Training non-physician mid-level providers of care (associate clinicians) to perform caesarean sections in low-income countries

Best Practice and Research: Clinical Obstetrics and Gynaecology

Volumn 29, Issue 8, 2015, Pages 1092-1101

  Bergström, Staffan ^a,b  

^a KAROLINSKA INSTITUTE   (Sweden)

^b Skeppargatan 9 ^*  (Sweden)

Author keywords

caesarean section; clinical audit; maternal mortality; Mozambique; Tanzania; task shifting

Indexed keywords

ARTICLE; ASSOCIATE CLINICIAN; CESAREAN SECTION; CLINICAL DECISION MAKING; COST EFFECTIVENESS ANALYSIS; EMERGENCY SURGERY; ETHIOPIAN; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HUMAN; MAJOR SURGERY; MALAWIAN; MEDICAL ASSISTANT; MEDICAL AUDIT; MEDICAL EDUCATION; MOZAMBIQUE; NEWBORN MORTALITY; NURSE; NURSE PRACTITIONER; OBSTETRIC OPERATION; OBSTETRIC PROCEDURE; PHYSICIAN ASSISTANT; PRIORITY JOURNAL; PUBLIC HOSPITAL; RURAL AREA; SURGICAL TRAINING; TANZANIAN; VAGINAL DELIVERY; AFRICA SOUTH OF THE SAHARA; DEVELOPING COUNTRY; ECONOMICS; EDUCATION; EMERGENCY; FEMALE; HEALTH CARE DELIVERY; MANPOWER; MOTIVATION; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY; PROFESSIONAL STANDARD; PSYCHOLOGY; RURAL HEALTH CARE; STANDARDS; SUPPLY AND DISTRIBUTION;

AFRICA SOUTH OF THE SAHARA; CESAREAN SECTION; DELIVERY OF HEALTH CARE; DEVELOPING COUNTRIES; EMERGENCIES; FEMALE; HEALTH PERSONNEL; HUMANS; MOTIVATION; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY; PROFESSIONAL ROLE; RURAL HEALTH SERVICES;

EID: 84927732532     PISSN: 15216934     EISSN: 15321932     Source Type: Journal    
DOI: 10.1016/j.bpobgyn.2015.03.016     Document Type: Article

References (60)

