The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals

Health Affairs

Volumn 28, Issue 5, 2009, Pages

  McCord, Colin ^a,b   Mbaruku, Godfrey ^c   Pereira, Caetano ^d   Nzabuhakwa, Calist ^e   Bergstrom, Staffan ^d  

^a Och Spine at New York Presbyterian Hospitals   (United States)

^b Ifakara Health Research Center ^*

^c International Health   (Tanzania)

^d KAROLINSKA INSTITUTE   (Sweden)

^e Maweni Hospital   (Tanzania)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; DELIVERY; EMERGENCY SURGERY; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HUMAN; MAJOR CLINICAL STUDY; MEDICAL PERSONNEL; OBSTETRIC OPERATION; PERSONNEL SHORTAGE; PUBLIC HOSPITAL; SURGICAL RISK; TANZANIA;

CLINICAL COMPETENCE; EMERGENCY TREATMENT; FEMALE; HOSPITALS, DISTRICT; HUMANS; MATERNAL MORTALITY; MEDICAL STAFF, HOSPITAL; OBSTETRIC SURGICAL PROCEDURES; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIAN ASSISTANTS; PREGNANCY; PREGNANCY COMPLICATIONS; PROSPECTIVE STUDIES; QUALITY OF HEALTH CARE; RISK FACTORS; TANZANIA;

EID: 70349197853     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.5.w876     Document Type: Article

References (16)

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2. The authors felt that the practice setting (including motivation and supervision) and in-service training were more important than preservice training. Mission practice settings generally did better than government. See J. Das and P. Gertler, "Variations in Practice Quality in Five Low-Income Countries: A Conceptual Overview," Health Affairs 26, no.3 (2007): w296-w309 (published online 27 March 2007; 10.1377/hlthaff.26.3.w296);
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7. C. Pereira et al., "Meeting the Need for Emergency Obstetric Care in Mozambique: Work Performance and Histories of Medical Doctors and Assistant Medical Officers Trained for Surgery," BJOG 114, no.12 (2007): 1530-1533;
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9. C. Pereira et al., unpublished results (materials for Ph.D. thesis, Karolinska Institutet).
10. A list of the UN process indicators is available in an online appendix, at http://content.healthaffairs.org/cgi/content/full/hlthaff.28.5.w876/DC2.
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13. Chilopora et al., "Postoperative Outcome."
14. A. Paxton, P. Bailey, and S. Lobis, "The United Nations Process Indicators for Emergency Obstetric Care: Reflections Based on a Decade of Experience," International Journal of Gynaecology and Obstetrics 95, no.2 (2006): 192-208.
15. L. Pearson and R. Shoo, "Availability and Use of Emergency Obstetric Services: Kenya, Rwanda, Southern Sudan, and Uganda," International Journal of Gynaecology and Obstetrics 88, no.2 (2005): 208-215;
16. and V. Orinda et al., "A Sector-Wide Approach to Emergency Obstetric Care in Uganda," International Journal of Gynaecology and Obstetrics 91, no. 3 (2005): 285-291. Most of the district hospitals in Uganda were covered in these reports, but only the northeastern region in Kenya was included.