Uganda In 2016, Delaney launched an early iteration of what would eventually become the
LFR model with the
Uganda Red Cross Society in
Iganga, Uganda. A lay first responder program of 154 motorcycle taxi responders was created to explore its capacity to provide prehospital emergency care for victims of road traffic injury in a municipality of 100,000 people.
Chad In 2018, LFR collaborated with trainers from the
Red Cross of Chad to develop a lay first responder program in
Am Timan, located in the rural
Salamat Region, which had previously claimed the title of "poorest region" globally as measured by a
multidimensional poverty index by the
World Bank and
International Monetary Fund. Under extreme resource limitations, an LFR program was launched by training 108 motorcycle taxi drivers to provide care for 36,000 people. Curriculum efficacy was evaluated using pre- and post-course tests, which demonstrated significant knowledge acquisition in participants. A study conducted alongside the trainings found a single-day, five-hour training course effectively trained participants to provide effective prehospital emergency care. Change in emergency care was controlled for by using a difference-in-differences approach and comparing change in Makeni, where the intervention had been launched, to
Kenema, a control city 125 miles away without an LFR program. While controlling for secular trends, prehospital care in Makeni was demonstrated to have improved significantly over the 14-month study period, while also validating PETCAT as a robust tool for independent EMS quality assessment in resource-limited settings. The LFR/HEI program aims to train and evaluate the performance of 350 first responders to improve outcomes in the prehospital setting prior to hospital admission in Lagos, "to reduce fatalities from road traffic accidents, which are currently the leading cause of youth casualties in Nigeria." Later in 2022, the Lagos State Command of the
Federal Road Safety Corps (FRSC) partnered with HEI and LFR to train 1,000 commercial transporters as lay first responders in Lagos State in order to support FRSC's initiative to reduce road crash fatalities by 15%, with the goal to train additional thousands of first responders in Nigeria in 2023. == Honors ==