SRCS First Aid and Prehospital Emergency Care Strategy 2021 -2025
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SRCS First Aid and Prehospital Emergency Care Strategy 2021 -2025
SOMALI RED CRESCENT SOCIETY FIRST AID AND PREHOSPITAL EMERGENCY CARE STRATEGY 2021 - 2025
Contents
Foreword ........................................................................................................ 6
Our Mission ................................................................................................... 7
Where we stand right now ......................................................................... 9
Our vision ....................................................................................................... 12
Objectives of the Program .......................................................................... 13
Strategic Theme: Operations .................................................................... 14
Strategic Theme: Increased Resilience ................................................... 15
Strategic Theme: Training ......................................................................... 16
Strategic Theme: Management ................................................................. 17
The impact of this revision ........................................................................ 19
04 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Glossary - Acronyms
ART Ambulance Respond Team
CBHFA Community Based Health First Aid
CFAT Community First Aid Training
DM Disaster Management
IED Improvised Explosive Device
IEC Information Education Communication
FA First Aid
MCI Mass Casualty Incident
RC/RC Red Cross and Red Crescent
PHEC Prehospital Emergency Care
PNS Partner National Societies
SO Specific Objective
ToT Training of Trainers
VRT Volunteer Responder Teams
05 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Introduction
The First Aid and Prehospital Emergency Care (FA&PHEC) Program of the SRCS operates in a
country where for the most part people are deprived of emergency medical assistance and
basic ambulance services. War and conflict contribute to a heavy burden of trauma, which in
most cases finds no answer in the scarce resources available for the existing medical system.
The effects of other, non-traumatic, medical emergencies are also exacerbated by the lack of
system of early identification and referral.
For all these aforementioned issues, the FA&PHEC Program of SRCS, through its network of
volunteers, experienced staff, and growing fleet, wants to intervene and produce a positive
contribution for the local communities.
This document is the updated version of the Strategic Planning of the Program, which aims to
provide the necessary vision to guide the leadership of the Program, its partners, and all other
relevant stakeholders for the next five years (2021- 2025).
The First Aid and Prehospital Emergency Care Program of the SRCS aspires to become the
flagship program of the national society. Taking advantage of its visibility, the flags of the
ambulances and the uniforms of the first aid providers will carry the fundamental principles
of the organization to the most perilous and inaccessible places of the country.
SRCS will develop a yearly plan of actions based on this
strategy where monitoring and evaluation will take a
close part in the follow-up of the activities.
A mid-term review will take place in January 2023 to
evaluate the achievements
06 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025The planning processes During October and November 2020, SRCS FA team supported by ICRC FA team got together to review the 2016 - 2020 SRCS First Aid Strategy that was due to end in December and to discuss and update the future directions for the programme. A meeting was held in Garowe to discuss about the inputs for the new SRCS FA strategy. This was followed up with bilateral consultations among SRCS FA focal points in Hargeisa and internal consultations between the FA Teams and the branches. A draft strategy document was developed in early 2021 and taken up for discussion with SRCS management during March and April 2021. Two virtual meetings were conducted with the two Coordination offices to discuss the draft document. This final document has inputs from various SRCS levels including SRCS management. Mission SRCS mission in First Aid and Pre-hospital care is to save lives and promote recovery. SRCS staff and volunteers are present during all kinds of emergencies, wherever and whenever wounded and sick need to provide timely and effective first aid services to individuals and communities. Skilled staff and First Aid volunteers are trained and motivated to offer effective and timely FA services safeguarding human values in accordance with the Fundamental Principles of the Red Cross and Red Crescent Movement. SRCS aims to deliver quality First Aid and Prehospital Emergency Care services to the people in need and to improve the patient referral and ultimately clinical outcomes. 07 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
SRCS First Aid and Prehospital Emergency Care Program
Problem Tree Analysis
Developed at the Managers’ and Leaders’ Workshops, Q4 2020, Garowe and Hargeisa.
08 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Where we stand right now
With regards to the First Aid components, and especially training, the past years the Program
has managed to reach some impressive results.
Since Q4 2019:
• 590 war wounded individuals received first aid
• 1399 sick and injured individuals received medical support
• 1278 cases were referred with higher levels of care
• 59 Community First Aid Trainings (CFAT) with 1315 participants.
