Dharura Global Emergency Care

04/09/2025

In our previous posts, we warned against drastic cuts in international aid funding.

Among the repercussions, we mentioned international organisations such as Gavi and the Global Fund, which are seeing countries such as the United States and the United Kingdom withdraw from their commitment to support the next budget replenishments.

Interested in knowing more about their work and how the changes could impact millions of lives around the world? Have a look at the selection of links below:

The Global Funds (a worldwide partnership to defeat HIV, tuberculosis (TB) and malaria and ensure a healthier, safer and more equitable future for all):
- https://lnkd.in/gUJmVUtz
- https://lnkd.in/eCjUMhkx

Gavi, the vaccine alliance (a partnership between the WHO, UNICEF, the World Bank and the Gates Foundation which helps vaccinate more than half the world’s children against deadly and debilitating infectious diseases):
- https://lnkd.in/e2QvrRb

USAid: "Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis"
Article published in The Lancet, 30 June 2025: https://lnkd.in/eBZ_zfFJ
https://www.theglobalfund.org/en/about-the-global-fund/

The Global Fund is a worldwide partnership to defeat HIV, tuberculosis (TB) and malaria and ensure a healthier, safer and more equitable future for all. We raise and invest more than US$5 billion a year to fight deadly infectious diseases, challenge the injustice that fuels them, and strengthen heal...

03/09/2025

How to set up a SIM Centre in a LMIC
This is a chance to learn directly from those who have walked the journey, ask your burning questions, and gain practical insights that can guide similar efforts in LMICs and beyond.

📌 Don’t miss out — register here: https://us06web.zoom.us/meeting/register/_TPQXt5mTcWrTxrgMbK7YA

How do we start and set up a simulation center in LMICs?

Across low- and middle-income countries (LMICs), one question keeps coming up:
“How do we start and set up a simulation center?”

Bringing an idea to life takes vision, strategy, and collaboration. The Kenya Simulation Network is creating space for these conversations — and on 10th September 2025, we’re hosting a Zoom session with the pioneers who established the very first simulation center in Kenya.

This is a chance to learn directly from those who have walked the journey, ask your burning questions, and gain practical insights that can guide similar efforts in LMICs and beyond.

📌 Don’t miss out — register here: https://us06web.zoom.us/meeting/register/_TPQXt5mTcWrTxrgMbK7YA

02/09/2025

💊 “The UK is no longer a reliable partner in the fight against AMR" 🔬

Earlier this month, Lord Jim O’Neill - who led the 2014 Review on Antimicrobial Resistance on behalf of the British Government - shared his disillusionment at the government’s decision to shelve the - a £265 million initiative supporting efforts to combat antimicrobial resistance ( ) across 25 African and Asian countries.

The the programme (Commonwealth Partnership for antimicrobial stewardship), created to support health partnerships to improve the detection and monitoring of resistant infections, taking measures to reduce infections and ensuring antibiotics' effective use.

Our partnership Dharura: Global Emergency Care and Nanyuki Teaching and Referral Hospital (NTRH) has been awarded two grants under this programme. Since 2023, the teams:
✅ created an AMS committee at NTRH;
✅ collect pre- and post-intervention data in 8 health facilities of Laikipia County (Point prevalence surveys, monthly audits);
✅ trained dozens of health workers as AMS champions in primary and secondary health facilities;
✅ develop a biogram to support the understanding of resistance patterns locally and guide prescribers;
✅ interviewed dozens of pastoralist community members, trained 4 women as AMS guardians and, together with the support of a veterinarian, organised awareness sessions in the rural communities;
✅ organised awareness sessions at the hospital, on the radio, through the song One Kenya - One Health (https://lnkd.in/e9K8gean);
✅ shared their learning at national and international conferences and have been published in the Microbiology review (https://lnkd.in/eVe6uQgu);
✅ organised reciprocal visits between the UK and Kenya, to learn from each other.

Finally, later this year, we will start engaging with community pharmacists, other key actors in terms of fight against AMS.

