Annals of agricultural and environmental medicine : AAEM · 2026
Simulation-based training to enhance emergency response in low-resource settings - a model for paramedic education in Ghana.
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Zieliński Ewa, Wojtysiak Katarzyna, Osowiecka Karolina, Pedrycz Agnieszka, Rahnama-Hezavah Mansur, Mertowska Paulina, Mertowski Sebastian, Grywalska Ewelina, Grzywacz Anna, Kowalczyk Marek
Аннотация
INTRODUCTION AND OBJECTIVE: Despite targeted investments in acute care in Ghana, significant challenges persist, including limited medical supplies, shortages of trained personnel, and restricted access to medications. A key barrier to effective prehospital care is the lack of formal education among paramedics. To address this gap, the Paramedics for Africa 3 programme was implemented between July - December 2020, aimed at improving emergency medical knowledge and skills among healthcare providers.
MATERIAL AND METHODS: A pre-post intervention design was used to evaluate the impact of the training. A total of 268 participants, including paramedics, hospital staff, and outpatient clinic workers, were enrolled. Each completed a 50-question multiple-choice test covering anatomy, diagnostics, and medical procedures. The programme included hands-on activities, simulation-based scenarios, and case-based learning. Statistical analysis was used to assess changes in test performance.
RESULTS: Baseline test scores ranged from 14% - 76% (median: 40%), increasing post-training to 32% -100% (median: 76%; p < 0.001). The most notable improvements were observed in trauma care and resuscitation. Emergency service staff demonstrated the most significant gains (p = 0.03). No statistically significant differences were found in terms of age, gender, education, or residence.
CONCLUSIONS: The programme led to a significant improvement in participants' knowledge of emergency medicine. The positive impact of simulation-based learning highlights the importance of expanding such educational models in resource-limited healthcare settings.
MATERIAL AND METHODS: A pre-post intervention design was used to evaluate the impact of the training. A total of 268 participants, including paramedics, hospital staff, and outpatient clinic workers, were enrolled. Each completed a 50-question multiple-choice test covering anatomy, diagnostics, and medical procedures. The programme included hands-on activities, simulation-based scenarios, and case-based learning. Statistical analysis was used to assess changes in test performance.
RESULTS: Baseline test scores ranged from 14% - 76% (median: 40%), increasing post-training to 32% -100% (median: 76%; p < 0.001). The most notable improvements were observed in trauma care and resuscitation. Emergency service staff demonstrated the most significant gains (p = 0.03). No statistically significant differences were found in terms of age, gender, education, or residence.
CONCLUSIONS: The programme led to a significant improvement in participants' knowledge of emergency medicine. The positive impact of simulation-based learning highlights the importance of expanding such educational models in resource-limited healthcare settings.