• 327 Routine First Aid Trainings (Branch Level) with 6689 participants.
• 7 Volunteer Responder Trainings (VRT) with 169 participants.
Since Q3 2020, the Program witnessed some major changes in the Prehospital Emergency
Care components. While up until then the prehospital elements of the Program focused solely
on providing quick response to MCIs (IED and landmine explosions), the SRCS program
updated its terms of reference and widened its scope, offering prehospital emergency care
services to the people of Mogadishu. This opened the doors to the general public which could
now benefit from the services offered for either trauma or any other medical emergency.
The graph above demonstrates clearly that the progression of the Program into something
“bigger”, which makes this moment a turning point and this strategic planning revision all
more pertinent.
09 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025SRCS strengths in FA & PHEC
• Motivated staff, ready and willing to respond in every possible scenario, save lives,
and promote the principles of the RC/RC Movement.
• First Aid routine trainings conducted in all the SRCS Branches.
• Volunteers trained in First Aid skills & Knowledge on a yearly basis, which creates a
good foundation for mobilization in case of need.
• First Aid trainers available at branch/Sub-branch level.
• First Aid trainees’ manual booklet, contextualized and translated in Somali.
• Good relationship with communities, making it easy to organize, participate and
facilitate FA & Prehospital Emergency Care activities.
• National Society has a good image and is well-respected by the community, a fact that
allows for good access and timely response in most cases.
• The Program has progressed with the digitization of the services (especially in PHEC
Care) which allows for information-driven decision making.
• The First Aid program of the National Society is well recognized.
Areas for improvement
• There are no First Aid Focal Points to cover all the Branches, but only 8 out of 19
• The number of ambulance responders remains low in the country.
• Weak First Aid management structures at branches without focal points and
sub-branches.
• Low retention of First Aid trainers as they are volunteers.
• Reporting system has several limitations; monitoring and evaluation mechanisms
also require further development.
• Limited follow-up of First Aid volunteers in the communities.
• Inadequate IEC materials for First Aid & Prehospital Emergency care projects
• Need for improving First Aid Instructor manuals.
• Absence of standardized cost recovery procedures.
• Limited reporting on first aid response activities
10 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Opportunities
• There is a need for First Aid & Prehospital Emergency Care services due to the ongoing
emergencies (clashes, weapon wounds, explosions etc) and road accidents.
• Authorities, organisations and other institutions recognise SRCS as a key First Aid
service provider.
• Interest among people to take part in First Aid and PHEC skills training.
• Willingness of partners, especially within the RC/RC Movement, to support the
development of SRCS First Aid & Prehospital Emergency Care Program.
• Auxiliary role to promote preventive policies and measures related to road safety.
• Potential income generation source for the National Society.
Threats
• Sustainability of the programme
• Absence of an emblem law
• Limited access in some areas.
• A possible increase of actors could affect staff and volunteer retention.
• Competition with other actors providing similar services.
• Ongoing and future pandemics present important challenges with regards to
mobilization of volunteers.
11 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Vision
The vision of the SRCS FA & PHEC program is to become the reference organization for first
aid and emergency medical services.
In the near future, SRCS would like to see:
• Higher paramedical skill level for the staff and volunteers
• Operational capacity in all urban centres
• Trained Community responders in all villages affected by conflict
• More and more modern ambulances
• Advanced equipment for the SRCS Ambulances
…so that the wounded and sick people receive a first aid assistance wherever and whenever
they need it. So that SRCS becomes the paramount pre-hospital Emergency care provider in
country.
12 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Objectives of the Program Strategic Theme: Operations Specific Objective 1: To enhance and expand the operational capacity of the program to respond to traumatic and medical emergencies in an effective, timely and safe manner; Strategic Theme: Increased capacities of communities Specific Objective 2: To strengthen community capacities to respond to emergencies and become increasingly aware of how they can contribute to save lives and improve the patients’ outcome. Strategic Theme: Training of SRCS staff and volunteers Specific Objective 3: To increase the intensity and quality of training for the SRCS staff and volunteers on the topics of First Aid and Prehospital Emergency Care. Strategic Theme: Management Specific Objective 4: To further develop the overarching management apparatus of the Program, with an eye to enhance the overall operational efficiency of and also to enhance its capacity in resource mobilization and creating national and international collaborations. 13 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
Strategic Theme: Operations
Specific Objective 1:
To enhance and expand the operational capacity of our Program to respond to
Traumatic and Medical emergencies in an effective, timely and safe manner.