If the majority of these activities are sustainable, the end of the programme and funding will impact the post-intervention support to rural facilities and communities and the expansion of the work to other parts of the County. It will slow down progress, while the number of deaths caused by antibiotic resistance has become one of the main public health priorities around the world.

University Hospitals Bristol and Weston NHS Foundation Trust

📖 Read the full article: https://lnkd.in/eCc6Gc5m
https://www.youtube.com/watch?v=q-hSRPMc7qM

Pastoral communities from Laikipia County, Kenya, came together to raise awareness of the use of antibiotics in humans and animals!

19/08/2025

🌟Learning and teaching emergency care never stops at our partner's hospital in Laikipia! A huge compliment to the Simulation Team at Nanyuki Teaching and Referral Hospital for their amazing work 🌟

Thanks to your tireless commitment to strengthening emergency care in Laikipia, in situ simulations are becoming a cornerstone of the hospital’s culture. By bringing these sessions directly into the wards, you are helping teams practice, prepare, and grow in the very environments where real emergencies happen.

We are also grateful to Dharura’s fellows, whose support in delivering protocol-focused teaching has been invaluable. While sharing their knowledge, they are also gaining first-hand experience of the challenges and unique features of working in a public Kenyan hospital.

Together, this collaboration is making a lasting impact:
✅ Empowering healthcare professionals at all levels – from students to seasoned clinicians
✅ Providing a safe space to rehearse life-saving responses
✅ Building confidence and teamwork to face emergencies head-on

Every simulation shapes stronger, safer care for the people of Laikipia. 🙌

Laikipia Health Service - LHS Nanyuki Teaching and Referral Hospital - NTRH - LHS Nanyuki

15/08/2025

🌎Save the date! 28th November 2025 - Bristol 🌍
Dharura would like to invite you to a one-day event showcasing how Global Health initiatives bring benefits to the NHS, its Trusts, and healthcare workers.

International collaboration can strengthen services, skills, and patient care - not only to NHS Trusts, but also to the professional development and resilience of staff.

This conference will bring together healthcare leaders and global health professionals to discuss best practices, explore challenges, and highlight the added value that international engagement brings.

Link to Tickets: https://ticketpass.org/event/EDIYBD/global-health-in-the-nhs-modernising-the-approach

thanks to the support of

12/08/2025

⚕️ Last week, our partner Nanyuki Teaching and Referral Hospital organised an induction day for 74 new interns (medical, nursing and clinical officers)!

As part of the day, the Simulation team introduced simulation-based education and encouraged inter-professional simulation training:
✅ experiential learning method
✅ pre-designed scenario, safe learning environment
✅ group reflection to find solutions together
✅ common goal of skills development and improved patient care
✅ future opportunity for professional development: becoming a simulation facilitator. During August, the new interns will attend BLS simulations, before being trained on topics based on the department's rotation.

29/07/2025

The US and the UK Governments announced reducing, and in some cases stopping, financing international aid. Impacts are numerous and will be long-lasting! Here some of them:

19/07/2025

⚕️ UK medical students training before their elective deployment.

It’s been a historical part of medical school that students have a defined opportunity to travel and observe different health systems around the world.

Dharura wants to help ensure that these exchanges happen within ethical and effective partnerships, so there can be safe and mutually beneficial activities.
This is why we have begun to support a small number of such electives, but also offer structured training to medical students before any deployment internationally, and feel this should be an integral part of any medical elective. During a retreat in the UK countryside, Dharura introduced medical students to:
✅ Global health
✅ Partnership model
✅Global trauma care
✅Ethics, behaviour and safety
✅Careers in Global Health Students also had the opportunity to listen to volunteers' experiences.

16/07/2025

➡️ Statement in reaction to the cut in international aid funding by the US and UK Governments

Last February, only a few days after the US Government brutally put on hold nearly all its existing foreign assistance and paused new aid, the UK Government announced a reduction in foreign aid. Confirmed in June, the allocation will drop from 0.5% to 0.3% of the GDP, far from the UN aid target of 0.7%. If this second cut since 2021 doesn’t seem like a big reduction, it represents several billions pounds and will be the lowest support since 1999.

