Setting a model by modelling the setting to commission critical care service in low resource area; the case of Sudan

Background: Intensive Care Unit (ICU) has greatly advanced over the last six decades, but there is a delay by more than a decade between the developed and low-income countries. In low-income countries, 77% of ICUs lack trained staff. Sudan as a low-resource country is severely suffering from lack of skilled healthcare providers in critical care and other specialized services. Eldaman hospital, Kordofan state, Sudan was an example of this problem. The hospital has a well-equipped ICU, but was not able to deliver critical care service for more than 2 year due to lack of trained staff. Objective: The objective of this intervention is to enable service commissioning in low resource area and capacity building of local staff. Method & Result: To solve the problem the hospital imported commissioning team of experienced ICU staff (doctors and nurses) who are also critical care educators. This helped to createa continuous capacity building program for local staff and trained 37 and 15 critical care nurses and doctors respectively. The imported team in collaboration of locally trained staff helped to create 10 ICU beds to serve 229 patients. Conclusion: Importing Commissioning team and establishing a continuous capacity building program, look like an attractive solution to enable critical care service in low-income countries.