health system and all systems connected to it have a primary purpose of improving and maintaining health. Each subsystem achieves it in a different way with the distinguishing characteristic separating the emergency care systems is that effectiveness of emergency care depends on time-sensitive interventions.
The ability to render time-sensitive interventions requires a balance between demand and capacity within the system. Any fluctuation in demand directly impacts access and availability of emergency care. Demand is typically unpredictable and dependent on factors such as functioning primary and public health systems, demographics, infrastructure, cultural beliefs about care etc.
What is predictable is that if demand is not met, patients die or suffer long term consequences.
Countries in Africa lack adequate emergency care policy. The exclusion of emergency care as priority in developing countries creates gaps in transition of care and flow between the parts of the system. Receiving vaccinations and wearing condoms cannot prevent death due to limited access to timely intervention.
Research has demonstrated that people in Africa state the measurement of good health as the ability to work. This implies that access to functioning emergency care systems is of the utmost importance to the communities whom we serve.
If we do not focus on emergency care within bigger health policy we cannot meet the essential goal of health care.