Capacity building and strengthening pediatric emergency and trauma care in Jordanian refugee camps

BACKGROUND AND OBJECTIVES

Al Azraq and Zaatari Refugee Camp hospitals in northern Jordan, supported by International Medical Corps (IMC), serve Syrian refugees facing rising pediatric trauma and critical illnesses. While transfer to tertiary hospitals is available for patients with life-threatening emergencies, there is increasing complexity of pediatric patients being cared for in these hospitals. A partnership between IMC and Boston Children’s Hospital Global Health Program (BCH GHP) was developed to collaboratively identify and address gaps in clinical skills, knowledge, and confidence to strengthen pediatric emergency care capacity.

METHODS/STUDY DESIGN

A joint needs assessment (clinical audits and staff interviews) informed a context-appropriate educational program focused on evidence-based pediatric emergency care. Educational topics covered recognition and management of critically ill children, as well as a pediatric fundamentals and trauma care course. Simulation-based and didactic sessions engaged 45 clinicians (25 nurses, 15 physicians, 2 EMTs, and 3 anesthesia technicians). Pre- and post-course multiple-choice tests (MCQs), confidence surveys, and anonymous evaluations assessed knowledge, attitudes, and relevance.

RESULTS/EXPECTED RESULTS

From September 2024 to February 2025, a total of 45 clinicians completed the initial training courses. MCQ scores (out of 100) increased by a mean of 16.7 points (p < 0.05), with 91.3% (41/45) showing improvement. Confidence increased significantly: 94% (43/45) felt capable of identifying critical cases, and 100% (45/45) rated the training as relevant. Evaluations praised hands-on simulations and requested ongoing mentorship.

CONCLUSIONS/DISCUSSION

The implementation of a two-day pediatric emergency care training initiative enhanced the knowledge and attitudes of local healthcare providers. Nurses and physicians interested in leadership were identified as “pediatric champions” to co-develop clinical guidelines and future educational opportunities. These efforts represent a first step in a locally led initiative to strengthen capacity to manage acutely ill or injured children in resource-constrained settings.