Essential trauma care in Ghana: adaptation and implementation on the political tough road.
BACKGROUND
The main goal of the Essential Trauma Care (EsTC) project is to promote affordable and sustainable improvements in trauma care, on the ground in individual countries and their health care facilities. This has been occurring in several countries, including Ghana.


RESULTS
The EsTC project has helped to solidify previously haphazard interactions between stakeholders from different sectors. It has allowed trauma care clinicians to interact more effectively with other groups, such as the Ministry of Health and the WHO country office. It has allowed the clinicians and other stakeholders to more effectively lobby government for increased attention to trauma care services. These interactions have led to a high-profile stakeholders meeting, the Road Safety and Essential Trauma Care Workshop, which has represented the highest level of attention to trauma care in the country thus far. This meeting has generated a set of policy recommendations, which has been presented to Parliament for study, and, it is hoped, adoption.


CONCLUSIONS
To convert these recommendations to solid, sustainable action in improving care for the injured, we need to continue to engage in advocacy and to work with Parliament, the Ministry of Health, and other stakeholders, as well as to confront the deeper problems of Ghana's brain drain, civil strife, and poverty.
Quansah
Robert
R
Department of Surgery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. robertquansah@hotmail.com
D004632:Emergency Medical Services / Q000458:organization & administration* / Q000592:standards; D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000592:standards; D005869:Ghana; D006801:Humans; D017410:Practice Guidelines as Topic; D014194:Traumatology / Q000458:organization & administration* / Q000592:standards; D014947:Wounds and Injuries / Q000628:therapy*