Emergency care is a vital component of curative healthcare. It forms part of primary care which should be provided to all as stated in the constitution of Kenya. An emergency service must have the necessary personnel and equipment to reduce one of the delays in health care that influences the outcome of health care in emergencies. An assessment was carried out to establish the status of the referral facilities in Makueni County (Sub-county and County Referral Hospitals) as far as emergencies/surgical services are concerned. The assessment serves as an instrument that would support the planning process to close the gap in emergency and essential surgical services at first referral health f
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