Executive Summary:

28 million people die annually from medical emergencies, representing half of the world’s mortality. In Africa, emergencies annually contribute to 262 years of life lost per 1,000 persons, compared to 129 years globally. Few patients have access to the life-saving treatments for time-sensitive medical conditions that emergency departments (EDs) and emergency medical systems (EMS) effectively provide in developed countries. Utilizing existing ED infrastructure, our project initially builds EDs and EMS across three countries in Sub-Saharan Africa. We partner with hospital and governmental leaders to replicate proven training programs that we launched in Ghana in 2009. We integrate these programs with remedial business best practices, digital information systems, pre-hospital transport and community-based primary care. Emergency-related deaths and disabilities will fall. The number of people who receive care will rise while per patient costs plummet. We will enhance preparedness for large-scale emergencies. We will make emergency care more accessible and financially inclusive.