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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Task shifting and sharing in Tigray, Ethiopia, to achieve comprehensive emergency obstetric care
International Journal of Gynecology and Obstetrics, Volume 113, No. 1, Year 2011
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Description
Objective: To assess the contribution of nonphysician clinicians (NPCs) to comprehensive emergency obstetric care (CEmOC) in Tigray, Ethiopia. Methods: We conducted a retrospective review of the obstetric records of all women treated from January 1, 2006, to December 31, 2008, at the 11 hospitals and 2 health centers with CEmOC status in Tigray. Data were collected using 2 questionnaires, one concerning the facility and the other concerning the patient. Results: During the studied period 25,629 deliveries and 11,059 obstetric procedures (3369 of which were major surgical interventions) were performed at these 13 institutions. Overall, NPCs performed 63.3% of these procedures, which included 1574 (55.5%) of a total of 2835 cesarean deliveries. Whereas the cesarean deliveries performed by physicians were more often elective, those performed by NPCs were more often indicated by an emergency. Maternal deaths, fetal deaths, and length of hospital stay did not statistically differ by type of attending staff. Conclusion: Not only do NPCs perform a significant proportion of emergency obstetric procedures in Tigray, but the postoperative outcomes achieved under their care are similar to those attained by physicians. Strengthening NPC training programs in emergency obstetric surgery should further reduce maternal and fetal mortality and morbidity in Ethiopia. © 2011 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Gessessew, Amanuel
Ethiopia, Makale
Tigray Health Bureau
Ethiopia, Makale
Mekelle University
Barnabas, Gebre Ab
Ethiopia, Makale
Tigray Health Bureau
Prata, Ndola J.V.
United States, Berkeley
Bixby Center for Population, Health, and Sustainability
Weidert, Karen
United States, Berkeley
Bixby Center for Population, Health, and Sustainability
United States, Berkeley
University of California, Berkeley
Statistics
Citations: 96
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1016/j.ijgo.2010.10.023
ISSN:
00207292
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Locations
Ethiopia
Participants Gender
Female