As a Global Health organisation, we are shocked by the shift in politics. We know that it will impact millions of people around the world, starting with the most vulnerable ones. Incredible progress has been made these past decades to eradicate, cure or decrease the burden of diseases and improve access to care all around the world. Already impacted by the Covid-19 pandemic, the sudden cut of funding will slow down even further the improvement made, such as around antimicrobial resistance (the UK Government will, for example, stop funding the programme we are working on), and it has already started to impact emergency relief programmes.

So, we are concerned. We are concerned that the health and lives of millions of humans could be jeopardised so easily, but also that international aid and global health aren’t seen as a global societal question: we should have learn that diseases know no borders, that climate changes impact all of us, that humans have and will always migrate, that the UK Government actively hire abroad – intensifying the lack of local healthcare workers for the local population, that some rich countries bear responsibilities in some of the current conflicts or even that an important number of low and middle-income countries are still trying to pay the debts imposed to gain back their independence and are limited in their domestic investments.

International Aid hasn’t been created in a pure philanthropy spirit by the Global North, and experts have already warned that using it as a variable is a false economy.
We join the call urging the UK Government to raise its funding and respect the international target of 0.7% of the GDP, supporting global efforts to provide humanitarian relief, medical research and access to high-quality care.

11/07/2025

Yesterday, Andy, our Trustee and joint lead for the Global EM Fellowship, had the privilege of attending the Africa Summit in Central London — a valuable opportunity to hear directly from African leaders about their current vision, priorities, and strategic direction.

Engagements like this provide Dharura with important insights into the aspirations of our global partners and help us identify meaningful opportunities to strengthen collaboration and contribute to shared goals across the continent.

Thank you Andy, for everything you do for Dharura!

08/07/2025

💡 Disseminating knowledge and learning in Antimicrobial Resistance (AMR) and Stewardship (AMS) in Africa!

The partnership Nanyuki Teaching and Referral Hospital (Kenya) and Dharura: Global Emergency Care (UK) was present at 2 conferences in June and July:

☑️ Esbon Njau and Dr. Duncan Njau attended the 45th annual scientific conference organised by The Pharmaceutical Society of Kenya (PSK) in Mombasa. This year's conference showcased how Pharmacists are innovating for accessible, quality, and impactful healthcare.
Esbon presented an abstract on the "Impact of antimicrobial stewardship behaviour modification interventions on One Health practice among Northern Kenyan pastoralist communities".

☑️ Edna Kathure Kubai travelled to Cape Town, South Africa, to attend the 9th Infection Control Africa Network ICAN conference.
During this 3-day event, Edna presented the abstract "Assessment of the knowledge, attitudes, beliefs and practices in antimicrobial use in Primary Health Care (PHC) and One Health".

Let's also share that the abstract "Impact of interventions of antimicrobial use in the inpatient at the Nanyuki Teaching and Referral Hospital; Prevalence and prescribing patterns" was selected for display in both conferences! This highlights the quality of the work done and the importance of shared learning!

Find our abstracts and posters on our website www.dharura.org

10/06/2025

💥 Tomorrow! FREE CPDs Event 💥
Join Us for Dharura’s Monthly Grand Rounds – LIVE on Zoom! (if you can't join us live all our Grand Rounds are recorded and available on our you tube page)

Are you ready for our next online event?
We’ve got two incredible guests joining us from Italy and the UK to share real clinical cases and expertise in burns management. 🔥🔥🔥

Guests:
Dr. Luca Blesi
Mr. Jon Pleat

Date: Wednesday, 11th June
Time: 17:00 GMT / 19:00 EAT (1h long)
Zoom ID: 918 8837 8902
(Link in stories and in bio)

Why join?
💭 Perfect prep for your next clinical experience in Kenya
📖 Earn FREE CPD credits
🎧 Stay sharp on global emergency care and pre-hospital management topics

Every month, Dharura brings together clinical fellows and experts from Kenya and the UK to dive into real-world cases and cross-border collaboration in healthcare. Don’t miss this one!