The Emergency Medical Services of Local Administrative Sectors in the Southern Borders, and Related Factors
Keywords:
Emergency medical services, Local administrative sector, Southern bordersAbstract
This descriptive study aimed to describe 1) the situation of the emergency medical services
(EMS) organized by Local Administrative Sectors (LAS) in the Southern Borders, 2) factors related to EMS
provision. The population was the chief executive of LAS in the Southern Borders who provided or none of
EMS. The data were collected using the questionnaire. on the management and operation of EMS of LAS.
Content validity index was judged by 3 experts. The reliability of the Questionnaire was verified by using
the Kuder-Richardson coefficient, yielding values of 0.94. Data analyzed by descriptive statistics including
percentage, mean, standard deviation, median, interquartile range and analysis of factors associated with
EMS provision by LAS in the Southern Borders using Binary Logistic Regression.
The returned questionnaires was 273 (64.8%) which showed that about 53.5 % of LAS have provided
EMS which stated in the written policies of EMS (73.3%) and the adequate budget to support (67.1%). The
majority of them had a set of operations with basic emergency medical personnel (namely FR) (94.5%), and
had assigned a responsible person for this job (84.9%). The top activities performed which achieved the
EMS standards more than 80% were ability to communicate with the dispatch center / hospital for assistance
(94.5%), followed by having a received call notification 24 hours (93.8 %) respectively. The provision which
performed less than 60 % of the standards was using a GPS navigation system (20.5%). The LAS who has
not provided the EMS (46.5 %) due to insufficient budget (81.9%). The important factors that can increase
the opportunities of LAS to operate the EMS system in the Southern borders were 1) having the written
policy of the EMS 2) budget to support the EMS and 3) a concern of administrator. The findings from the
study can be used as a basis for better or effective development of EMS provision by LAS in the area.
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