The African Journal of Reproductive Health

ISSN:

国家:

Sub-Saharan Africa

影响因子:

SCIE收录情况:

JCR分区:

Sheillah Matinhure , Moses J Chimbari ; Sheillah Matinhure , Moses J Chimbari
2019-09 相关链接

摘要

Task shifting of Caesarean-sections to non-physician clinicians (NPCs) has raised concerns over NPCs' competences and rationale of using them in facilities where medical doctors (MDs) are scarce to provide mentorship. We conducted a scoping review to provide an update on NPCs' contribution to C-sections including barriers and enablers to task shifting. Using the PRISMA Flow Diagram, we identified 15 eligible articles from Google Scholar, PubMed and Africa Index Medicus using specific search terms and a pre-established inclusion criterion. All 15 studies characterised NPCs: their names, training, challenges and enablers to task shifting. NPCs performed 50%-94% C-sections. Outcomes of such C-sections were comparable to those performed by MDs. Enablers included supportive policies, pre-existing human resources for health shortage, well- resourced health facilities and supervision of NPCs. Weak health systems were major barriers. While NPCs make a significant contribution to accessing C-sections services, there is need to address challenges to fully realize benefits.

Task shifting; associate clinicians; caesarean section; clinical officers; comprehensive emergency obstetric care; non-physician clinicians; task sharing.

医疗服务人员 ; 医疗服务技术

混合人群

Not Available

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。