The impact of training non-physician clinicians in Malawi on maternal and perinatal mortality: a cluster randomised controlled evaluation of the enhancing training and appropriate technologies for mothers and babies in Africa (ETATMBA) project

BMC Pregnancy and Childbirth

Volumn 12, Issue , 2012, Pages

  Ellard, David ^a   Simkiss, Doug ^a   Quenby, Siobhan ^a   Davies, David ^a   Kandala, Ngianga bakwin ^a   Kamwendo, Francis ^b   Mhango, Chisale ^c   O'Hare, Joseph P ^a  

^a UNIVERSITY OF WARWICK   (United Kingdom)

^b UNIVERSITY OF MALAWI   (Malawi)

^c Mwaiwathu Pvt Hospital   (Malawi)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH PROGRAM; HUMAN; INTERVIEW; MALAWI; MATERNAL MORTALITY; MEDICAL EDUCATION; PARAMEDICAL PERSONNEL; PERINATAL MORTALITY;

ADULT; COMMUNITY HEALTH WORKERS; FEMALE; HUMANS; INFANT, NEWBORN; MALAWI; MATERNAL MORTALITY; MIDWIFERY; OBSTETRICS; PERINATAL CARE; PERINATAL MORTALITY; PREGNANCY;

EID: 84867745967     PISSN: None     EISSN: 14712393     Source Type: Journal    
DOI: 10.1186/1471-2393-12-116     Document Type: Article

References (21)

1. Bergstrom S. Who will do the caesareans when there is no doctor? Finding creative solutions to the human resource crisis. BJOG 2005, 112:1168-1169. 10.1111/j.1471-0528.2005.00719.x, 16101590.
2. World Health Organization, UNICEF, UNFPA, and The World Bank Trends in maternal mortality: 1990 to 2010 2012, WHO, Geneva, Book Trends in maternal mortality: 1990 to 2010, World Health Organization, UNICEF, UNFPA, and The World Bank.
3. Hill K, Thomas K, AbouZahr C, Walker N, Say L, Inoue M, Suzuki E. Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data. Lancet 2007, 370:1311-1319. 10.1016/S0140-6736(07)61572-4, 17933645.
4. National Statistical Office (NSO), and ICF Macro Malawi Demographic and Health Survey 2010 2011, NSO and ICF Macro, Zomba, Malawi, Book Malawi Demographic and Health Survey 2010, National Statistical Office (NSO), and ICF Macro.
5. Niermeyer S, Andrade Mollinedo P, Huicho L. Child health and living at high altitude. Arch Dis Child 2009, 94:806-811. 10.1136/adc.2008.141838, 19066173.
6. Graham W, Hussein J. The right to count. Lancet 2004, 363:67-68. 10.1016/S0140-6736(03)15174-4, 14723999.
7. Bryce J, Boschi-Pinto C, Shibuya K, Black RE. WHO estimates of the causes of death in children. Lancet 2005, 365:1147-1152. 10.1016/S0140-6736(05)71877-8, 15794969.
8. Ministry of Health Malawi Health Sector Employee Census 2008, Ministry of Health.
9. Chilopora G, Pereira C, Kamwendo F, Chimbiri A, Malunga E, Bergstrom S. Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi. Hum Resour Heal 2007, 5:17.
10. Mullan F, Frehywot S. Non-physician clinicians in 47 sub-Saharan African countries. Lancet 2007, 370:2158-2163. 10.1016/S0140-6736(07)60785-5, 17574662.
11. McCord C, Mbaruku G, Pereira C, Nzabuhakwa C, Bergstrom S. The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals. Health Aff (Millwood) 2009, 28:w876-w885.
12. Pereira C, Bugalho A, Bergstrom S, Vaz F, Cotiro M. A comparative study of caesarean deliveries by assistant medical officers and obstetricians in Mozambique. Br J Obstet Gynaecol 1996, 103:508-512. 10.1111/j.1471-0528.1996.tb09797.x, 8645640.
13. Pereira C, Cumbi A, Malalane R, Vaz F, McCord C, Bacci A, Bergstrom S. Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery. BJOG 2007, 114:1530-1533. 10.1111/j.1471-0528.2007.01489.x, 17877775.
14. Wilson A, Lissauer D, Thangaratinam S, Khan KS, MacArthur C, Coomarasamy A. A comparison of clinical officers with medical doctors on outcomes of caesarean section in the developing world: meta-analysis of controlled studies. BMJ 2011, 342:d2600. 10.1136/bmj.d2600, 3272986, 21571914.
15. Graham W, Cairns J, Bhattacharya S, Bullough C, Quayyum Z, Rogo K. Maternal and Perinatal Conditions. Disease Control Priorities in Developing Countries 2006, 499-530. Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P, 2.
16. Bradley S, McAuliffe E. Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system. Hum Resour Heal 2009, 7:14.
17. McAuliffe E, Bowie C, Manafa O, Maseko F, MacLachlan M, Hevey D, Normand C, Chirwa M. Measuring and managing the work environment of the mid-level provider - the neglected human resource. Hum Resour Heal 2009, 7. http://www.human-resources-health.com/content/7/1/13.
18. Ellard D, Parsons S. Process evaluation: understanding how and why interventions work. Evaluating health promotion Practice and methods 2010, Oxford University Press, Oxford, Thorogood M, Coombes Y, 3.
19. Child Mortality Estimates 2012, http://www.childmortality.org/.
20. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. Analysing Qualitative Data 1994, Routledge, London, Bryman A, Burgess R.
21. Pope C, Mays N. Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ 1995, 311:42-45. 10.1136/bmj.311.6996.42, 2550091, 7613329.