National | Leadership and governance | Strong and committed leadership at MOH. No policy, no guidelines. Development of policy and guidelines underway. |
Financing | No designated funds for EMS. | |
Information | Health management information system has no EMS specific data. Data on acute facility care limited. | |
Health workforce | Limited staff. | |
Sub-national | Leadership and governance | No clear lead agency in some districts. No coordination. No policies, guidelines, standards. |
Financing | Low, no ear-marking of funds for EMS. Facility based care funded as part of facility funding. | |
Information | Poor generation and use. Limited information sharing. | |
Health workforce | Present but limited in EMS. Present in limited numbers, poorly trained in and outside facilities, most facilities have no fixed staff in emergency areas. | |
Medical products | Acute shortages in pre-hospital and health facility spaces, even of basics. | |
Service delivery | Limited by poor coordination and financing. |