Activities for SO1
• Expanding geographically and enhancing the role of the First Aid and Prehospital
Emergency Care projects, with more Ambulance and Volunteer Responders.
• Through reviewing the past events and continuous support, to improve first aid
emergency response teams’ functionality and their capacity to respond to emergencies
in priority areas.
• Coordinate with authorities and other stakeholders to facilitate the access of the
Ambulance responders, Volunteer responders and communities in case of emergency
response.
• Ensure a steady and uninterrupted supply of all necessary first aid materials,
equipment and ambulances for the response activities.
• Develop a monitoring, follow-up and reporting and feedback mechanisms that
capture best practices and lessons learnt.
• Proceed with the use of the computer-aided dispatch software “Beacon” and support
the assessment of the pilot project.
• Further dissemination of an emergency number where people can request emergency
medical assistance. Educating the public about the functionality and proper use of the
emergency numbers.
• Proceed with the implementation and assessment of the “Motorcycle Responder
Unit” Pilot Project and follow through in alignment with the findings of the
assessment.
14 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Strategic Theme: Increased Capacities in communities
Strategic Objective 2:
To strengthen community capacities so as to respond to emergencies and become
increasingly aware of how they can contribute to save lives and improve the
patients’outcome.
Activities for SO2
• Increase training for communities, schools, university students and sports teams on
basic First Aid skills and knowledge, so that they can assist and respond to life
threatening conditions at their respective locations and know how to properly access
the emergency number for medical emergencies.
• Intensify efforts to reach out to the female population in the communities (mothers
and ladies) which could be facilitated by female SRCS Trainers.
• Integrate First Aid activities with other SRCS programs to maximize coverage and
ensure better transition of patients through the continuum of care.
• Advocate that First Aid is integrated into the national school curriculum, driving
schools and other areas of interest.
• Develop information education communication materials (IEC) regarding First Aid
that can be distributed to the community and conduct public awareness events to
scale up First Aid program.
• Develop FA teaching guide that the trainers should follow when delivering FA training
to the trainees/volunteers.
• Follow up of donated FA kits to the communities in order to replenish, and record
number of casualties assisted by the community volunteers; Develop a follow-up
mechanism for those individuals who were trained in the communities.
15 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Strategic Theme: Training of SRCS Staff and Volunteers
Specific Objective 3 :
To increase the intensity and quality of training for the National Society’s staff and
volunteers on the topics of First Aid and Prehospital Emergency Care.
Activities for SO3
• Ensure that all SRCS staff and volunteers, irrespective of the Program they are
working for, receive at least the Basic First Aid training.
• Establish and develop Training Institutes at the 2 Coordination offices Where First Aid
& Prehospital Emergency Courses and Disaster Management courses are delivered.
• Facilitate First Aid & Pre-hospital Emergency Care courses at SRCS Coordination
offices through establishment of training centres. Develop training of trainer’s
courses (ToT courses).
• Strive for achieving better gender equity/balance within the trainers’ pool by actively
looking for suitable candidates to join the ranks of prospective trainers.
• Further develop standardized SRCS training pathways, policies, procedures and
guidelines.
• Continue to build the capacity of the First Aid Trainers through the delivery of ToT
Courses at all necessary levels (Introductory, Refresher, & Advanced TOT and Master
Trainer).
16 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Strategic Theme: Management
Specific Objective 4:
To further develop the overarching management apparatus of the Program, with an
eye to enhance the overall operational efficiency of and also to enhance its capacity
in resource mobilization and creating national and international collaborations.
Activities for SO4
• Update the SRCS FA & PHEC organogram to clarify the technical reporting lines and
responsibilities.
• Revise the organizational chart so that all personnel of First Aid and Prehospital
Emergency Care Program falls under the responsibility of Program’s
Management, who are ultimately responsible for their performance.
