Investigator score for each question and percentage score for each principle and overall for Rwanda, Ghana and South Africa, respectively
Principle | One question out of many questions asked in this principles | Maximum score for questions | Rwanda score | Ghana score | South Africa score |
Strategic vision | Is there specific mention of trauma in the national health plan or policy? Or are there specific national health policies around trauma care? | 12 | 8 (67%) | 4 (33%) | 6 (50%) |
Participation and consensus | What is the level of stakeholder engagement/community inparticipation at the national and provincial level in trauma policy and related interventions? | 3 | 3 (100%) | 3 (100%) | 3 (100%) |
Rule of law | Are there guidelines for accreditation of trauma care providers (doctors, nurses, etc) and are these enforced? | 6 | 4 (67%) | 5 (83%) | 5 (83%) |
Transparency | Are managers (district directors of health, medical superintendents of hospitals) evaluated on their health facility or facilities reaching specific targets for trauma care? And if so, are the results of these evaluations available and accessible? | 3 | 3 (100%) | 0 (0%) | 0 (0%) |
Responsiveness of institutions | Is there mandatory reporting of health facility trauma data and is this used to define the burden of injury at a national level? | 10 | 8 (80%) | 5 (50%) | 5 (50%) |
Equity | Are there national level financial schemes to ensure the poor who are injured do not have to pay out of pocket direct medical costs of trauma care? | 8 | 3 (38%) | 2 (25%) | 3 (38%) |
Effectiveness and efficacy | Is there a national trauma registry (information management for trauma care)? Is it used? In both private and public? | 6 | 5 (83%) | 4 (67%) | 4 (67%) |
Accountability | Are there mechanisms to report failing trauma services to policy makers or regulatory authorities? | 3 | 1 (33.3%) | 1 (33.3%) | 3 (100%) |
Intelligence and information | Do staff providing trauma services understand what data need to be captured and do they have the right data capturing tools to enable them to do this? | 3 | 1 (33%) | 1 (33%) | 1 (33%) |
Ethics | Are there any standard operating procedures in place to ensure quality and ethical trauma care for injured people? | 3 | 3 (100%) | 2 (67%) | 3 (100%) |
Overall total (% maximum overall score) | 56 | 39 (70%) | 27 (48%) | 33 (59%) |