Skilled Birth Attendants: who is who? A descriptive study of definitions and roles from nine Sub Saharan African countries.
Skilled Birth Attendants: who is who? A descriptive study of definitions and roles from nine Sub Saharan African countries.
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DOI：
10.1371/journal.pone.0040220
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
van den Broek N
中科院分区：
文献类型：
--
作者：
Adegoke A;Utz B;Msuya SE;van den Broek N
在分娩期间提供熟练助产士是千年发展目标5的一项关键指标，也是降低非洲孕产妇和新生儿死亡率的一项战略。关于如何界定专门机构及其职能的信息有限。本研究的目的是映射的干部被认为是SBAs在撒哈拉以南非洲地区（SSA）的卫生提供者，以描述基本产科护理（EmOC），他们执行的信号功能，并评估他们是否是立法执行这些功能。2009-2011年，卫生部、教学机构、转诊医院、区域和地区医院的关键人员在9个撒南非洲国家填写了结构化问卷。据报告，共有21名不同的卫生保健提供者（HCP）干部是SBA。据报告，提供的紧急业务控制信号功能的类型和数量在干部和国家之间有很大差异。大多数SBA提供胃肠外抗生素、子宫收缩药和抗惊厥药。清除残留的妊娠产物和辅助阴道分娩是最少提供的信号功能。除了产科医生、医生和注册护士-助产士干部之外，关于据报履行的信号职能以及是否有法律规定他们履行这些职能，都不清楚。这尤其适用于手动移除胎盘、移除残留产品和辅助阴道分娩。在一些国家，不被视为SBA的干部执行交付并提供EmOC信号功能。在其他情况下，被报告为SBA的干部能够但没有立法规定执行关键的EmOC信号功能。由于在名称、培训和履行的职能方面缺乏标准化，很难对各国报告为SBA的HCP干部进行比较。各国有必要制定明确的指导方针，定义谁是SBA，以及每个HCP骨干应提供哪些EmOC信号功能。
Availability of a Skilled Birth Attendant (SBA) during childbirth is a key indicator for MDG5 and a strategy for reducing maternal and neonatal mortality in Africa. There is limited information on how SBAs and their functions are defined. The aim of this study was to map the cadres of health providers considered SBAs in Sub Saharan Africa (SSA); to describe which signal functions of Essential Obstetric Care (EmOC) they perform and assess whether they are legislated to perform these functions. Key personnel in the Ministries of Health, teaching institutions, referral, regional and district hospitals completed structured questionnaires in nine SSA countries in 2009–2011. A total of 21 different cadres of health care providers (HCP) were reported to be SBA. Type and number of EmOC signal functions reported to be provided, varied substantially between cadres and countries. Parenteral antibiotics, uterotonic drugs and anticonvulsants were provided by most SBAs. Removal of retained products of conception and assisted vaginal delivery were the least provided signal functions. Except for the cadres of obstetricians, medical doctors and registered nurse-midwives, there was lack of clarity regarding signal functions reported to be performed and whether they were legislated to perform these. This was particularly for manual removal of placenta, removal of retained products and assisted vaginal delivery. In some countries, cadres not considered SBA performed deliveries and provided EmOC signal functions. In other settings, cadres reported to be SBA were able to but not legislated to perform key EmOC signal functions. Comparison of cadres of HCPs reported to be SBA across countries is difficult because of lack of standardization in names, training, and functions performed. There is a need for countries to develop clear guidelines defining who is a SBA and which EmOC signal functions each cadre of HCP is expected to provide.
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DOI：
10.1111/j.1471-0528.2007.01362.x
发表时间：
2007-07-01
影响因子：
5.8
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
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DOI：
10.1016/j.ijgo.2006.10.010
发表时间：
2007-02-01
影响因子：
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作者：
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通讯作者：
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