Dharura works in collaboration with international partners to develop a culture of ongoing professional development and education for healthcare workers.

In Kenya, we have collaborated with the Emergency Medicine Kenya Foundation (EMKF) to provide their Emergency Care courses around many sites in Kenya, as well as developing the collaborative “Dharura Emergency Care Course” which allows local sites to reflect on formal training and how it is applied and embedded in their local teams and settings.

Teams from the UK and Kenya visit each other to engage in shared training on a regular basis, such that ideas and innovations can be readily considered.

Dharura recognises that the emergency care system requires engagement with local communities beyond clinical healthcare staff, and our education sessions often involve non-clinical community members.

Dr Claire Kilbride works alongside Kenyan colleagues to deliver sustainable development of simulation facilitation skills to Nanyuki clinicians, in order to deliver structured education, mainly around the use of simulation as an educational tool.

Claire has worked previously for Medecins Sans Frontieres developing the delivery of simulation as a development tool for both health systems, individuals and teams.

Once educators are highlighted, they are offered an intensive, structured, week-long course in delivering simulation, and are then mentored in the delivery of this as they work to become simulation trainers themselves.

Rose Sikote and Titus Guchu, 2 facilitators, are currently employed by Nanyuki Teaching and Referral Hospital in roles that allow them to each spend 50% of their contracted time leading a full-time simulation and education facilitation program.

We support teams of clinical and administrative healthcare staff from Kenya to come to the UK for visits to share understanding of how EM and healthcare in general functions in the UK. The aim is to share how we approach leadership in EM and quality improvement within the health service, while addressing specific development goals set by visiting teams.

Emergency Medicine, Anaesthesia and Critical Care colleagues from both Bristol and Kenya are engaged on mutual project work to progress the provision of critical care in both regions, and better understand this provision of care for severely injured and unwell emergency patients. These projects allow both teams to reflect and learn from each other’s systems, to allow integrated care between emergency departments, critical care units and theatres.

The London School of Hygiene and Tropical Medicine approached Dharura with the specific aim of building capacity in their clinical MRC areas to provide emergency care. We have collaborated on a training and ongoing competency program for clinical staff, now run by local clinical leaders to involve safe resuscitation and emergency care of patients in the clinic.