Background:

Access to quality healthcare for the injured is a significant challenge in low- and middle-income countries. The Equi-Injury Project, funded by the National Institute for Health Research (UK), is dedicated to addressing these barriers and promoting healthcare equity. The Equi-Injury Project employs a multifaceted approach to address barriers to quality injury care, involving various stakeholders and utilizing both qualitative and quantitative methods to drive policy change and improve healthcare equity.

​

Project Objectives:

• Understand stakeholder needs to improve policy for equitable access to quality injury care.
• Identify factors that help or hinder access to quality care for the injured.
• Create a standardized model for accessing quality injury care.
• Establish consensus on research-driven strategies with stakeholders.
• Gain insights from diverse countries to uncover common solutions.​
  
  

Approach:

• Utilizing integrated frameworks, including the Three Delays approach, WHO Health System Building Blocks, and Institute of Medicine's Quality Framework.
• Hosting stakeholder workshops with community members, healthcare workers, and policymakers in both urban (Aga Khan University, Karachi) and rural (Thatta) settings.
• Conducting in-depth interviews (IDIs) with policymakers to understand their perspectives on trauma policies in Pakistan and identify barriers and facilitators.
• Conducting rapid qualitative analysis to identify top priorities for policy involvement, mechanisms, barriers, and facilitators.
• Hosting multistakeholder workshops to develop SMART (Specific, Measurable, Achievable, Relevant, Time-bound) strategies.
• Conducting hospitalised patient data collection, facility readiness surveys, staff perception of safety, provider competency assessments, and understanding timeliness components.