Message in a bottle: How evidence-based medicine and a programme change model improved asthma management in a low-income emergency department in Papua New Guinea
Rebecca Heath, Paul Tomaszewski, Michael Kuri, Vincent Atua, Georgina Phillips
EMERGENCY MEDICINE AUSTRALASIA | WILEY | Published : 2019
OBJECTIVE: To improve asthma care in a complex, low resource, developing country setting. This observational study was carried out in a challenging low-income real-life setting in the ED at Modilon Hospital, Papua New Guinea. The only government hospital in Madang Province, with 258 beds, it provides medical care to a population of nearly 700 000 people of whom 40% live on less than US$1.25/day. METHODS: An asthma management analysis questionnaire followed by action research, with a four-step programme change model (exposure, adoption, implementation and practice), were used to develop and implement new department asthma guidelines. Staff perceptions were gathered via discussion groups a..View full abstract
RH received financial support from Australian Volunteers International to work at Modilon Hospital and Divine Word University.