• Develop and establish reporting mechanisms to keep the senior staff of the Program
are always updated with the latest developments in the field of First Aid and
Prehospital Emergency Care.
• Continue the efforts to digitalize the information collection and analysis for the
Program, so that good quality information is more accessible at all times.
• Develop a web-based Data Management system so that reports can be filled through
online system and shared directly with the people involved.
• Implement cost-efficiency and sustainability analysis for all activities and become
more aware of the financial components and restrictions of the Program.
• Establish cost recovery procedures for FA&PHEC Program such as developing
guidelines in line with SRCS resource mobilization policy and strategies.
• Develop FA Commercialization guidelines in line with SRCS resource mobilization
policy.
• Mobilize additional resources from SRCS partners to run SRCS FA & Prehospital
Emergency Care program.
• Produce good quality and data-accurate monthly, quarterly and annually reports the
requirements of SRCS and partners.
17 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025Monitoring and Evaluation The SRCS will track the progress of the implementation of the FAPHEC strategic plan through a robust Monitoring and Evaluation plan by FA managers and PMERs. Measuring and reviewing of progress towards achieving the goals, objectives and outcomes of the Strategic Plan will be based on Key Performance Indicators (KIPs). Monitoring of activities will be performed regularly and any significant deviation from the targets will be reported to the leadership and senior management. There will be two evaluations (mid and final evaluations) throughout the life cycle of the FAPHEC Strategic Plan to measure the achievements towards the goals and objectives and assess whether the implementation of the strategic goals, objectives and KPIs achieved the vision and mission of the FAPHEC. The results will be communicated to the internal and external stakeholders through specific reports. 18 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
Annex 1: Key Performance Indicators 19 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
20
Specific Objective 1:
To enhance and expand the operational capacity of our Program to respond to Traumatic and Medical emergencies in an
effective, timely and safe manner.
Key Activities Key Performance Indicators Estimated Targets
Activities for SO1
• Expanding geographically and enhancing the role of the First Aid and • Expanded and enhanced 75%
SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
Prehospital Emergency Care projects, with more Ambulance and Volunteer geographically the role of the SRCS
Responders. projects At least 75% of SRCS branches
implement First Aid and Prehospital
• Through reviewing the past events and continuous support, to improve first
Emergency Care program.
aid emergency response teams’ functionality and their capacity to respond to
• # of Ambulances are operational. 10
emergencies in priority areas.
• Coordinate with authorities and other stakeholders to facilitate the access of
the Ambulance responders, Volunteer responders and communities in case of • # Coordinated and recruited of 40
emergency response. Ambulance Responder Teams
• Ensure a steady and uninterrupted supply of all necessary first aid materials, • Well-functioning Coordination
equipment and ambulances for the response activities. mechanism with authorities and other 0
• Develop a monitoring, follow-up and reporting and feedback mechanisms stakeholders to facilitate the access of
that capture best practices and lessons learnt. the responders is in place.
• Proceed with the use of the computer-aided dispatch software “Beacon” and • # of branches reported necessary first
support the assessment of the pilot project. aid materials and equipment stock
• Further dissemination of an emergency number where people can request outs.
1140
emergency medical assistance. Educating the public about the functionality • # Developed and monitored the follow
and proper use of the emergency numbers. up of reports/feedbacks and best
• Proceed with the implementation and assessment of the “Motorcycle practices or lessons learnt.
Responder Unit” Pilot Project and follow through in alignment with the
findings of the assessment21
Strategic Objective 2:
To strengthen community capacities so as to respond to emergencies and become increasingly aware of how they can
contribute to save lives and improve the patients’ outcome.
Key Activities Key Performance Indicators Estimated Targets
Activities for SO2
• Increase training for communities, schools, university students and sports • # of communities, schools, universities 85%
SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
teams on basic First Aid skills and knowledge, so that they can assist and students and sports teams on basic
respond to life threatening conditions at their respective locations and know First Aid skills increased
how to properly access the emergency number for medical emergencies. • # of assist and respond to life
• Intensify efforts to reach out to the female population in the communities threatening conditions
(mothers and ladies) which could be facilitated by female SRCS Trainers. • # intensified of female population in the
• Integrate First Aid activities with other SRCS programs to maximize coverage communities (mothers and ladies)
and ensure better transition of patients through the continuum of care. trained and reached.
