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In 2009, Sun and Wallis began training community members as emergency first aid responders in [[Manenberg]], South Africa to treat the high levels of violence-related trauma present there,<ref name=":2">{{Cite web|url=https://www.stanford.edu/group/sjph/cgi-bin/sjphsite/no-time-to-waste-community-emergency-responder-programs-in-south-africa/|title=No Time to Waste: Community Emergency Responder Programs in South Africa|last=Holtzman|first=Jessie|date=2012-02-09|website=Stanford Journal of Public Health|language=en-US|access-date=2019-08-14}}</ref> as first responders had previously been suggested by the WHO as a possible alternative.<ref>{{cite web|last1=Sasser|first1=SV|last2=Kellerman|first2=A|date=2005|title=Prehospital Trauma Care Systems|url=https://www.who.int/violence_injury_prevention/media/news/04_07_2005/en/|archive-url=https://web.archive.org/web/20060106223322/http://www.who.int/violence_injury_prevention/media/news/04_07_2005/en/|url-status=dead|archive-date=January 6, 2006|publisher=The World Health Organization|volume=|pages=}}</ref> They found community members were dispersed and able to arrive on scene sooner than professional emergency medical providers.<ref name=":0" /> Experiencing success, they realized that using community members who want to assist was a possibility worth exploring.<ref>{{Cite web|url=https://harriscpd.co.uk/wordpress/archives/5949|title=Podcast#21(Part2): "Africa's Best Practice?" « HarrisCPD|language=en-US|access-date=2019-08-14}}</ref> The EFAR system model was then designed to integrate into pre-existing or support the development of formal emergency care systems, or even serve as the foundation upon which a new emergency care system could be built.<ref name=":0" /> However, the EFAR system model has primarily served to alleviate the inconsistent and unreliable response times of ambulances and other emergency services in the Cape Town area.<ref name=":2" />
EFAR systems were implemented in two rural regions of Zambia in 2015, though no refinements were made to the course for the new setting.<ref name=":1" />
In 2022, the EFAR system of South Africa joined the [[Global Prehospital Consortium]].<ref>{{Cite journal |last=Delaney |first=Peter G. |last2=De Vos |first2=Simonay |last3=Eisner |first3=Zachary J. |last4=Friesen |first4=Jason |last5=Hingi |first5=Marko |last6=Mirza |first6=Usama Javed |last7=Kharel |first7=Ramu |last8=Moussally |first8=Jon |last9=Smith |first9=Nathanael |last10=Slingers |first10=Marcus |last11=Sun |first11=Jared |last12=Thullah |first12=Alfred Harun |date=2025-01-01 |title=Challenges, opportunities, and priorities for tier-1 emergency medical services (EMS) development in low- and middle-income countries: A modified Delphi-based consensus study among the global prehospital consortium |url=https://www.sciencedirect.com/science/article/pii/S0020138324002092 |journal=Injury |volume=56 |issue=1 |pages=111522 |doi=10.1016/j.injury.2024.111522 |issn=0020-1383}}</ref>
== See also ==
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