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Post-War Kosovo: Part 3. Development and Rehabilitation of Emergency Services

  • Julian Lis (a1), M. James Eliades (a1), Dukagjin Benishi (a2), Bajram Koci (a2), David Gettle (a3) and Michael J. VanRooyen (a1) (a3)...

Abstract

The recent crisis in Kosovo led to nearly complete destruction of a healthcare system serving the needs of approximately 2 million people. Even prior to the crisis, the pre-existing healthcare system had inadequate provisions for the delivery of Emergency Medical Services. More than 440 diverse governmental and non-governmental organizations (NGOs) arrived to assist (and often compete) in the rehabilitation of Kosovo's healthcare needs. Each brought with them individual biases and strategies for how this rehabilitation should occur, and each faced numerous unforeseen barriers to the implementation of its programs.

The authors used a four-step, multi-modal, needs assessment to gather information on the needs and potential barriers to the implementation of a program to rehabilitate emergency services as discussed in Part II. This paper chronicles the phases of the Emergency Medicine program development and the process of responding to barriers and changing needs. The program's successes and failures are noted, and the actual barriers encountered are reviewed. Overall, the needs assessment tool employed in this program was useful in the implementation of a program to restore and rehabilitate Emergency Services in Kosovo. The authors recommend the use of combined quantitative and qualitative methods for developing priorities for interventions in post-conflict settings following complex emergencies.

Copyright

Corresponding author

Center for International Emergency, Disaster and Refugee Studies, Department of Emergency Medicine, The Johns Hopkins University, 1830 E. Monument St., Suite 6-100, Baltimore, MD 21205, USA

References

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1. Encarta On-line Encyclopedia: Kosovo Website. Available at: HYPER-LINK http://encarta.msn.com; http://encarta.msn.com. Accessed 12 January 2000.
2.UNMIK Health Sector-Health Policy and Planning Group-World Health Organization: Interim Health Policy Guidelines for Kosovo, and Six Month Action Plan. September 1999.
3.Boshjaku, S: Health Personnel in Kosovo after the Crisis. Institute For Public Health-Kosovo: Kosovo. 03 August 1999.
4.World Health Organization: Interim Health Policy Guidelines for Kosovo and Six-Month Action Plan. WHO: Geneva. September 1999.
5.Vanier, V, VanRooyen, MJ, Lis, J, Eliades, MJ: Post-war Kosovo: Part I. Assessment of Prehospital and Emergency Services. Prehosp Disast Med 2001:16(4):263267.
6.Eliades, MJ, Lis, J, Barbosa, J, VanRooyen, MJ: Post-war Kosovo: Part 2. Assessment of emergency medicine leadership development strategy. Prehosp Disast Med 2001;16(4):268274.
7.Jacques, CH, Bauer, LC, Ziegenfuss, JT Jr: Characteristics of strong departments of family medicine: Results of a Delphi survey. Fam Med 1993; 25(6):371376.

Keywords

Post-War Kosovo: Part 3. Development and Rehabilitation of Emergency Services

  • Julian Lis (a1), M. James Eliades (a1), Dukagjin Benishi (a2), Bajram Koci (a2), David Gettle (a3) and Michael J. VanRooyen (a1) (a3)...

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