DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191367

Knowledge, attitude and practice of emergency medical care in Lima, Peru

David Aaron Adler, Max Dean Goldstein, Anthony Phy Mai, Miguel Rosales Tello, Ross Ireland Donaldson, Ross Ireland Donaldson

Abstract


Background: This study gauged public need and reception for a community-based first-aid and cardiopulmonary resuscitation (CPR) training program in Lima, Peru, to counteract predicted emergency medical service (EMS) deficits.

Methods: The study population consisted of Lima households that were selected with a two-staged 30x7 cluster sampling method. An EMS and first-aid focused knowledge-attitude-practice (KAP) survey was administered by a joint academic-community interview team.

Results: The study included 210 households from 30 districts within Lima. Among the participants, 61.4% were unable to provide an EMS number and only 24.8% would call an ambulance in case of a family emergency. Although 37.6% could provide first-aid, 99.5% would feel more comfortable if a neighbor were first-aid trained.

Conclusions: The results indicated a lack of confidence in Lima’s EMS systems and awareness of EMS contact numbers, which possibly led community members to trust each other over their local EMS. The creation of a community-based first-aid and CPR training program can potentially take advantage of strong intra-community trust, mitigate first-aid deficits, and alleviate Lima’s injury burden by providing a buffer against barriers to effective EMS responses.


Keywords


Emergency medical services, KAP survey, Lima, Peru

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References


Murray C, Lopez A. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997l;349(9063):1436-42.

Patton G. Global patterns of mortality in young people: a systematic analysis of population health data. The Lancet 2009;374:881-92.

Gore F, Bloem P, Patton G, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet. 2011;377:2093-102.

LaGrone L, Riggle K, Joshipura M, Quansah R, Reynolds T, Sherr K, et al. Uptake of the World Health Organization’s trauma care guidelines: a systematic review. Bulletin of the World Health Organization. 2016;94:585-98.

The World Bank. World Bank Country and Lending Groups. Available at https://datahelpdesk.world bank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups. Accessed on 3 June 2018.

Medina RY, Espitia-Hardeman V, Dellinger AM, Loayza M, Leiva R, Cisneros G. A road traffic injury surveillance system using combined data sources in Peru. Revista Panamericana de Salud Pública. 2011;29(3):191–7.

Miranda JJ, Lopez-Rivera LA, Quistberg DA, Rosales-Mayor E, Gianella C, Paca-Palao A et al. Epidemiology of Road Traffic Incidents in Peru 1973–2008: Incidence, Mortality, and Fatality. PLoS ONE. 2014;9(6):e99662.

Swanson R, Morales Soto NR, Garcia Villafuerte A. Emergency Medicine in Peru. J Emergency Med. 2005;29(3):353-6.

Sasser S, Varghese M, Kellerman A, Lormand JD. Prehospital trauma care systems. Geneva, World Health Organization. 2005.

Mock CN, Tiska M, Adu-Ampofo M, Boakye G. Improvements in prehospital trauma care in an African country with no formal emergency medical services. J Trauma Acute Care Surg. 2002;53(1):90–7.

Husum H, Gilbert M, Wisborg T, Van Heng Y, Murad M. Rural prehospital trauma systems improve trauma outcome in low-income countries: a prospective study from north Iraq and Cambodia. J Trauma Acute Care Surg. 2003;54(6):1188–96.

Henderson RH, Sundaresan T. Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method. Bulletin of the World Health Organization 1982;60(2):253-60.

Sethi D, Habibula S, McGee K, Peden M, Bennett S, Hyder AA, et al. WHO Guidelines for Conducting Community Surveys on Injuries and Violence. Geneva, World Health Organization. 2004.

Shanovich PK, Donaldson RI, Hung YW, Hasoon T, Evans GE. Iraqi community member’s knowledge, attitude and practice of emergency medical care: assessing civilian medicine in an area of conflict. Med Conflict Survival. 2011;27(3):151-64.

Baghdassarian A, Donaldson R, DePiero A, Chernett N, Sule H. Pediatric Emergency Medical Care in Yerevan, Armenia: A knowledge and attitudes survey of out-of-hospital Emergency Physicians. Int J Emergency Med. 2014;7(1):11.

Jones L. Community-Partnered Participatory Research: How We Can Work Together to Improve Community Health. Ethnicity Dis. 2009;19(4 Suppl 6):S6-1-2.

Jones L, Wells K. Strategies for Academic and Clinician Engagement in Community-Participatory Partnered Research. J Am Med Association. 2007;297(4):407-10.

Lefkowich M, Richardson N, Robertson S. “If We Want to Get Men in, Then We Need to Ask Men What They Want”: Pathways to Effective Health Programming for Men. Am J Mens Health. 2017;11(5):1512-24.

Chandra A, Williams M, Plough A, Stayton A, Wells KB, Horta M et al. Getting Actionable About Community Resilience: The Los Angeles County Community Disaster Resilience Project. Am J Public Health. 2013;103(7):1181-9.

Wells KB, Tang J, Lizaola E, Jones F, Brown A, Stayton A, et al. Applying community engagement to disaster planning: developing the vision and design for the Los Angeles County Community Disaster Resilience initiative. Am J Public Health. 2013;103(7):1172-80.