A new study estimates 703 345 617 (71%) people live within 2 hours of the nearest hospital varying from <25% in South Sudan to >90% in Kenya. Investments on healthcare in Africa have traditionally focused on expanding access to basic curative and preventive services that form primary healthcare. Recent evidence suggests that emergency medical conditions resulting from severe illnesses, trauma, obstetric conditions and non-communicable diseases will become significant contributors of mortality in sub-Saharan Africa (SSA).
Studies that examine emergency care in low middle income countries (LMICs), have been few as compared to those in high income countries. Health services are offered with increasing sophistication from community providers to hospitals which play a critical role in providing emergency care. Therefore, planning for emergency care requires a detailed census of hospital services and their ease of access to majority of the population.