1. M. Berer Provision of abortion by mid-level providers: International policy, practice and perspectives Bull World Health Organ 97 2009 1
2. I.K. Warriner, O. Meirik, M. Hoffman, and et al. Rates of Complication in First-Trimester Manual Vacuum Aspiration Abortion Done by Doctors and Mid-Level Providers in South Africa and Vietnam: a randomized controlled equivalence trial Lancet 368 9551 2006 1965 1972
3. T.G. Weiser, S.E. Regenbogen, K.D. Thompson, and et al. An estimation of the global volume of surgery: a modeling strategy based on available data Lancet 372 2008 139 144
4. S. Chankova, S. Muchiri, and G. Kombe Health workforce attrition in the public sector in Kenya: a look at the reasons Hum Res Health 7 2009 58
5. E.J. Mills, W.A. Schabas, J. Volmink, and et al. Should active recruitment of health workers from Sub-Saharan Africa be viewed as a crime? Lancet 371 9613 2008 685 688
6. WHO (World Health Organization) The World Health Report 2006: Working Together for Health 2006 WHO Geneva
7. B. Liese, and G. Dussault The State of the Health Workforce in Sub-Saharan Africa: Evidence of Crisis and Analysis of Contributing Factors. Africa Region Human Development Working Paper 32804 2004 World Bank Washington DC
8. M.K. Smith, and N. Henderson-Andrade Facing the health worker crisis in developing countries: a call for global solidarity Bull World Health Organ 84 6 2006 426 427
9. S. Anand, and T. Barnighausen Human Resources and Health Outcomes: Cross-Country Econometric Study Lancet 364 9445 2004 1603 1609
10. C.E. Grimes, J.A. Henry, J. Maraka, and et al. Cost-effectiveness of surgery in low- and middle-income countries: a systematic review World J Surg 38 2014 252 263
11. P. Damien, C. Nabare, F. Baiden, and et al. How are surgical theatres in rural Africa utilized? A review of five years of services at a district hospital in Ghana Trop Doctor 41 2 2011 91 95
12. L. Gibbons, J.M. Belizán, J.A. Lauer, and et al. The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage', World Health Report 2010 Background Paper no 30 2010 WHO Geneve
13. R.S. Groen, M. Samai, K.-A. Stewart, and et al. Untreated surgical conditions in Sierra Leone: a cluster randomized, cross-sectional, countrywide survey Lancet 380 2012 1082 1087
14. L. Chen, T. Evans, S. Anand, and et al. Human resources for health: overcoming the crisis Lancet 364 9449 2004 1984 1990
15. D. Ozgediz, R. Riviello, and S.O. Rogers The surgical workforce crisis in africa: a call to Action Bull Am Coll Surg 93 8 2008 10 16
16. World Bank World Development Indicators, Rural Population', viewed 15 February 2014 2012 http://data.worldbank.org/topic/agriculture-and-rural-development#tp-wdi
17. W.T. Mehtsun, K. Weatherspoon, L. McElrath, and et al. Assessing the Surgical and Obstetrics-Gynecology workload of medical officers Arch Surg 147 6 2012 542 548
18. M.E. Kruk, A. Wladis, N. Mbembati, and et al. Human resources and funding constraints for essential surgery in district hospitals in Africa: a retrospective cross-sectional survey' PloS Med 7 3 2010 e1000242
19. D. Ozgediz, M. Galukande, J. Mabweijano, and et al. The neglect of the Global Surgical Workforce: experience and evidence from Uganda World J Surg 32 2008 1208 1215
20. V.C. Burch, D. McKinley, J. van Wyk, and et al. Career intentions of medical students trained in six sub-Saharan African countries Educ Health 24 3 2011 614
21. M.E. Kruk, C. Pereira, F. Vaz, and et al. Economic evaluation of surgically trained assistant medical officers in performing major obstetric surgery in Mozambique BJOG 114 2007 1253 1260
22. C. Pereira Task-Shifting of Major Surgery to Midlevel Providers of Health Care in Mozambique and Tanzania: A Solution to the Crisis in Human Resources to Enhance Maternal and Neonatal Survival PhD thesis 2010 Karolinska Institutet Stockholm
23. S. Bergström Who will do the caesareans when there is no doctor? Finding creative solutions to the human resource crisis BJOG 112 2005 1168 1169
24. S. Bergström "Non-physician clinicians" in low income countries Editorial BMJ 342 2011 May 13
25. S. Bergström Maternal mortality can be reduced in South Sudan. Editorial South Sudan Med J 8 1 2015 3
26. F. Mullan, and S. Frehywot Non-Physician Clinicians in 47 Sub-Saharan African Countries Lancet 370 9605 2007 2158 2163
27. R. Heller 1978, 'Officiers de santé: the second-class doctors of nineteenth-century France Med Hist 22 1 1978 25 43
28. R.G. Farmer, A.Y. Sirotkin, L.E. Ziganshina, and et al. The Russian health care system today: can American-Russian CME programs help? Clev Clin J Med 17 11 2003 937 944
29. C. Weiyuan China's village doctors take great strides Bull World Health Organ 86 12 2008 909 988
