Skilled Birth Attendants Who is Who A Descriptive Study of Definitions and Roles from Nine Sub Saharan African Countries 英文参考文献.docVIP

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Skilled Birth Attendants Who is Who A Descriptive Study of Definitions and Roles from Nine Sub Saharan African Countries 英文参考文献.doc

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Skilled Birth Attendants Who is Who A Descriptive Study of Definitions and Roles from Nine Sub Saharan African Countries 英文参考文献

SkilledBirthAttendants:WhoisWho?ADescriptive StudyofDefinitionsandRolesfromNineSubSaharan AfricanCountries AdetoroAdegoke,BettinaUtz,SiaE.Msuya*,NynkevandenBroek MaternalandNewbornHealthUnit,ChildandReproductiveHealthGroup,LiverpoolSchoolofTropicalMedicine,Liverpool,UnitedKingdom Abstract Background:AvailabilityofaSkilledBirthAttendant(SBA)duringchildbirthisakeyindicatorforMDG5andastrategyfor reducing maternal and neonatal mortality in Africa. There is limited information on how SBAs and their functions are defined.TheaimofthisstudywastomapthecadresofhealthprovidersconsideredSBAsinSubSaharanAfrica(SSA);to describewhichsignalfunctionsofEssentialObstetricCare(EmOC)theyperformandassesswhethertheyarelegislatedto performthesefunctions. Methods and Findings: Key personnel in the Ministries of Health, teaching institutions, referral, regional and district hospitalscompletedstructuredquestionnairesinnineSSAcountriesin2009–2011.Atotalof21differentcadresofhealth careproviders(HCP)werereportedtobeSBA.TypeandnumberofEmOCsignalfunctionsreportedtobeprovided,varied substantiallybetweencadresandcountries.Parenteralantibiotics,uterotonicdrugsandanticonvulsantswereprovidedby most SBAs. Removal of retained products of conception and assisted vaginal delivery were the least provided signal functions.Exceptforthecadresofobstetricians,medicaldoctorsandregisterednurse-midwives,therewaslackofclarity regarding signal functions reported to be performed and whether they were legislated to perform these. This was particularlyformanualremovalofplacenta,removalofretainedproductsandassistedvaginaldelivery.Insomecountries, cadresnotconsideredSBAperformeddeliveriesandprovidedEmOCsignalfunctions.Inothersettings,cadresreportedto beSBAwereabletobutnotlegislatedtoperformkeyEmOCsignalfunctions. Conclusions: 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 develo