Introduction and objective:
Despite targeted investments in acute care in Ghana, significant challenges persist, including limited medical supplies, shortages of trained personnel, and restricted access to medications. A key barrier to effective prehospital care is the lack of formal education among paramedics. To address this gap, the Paramedics for Africa 3 programme was implemented between July – December 2020, aimed at improving emergency medical knowledge and skills among healthcare providers.

Material and methods:
A pre-post intervention design was used to evaluate the impact of the training. A total of 268 participants, including paramedics, hospital staff, and outpatient clinic workers, were enrolled. Each completed a 50-question multiple-choice test covering anatomy, diagnostics, and medical procedures. The programme included hands-on activities, simulation-based scenarios, and case-based learning. Statistical analysis was used to assess changes in test performance.

Results:
Baseline test scores ranged from 14% – 76% (median: 40%), increasing post-training to 32% -100% (median: 76%; p < 0.001). The most notable improvements were observed in trauma care and resuscitation. Emergency service staff demonstrated the most significant gains (p = 0.03). No statistically significant differences were found in terms of age, gender, education, or residence.

Conclusions:
The programme led to a significant improvement in participants’ knowledge of emergency medicine. The positive impact of simulation-based learning highlights the importance of expanding such educational models in resource-limited healthcare settings.