30. Shibeshi W. The role of health officers in Africa. Proceedings of ProCor; Global Conference of Cardiovascular Health, December 2004. Viewed 10 February 2014. http://www.procor.org/advocacy/advocacy-show.htm?doc-id=698866.
31. World Medical Association WMA Resolution on task shifting from the medical profession, Adopted by the 60th WMA General Assembly, New Delhi 2009 WMA
32. K. Chu, P. Rosseel, P. Gielis, and et al. Surgical task shifting in Sub-Saharan Africa PLoS Med 6 5 2009 e1000078
33. WHO WHO Recommendations: Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting 2012 Viewed 6 April 2014 http://www.who.int/reproductivehealth/publications/maternal-perinatal-health/978924504843/en/index.html
34. WHO Task shifting: Rational redistribution of tasks among health workforce teams: global recommendations and guidelines 2008 Viewed 10 February 2014 http://www.who.int/healthsystems/TTR-TaskShifting.pdf?ua=1
35. FIGO FIGO Committee report: task-shifting in obstetric care Int J Gyn Obst 120 2013 2012 206 207
36. C. McCord, G. Mbaruku, C. Pereira, and et al. The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals Health Affairs 28 2009 876 885
37. A. Cumbi, C. Pereira, R. Malalane, and et al. Major surgery delegation to mid-level health practitioners in Mozambique: health professionals' perceptions' Hum Res Health 5 2007 27
38. C. Pereira, A. Cumbi, R. Malalane, and 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 2007 1530 1533
39. T.J. Wilhelm, I.K. Thawe, B. Mwatibu, and et al. Efficacy of major general surgery performed by non-physician clinicians at a central hospital in Malawi Trop Doct 41 2011 71 75
40. G. Chilopora, C. Pereira, F. Kamwendo, and et al. Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi' Hum Res Health 5 2007 17
41. S. Bergström The crucial role of medical doctors to reduce maternal deaths in South Sudan South Sudan Med J 8 1 2015 8 11
42. D. Dovlo Using mid-level cadres as substitutes for Internationally Mobile Health Professionals in Africa: a desk review Hum Res Health 2 1 2007 7
43. Ministry of Health Mozambique. Plano Nacional de Desenvolvimento dos Recursos Humanos da Saùde. PNRHS 2008-2015. National Directorate of Human Resources 2008 Ministério de Saúde Maputo
44. U. Lehmann, M. Dieleman, and T. Martineau Staffing remote rural areas in middle- and low-income countries: a literature review of attraction and retention Biomed Centr Health Serv Res 8 2008 19
45. C. Pereira, A. Bugalho, F. Vaz, and et al. A comparative study of caesarean deliveries by assistant medical officers and obstetricians in Mozambique BJOG 103 6 1996 508 512
46. McKinsey & Comp Investing in Tanzanian Human Resources for Health." Human Resources for Health Report 2006 TOUCH Foundation New York
47. C. Hongoro, and B. McPake How to bridge gap in Human Resources for Health Lancet 364 9443 2004 451 456
48. O. Maestad Human Resources for Health in Tanzania: Challenges, Policy Options and Knowledge Gaps. CMI Report 2006 CHR Michelsen Institute Bergen
49. T. Pang, M.A. Lansang, and A. Haines Brain Drain and Health Professionals BMJ 324 7336 2002 499 500
50. S.C. Anyangwe, and C. Mtonga Inequities in the Global Health Workforce: the greatest impediment to health in Sub-Saharan Africa Int J Environ Res Pub Health 4 2 2007 93 100
51. D. Dovlo Wastage in the Health Workforce: some perspectives from African countries Hum Res Health 3 2005 6
52. A. Dominick, and C. Kurowski Human Resources for Health: an appraisal of the Status Quo in Tanzania Mainland 2005 Working Paper, Ifakara Health Research and Development Centre and World Bank Washington DC
53. G.K. Munishi Intervening to address constraints through health sector reforms in Tanzania: some gains and the unfinished business J Int Dev 15 1 2003 115 131
54. B. Stilwell, K. Diallo, P. Zurn, and et al. Health Worker Motivation in Zimbabwe." Internal Report for the Department of Organization of Health Care Delivery 2001 World Health Organization Geneva
55. WHO Migration of Health-Care Workers from Developing Countries: Strategic Approaches to Its Management Bull World Health Organ 82 8 2004 595 600
56. S. Wilbulpolprasert Inequitable Distribution of Doctors: Can It Be Solved? Hum Res Health 3 1999 2 22
57. Ministry of Health Tanzania. Joint External Evaluation of the Health Sector in Tanzania Inception Report 13-18 2007 Ministry of Health Dar es Salaam
58. S.H. Hounton, D. Newlands, N. Meda, and et al. A Cost-Effectiveness Study of Caesarean-Section Deliveries by Clinical Officers, General Practitioners and Obstetricians Burkina Faso Hum Res Health 7 2009 34
59. ISCISA Estatuto Orgânico do Instituto Superior de Ciências de Saúde 2003 Instituto Superior de Ciências de Saúde Maputo
60. Ministry of Health, Mozambique Plano Nacional de Desenvolvimento dos Recursos Humanos da Saúde PNRHS 2008-2015 2008 National Directorate of Human Resources Maputo