Table 3

Investigator score for each question and percentage score for each principle and overall for Rwanda, Ghana and South Africa, respectively

PrincipleOne question out of many questions asked in this principlesMaximum score for questionsRwanda scoreGhana scoreSouth Africa score
Strategic visionIs there specific mention of trauma in the national health plan or policy? Or are there specific national health policies around trauma care?128 (67%)4 (33%)6 (50%)
Participation and consensusWhat is the level of stakeholder engagement/community inparticipation at the national and provincial level in trauma policy and related interventions?33 (100%)3 (100%)3 (100%)
Rule of lawAre there guidelines for accreditation of trauma care providers (doctors, nurses, etc) and are these enforced?64 (67%)5 (83%)5 (83%)
TransparencyAre 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?33 (100%)0 (0%)0 (0%)
Responsiveness of institutionsIs there mandatory reporting of health facility trauma data and is this used to define the burden of injury at a national level?108 (80%)5 (50%)5 (50%)
EquityAre 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?83 (38%)2 (25%)3 (38%)
Effectiveness and efficacyIs there a national trauma registry (information management for trauma care)? Is it used? In both private and public?65 (83%)4 (67%)4 (67%)
AccountabilityAre there mechanisms to report failing trauma services to policy makers or regulatory authorities?31 (33.3%)1 (33.3%)3 (100%)
Intelligence and informationDo 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?31 (33%)1 (33%)1 (33%)
EthicsAre there any standard operating procedures in place to ensure quality and ethical trauma care for injured people?33 (100%)2 (67%)3 (100%)
Overall
total (% maximum overall score)
5639 (70%)27 (48%)33 (59%)