Browsing by Author "Dushime Theophile"

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    Building trauma and EMS systems capacity in Rwanda: lessons and recommendations
    (Ubiquity Press Ltd , Unit 3.22, East London Works, 65-75 Whitechapel Road, London, England, E1 1du, 2021) Jayaraman Sudha; Ntirenganya Faustin; Nkeshimana Menelas; Rosenberg Ashley; Dushime Theophile; Kabagema Ignace; Uwitonze Jean Marie; Uwitonize Eric; Nyinawankusi Jeanne d'Arc; Riviello Robert; Bagahirwa Irene; Williams Kenneth L; Krebs Elizabeth; Maine Rebecca; Banguti Paulin; Rulisa Stephen; Kyamanywa Patrick; Byiringiro Jean Claude
    Background: Surgical capacity building has gained substantial momentum. However, care at the hospital level depends on improved access to emergency services. There is no established model for facilitating trauma and EMS system capacity in LMIC settings. This manuscript describes our model for multi-disciplinary collaboration to advance trauma and EMS capacity in Rwanda, along with our lessons and recommendations. Methods: After high-level meetings at the Ministry of Health in Rwanda (MOH), in 2016, a capacity building plan focusing on improved clinical services, quality improvement/ research and leadership capacity across prehospital and emergency settings. The main themes for the collaborative model included for empowerment of staff, improving clinical service delivery, and investing in systems and infrastructure. Funding was sought and incorporated into the Sector Wide Approaches to Planning process at the Ministry of Health of Rwanda. Findings: A shared mental model was created through a fully funded immersion program for Rwandese leaders from emergency medicine, nursing, prehospital care, and injury policy. Prehospital care delivery was standardized within Kigali through a train-thetrainers program with four new context-appropriate short courses in trauma, medical, obstetric/neonatal, and pediatric emergencies and expanded across the country to reach >600 staff at district and provincial hospitals. Forty-two protocols and checklists were implemented to standardize prehospital care across specialties. The WHO Trauma Registry was instituted across four major referral centers in the country capturing over 5,000 injured patients. Long-term research capacity development included Masters’ Degree support for 11 staff. Conclusions and Recommendations: This collaboration was highly productive in empowering staff and leadership, standardizing clinical service delivery in EMS, and investing in systems and infrastructure. This can be a useful model for trauma and EMS system capacity development in other LMICs.
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    Rwanda 20 Years on: Investing in Life
    (Elsevier Science Inc , Ste 800, 230 Park Ave, New York, Usa, Ny, 10169, 2014) Binagwaho Agnes; Farmer E. Paul; Nsanzimana Sabin; Karema Corine; Gasana Michel; Ngirabega Jean de Dieu; Ngabo Fidele; Wagner Claire M; Nutt Cameron T; Nyatanyi Thierry; Gatera Maurice; Kayiteshonga Yvonne; Mugeni Cathy; Mugwaneza Placidie; Shema Joseph; Uwaliraye Parfait; Gaju Erick; Muhimpundu Marie Aimee; Dushime Theophile; Senyana Florent; Mazarati Jean Baptiste; Gaju Cesla Muzayire; Tuyisenge Lisine; Mutabazi Vincent; Kyamanywa Patrick; Rusanganwa Vincent; Nyemazi Jean Pierre; Umutoni Agathe; Kankindi Ida; Ntizimira Christian; Ruton Hinda; Mugume Nathan; Nkunda Denis; Ndenga Espérance; Mubiligi Joel M; Kakoma Jean Baptiste; Karita Etienne; Sekabaraga Claude; Rusingiza Emmanuel; Rich Michael L; Mukherjee Joia S; Rhatigan Joseph; Cancedda Corrado; Bertrand-Farmer Didi; Bukhman Gene; Stulac Sara N; Tapela Neo M; Holstein Cassia van der Hoof; Shulman Lawrence N; Habinshuti Antoinette; Bonds Matthew H; Wilkes Michael S; Lu Chunling; Smith-Fawzi Mary C; Swain JaBaris D; Murphy Michael P; Ricks Alan; Kerry Vanessa B; Bush Barbara P; Siegler Richard W; Stern Cori S; Sliney Anne; Nuthulaganti Tej; Karangwa Injonge; Pegurri Elisabetta; Dahl Ophelia; Drobac Peter C
    Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the effects of a devastated health system and economy. In the years that followed, a new course set by a new government set into motion equity-oriented national policies focusing on social cohesion and people-centred development. Premature mortality rates have fallen precipitously in recent years, and life expectancy has doubled since the mid-1990s. Here we reflect on the lessons learned in rebuilding Rwanda’s health sector during the past two decades, as the country now prepares itself to take on new challenges in health-care delivery.