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Investigate barriers to timely injury care perceived by medical trainees and traffic law enforcement in Uganda and their impact on trauma outcomes.

June 12, 2026JMIR Human FactorsOpen Access

Understanding Barriers to Effective Injury Care by Medical Trainees and Traffic Law Enforcement First Responders in Low-Income Contexts in Uganda (Motor Registry Project Part 2): Convergent Mixed Methods Analysis

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Investigate barriers to timely injury care perceived by medical trainees and traffic law enforcement in Uganda and their impact on trauma outcomes.
Used a convergent mixed methods approach including qualitative interviews and focus groups with 500 frontline trainee physicians and traffic law enforcement professionals.
Collected quantitative data from a survey in the Motorcycle Trauma Outcome Registry with 1003 trauma patients.
Conducted multilevel logistic regression analyses to assess factors associated with barriers to injury care.
42% of patients faced treatment barriers; common issues included delays in treatment decisions (23%) and necessary supplies (18%).
Barriers were linked to a 3-fold increase in unfavorable Glasgow Outcome Scale scores (OR 3.15; P<.001) and a 4-fold increase in 90-day mortality (OR 4.20; P<.001).
Adjusted odds ratios indicated that public transport arrival and older age were associated with increased barriers.

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Mixed methods analysis identifies barriers to timely injury care in Uganda, indicating the need for improved interventions.

Lule et al. (2026) studied this question.

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