• Advocate that First Aid is integrated into the national school curriculum,
driving schools and other areas of interest.
• Develop information education communication materials (IEC) regarding
First Aid that can be distributed to the community and conduct public
awareness events to scale up First Aid program.
• Develop FA teaching guide that the trainers should follow when delivering FA • # of developed of IEC First Aid materials
training to the trainees/volunteers. distribute to the community events to
• Follow up of donated FA kits to the communities in order to replenish, and scale up First Aid program.
record number of casualties assisted by the community volunteers; Develop a • # of developed FA teaching guidelines
follow-up mechanism for those individuals who were trained in the that the trainers should follow when
communities. delivering FA training to the
trainees/volunteers. Developed and
distribute22
Specific Objective 3:
To increase the intensity and quality of training for the National Society’s staff and volunteers on the topics of First Aid and
Prehospital Emergency Care.
Key Activities Key Performance Indicators Estimated Targets
Activities for SO3
• Ensure that all SRCS staff and volunteers, irrespective of the Program they are • # of established and developed two 2%
SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
working for, receive at least the Basic First Aid training. Training Institutes where First Aid &
• Establish and develop Training Institutes at the 2 Coordination offices where Prehospital Emergency Courses and
First Aid & Prehospital Emergency Courses and Disaster Management Disaster Management courses are
courses are delivered. delivered
• Facilitate First Aid & Pre-hospital Emergency Care courses at SRCS • % of Facilitated First Aid Trainers
through the delivery of ToT Courses at 60%
Coordination offices through establishment of training centres. Develop
training of trainer’s courses (ToT courses). all necessary levels (Introductory,
• Strive for achieving better gender equity/balance within the trainers’ pool by Refresher, & Advanced TOT and Master
actively looking for suitable candidates to join the ranks of prospective Trainer) train.
trainers.
• Further develop standardized SRCS training pathways, policies, procedures
and guidelines.
• Continue to build the capacity of the First Aid Trainers through the delivery of
ToT Courses at all necessary levels (Introductory, Refresher, & Advanced TOT
and Master Trainer).23
Specific Objective 4:
To further develop the overarching management apparatus of the Program, with an eye to enhance the overall operational
efficiency of and also to enhance its capacity in resource mobilization and creating national and international collaborations.
Key Activities Key Performance Indicators Estimated Targets
Activities for SO4
• Revise the organizational chart so that all personnel of First Aid and • # of web-based Data Management 2%
SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
Prehospital Emergency Care Program falls under the responsibility of system developed so that reports can
Program’s Management, who are ultimately responsible for their be filled through online system and
performance. shared directly with the people
• Develop and establish reporting mechanisms to keep the senior staff of the involved.
Program are always updated with the latest developments in the field of First
Aid and Prehospital Emergency Care.
• Continue the efforts to digitalize the information collection and analysis for
the Program, so that good quality information is more accessible at all times.
• Develop a web-based Data Management system so that reports can be filled
through online system and shared directly with the people involved.
• Implement cost-efficiency and sustainability analysis for all activities and
become more aware of the financial components and restrictions of the
Program.
• Establish cost recovery procedures for FA&PHEC Program such as developing
guidelines in line with SRCS resource mobilization policy and strategies.
• Develop FA Commercialization guidelines in line with SRCS resource
mobilization policy.
• Mobilize additional resources from SRCS partners to run SRCS FA &
Prehospital Emergency Care program. Produce good quality and
data-accurate monthly, quarterly and annually reports as per the
requirements of SRCS and partners.24 SRCS First Aid and Prehospital Emergency Care Strategy 2021 - 2025
ABOUT SRCS The Somali Red Crescent Society (SRCS) is an independent, non-political humanitarian organization that was founded in April 1963 and was established with presidential decree No. 187 in 1965. It was then recognized by the ICRC in 1969 and in the same year became a member of the International Federation of the Red Cross and Red Crescent Societies. © SRCS – July 2021 Email: info@ururka-bishacas.org
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