Reproductive Health Matters
Volume 17, Issue 33 , Pages 21-31 , May 2009

Provision of anaesthesia services for emergency obstetric care through task shifting in South Asia

  • Dileep Mavalankar

      Affiliations

    • Professor, Public Systems Group, Indian Institute of Management-Ahmedabad,Vastrapur, Ahmedabad, India
    • ,
  • Veena Sriram

      Affiliations

    • Mailman School of Public Health, Columbia University, New York NY, USA

References 

  1. Ronsmans C, Graham W. Maternal mortality: who, when, where, and why. Lancet. 2006;368:1189–1200
  2. Islam MT, Haque YA, Waxman R, et al. Implementation of emergency obstetric care training in Bangladesh: lessons learned. Reproductive Health Matters. 2006;14(27):61–72
  3. Mavalankar D. Policy Barriers Preventing Access to Emergency Obstetric Care in Rural India. Working Paper Series. Ahmedabad: Indian Institute of Management; 2004;
  4. Lertakyamanee J, Tritrakarn T. Anaesthesia manpower shortage in Asia. World Anaesthesia. 1999;3(1):8
  5. Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Geneva: World Health Organization; 2008;
  6. McPake B, Mensah K. Task shifting in health care in resource-poor countries. Lancet. 2008;372(9462):870–871
  7. Paxton A, Maine D, Freedman L, et al. The evidence for emergency obstetric care. International Journal of Gynecology and Obstetrics. 2005;88:181–193
  8. Mid-level health workers: the state of the evidence on programmes, activities, costs and impact on health outcomes: a literature review. Geneva: World Health Organization; 2008;
  9. Pereira C, Cumbi A, Malalane R, et al. Meeting the need for emergency obstetric care in Mozambique: work performance and work histories of medical doctors and assistant medical officers trained for surgery. British Journal of Obstetrics and Gynaecology. 2007;114:1530–1533
  10. McAuliffe MS, Henry B. Countries where anesthesia is administered by nurses. Journal of American Association of Nurse Anesthetists. 1996;64(5):469–479
  11. American Association of Nurse Anesthetists. History of Nurse Anesthetist Practice. At: < www.aana.com>. Accessed 2 October 2008
  12. Dovlo D. Using mid-level cadres as substitutes for internationally mobile health professionals in Africa: a desk review. Human Resources for Health. 2004;2(1):7
  13. Dobson MB. Anaesthesia at the District Hospital. 2nd ed.. Geneva: World Health Organization; 2000;
  14. Kowalewski M, Jahn A. Health professionals for maternity services: experiences on covering the population with quality maternity care. Safe Motherhood Strategies: A Review of the Evidence. Studies in Health Services Organisation and Policy. 2001;17:139
  15. Pine M, Holt KD, Lou Y. Surgical mortality and type of anesthesia provider. Journal of American Association of Nurse Anesthetists. 2003;71(2):109–116
  16. Simonson DC, Ahern MM, Hendryx MS. Anesthesia staffing and anesthetic complications during cesarian delivery: a retrospective analysis. Nursing Research. 2007;56(1):9–17
  17. World Health Report 2006 – Working Together for Health. Geneva: World Health Organization; 2006;
  18. International Institute for Population Sciences. India Facility Survey: Phase I, 1999;2001:27–56.
  19. Zaidi AS. The urban bias in health facilities in Pakistan. Social Science & Medicine. 1985;20(5):473–482
  20. Hossain B, Begum K. Survey of the existing health workforce of Ministry of Health, Bangladesh. Human Resource Development Journal. 1998;2(2):109–116
  21. Population by Sex, Sex Ratio, Average Household Size and Growth Rate. Islamabad: Ministry of Economic Affairs and Statistics; 1998;At: < www.statpak.gov.pk/depts/pco/statistics/pop_sex_ratio_growth_rate/pop_sex_ratio_growth_rate.html>. Accessed 13 October 2008
  22. Sultan ST. Emergency Obstetric Care – Delegating Anesthesia Services. Averting Maternal Death and Disability Program, Columbia University. Undated. At: < www.amdd.hs.columbia.edu/docs/Sultan.ppt>. Accessed 3 October 2008
  23. UNICEF. Networking to Reduce Maternal and Neonatal Mortality in South Asia. CD-ROM. New Delhi: 6–8 June 2009.
  24. Medical Council of India, Specialty and Super Specialty Courses. At: < www.mciindia.org/apps/search/show_colleges.asp>. Accessed 11 October 2008
  25. Indian Society of Anaesthesiology. Annual Report 2007. At: < www.isaweb.in/forms/2007_Annual_%20Report%20.pdf>. Accessed 11 October 2008
  26. Adkoli BV. Migration of health workers: perspectives from Bangladesh, India, Nepal, Pakistan and Sri Lanka. Regional Health Forum. 2006;10(1):49–58
  27. Shrestha BM, Rana NB. Training and development of anesthesia in Nepal – 1985 to 2005. Canadian Journal of Anesthesia. 2006;53(4):339–343
  28. M&M Associates. Nepal Safer Motherhood Project: evaluation of performance of anaesthesia assistants in Nepal. Undated. At: < www.nsmp.org/publications_reports/documents/EvaluationofPerformanceofAnesthesiaAssistantofNepal.pdf>. Accessed 10 October 2008
  29. United Nations Population Fund. Population, health and socioeconomic indicators. At: < www.unfpa.org/worldwide/indicator.do?filter=getIndicatorValues>. Accessed 9 December 2008
  30. Caro D, Murray S, Putney P. Evaluation of the Averting Maternal Death and Disability program. Bethesda, MD: Cultural Practice; 2004;
  31. Nick Simons Institute. At: < www.nsi.edu.np/aa.php>. Accessed 9 December 2008
  32. Clapham S, Basnett I, Pathak LR, et al. The evolution of a quality of care approach for improving emergency obstetric care in rural hospitals in Nepal. International Journal of Gynecology and Obstetrics. 2004;86:86–97
  33. Senaviratne HR, Rajapaksa LC. Safe motherhood in Sri Lanka: a 100-year march. International Journal of Gynecology and Obstetrics. 2000;70:113–124
  34. Garg BS, Khan R, Sri BS. Review of training of MBBS doctors in anesthesia for emergency obstetric care. New Delhi: DFID, UNICEF and Ministry of Health and Family Welfare; 2008;
  35. Operational Plan for Training MBBS Doctors for Life Saving Anesthetic Skills. New Delhi: Ministry of Health and Family Welfare; 2002;At: < http://mohfw.nic.in/NRHM/MH/Life_saving_Obstetric_Care_Log_Book_for_Trainers.pdf>. Accessed 30 January 2009
  36. Bulletin of Rural Health Statistics. New Delhi: Ministry of Health and Family Welfare; 2007;At: < http://mohfw.nic.in/dofw%20website/Bulletin%20on%20RHS%20-%2006%20-%20PDF%20Files/bulletin_on_rural_health_statistics.htm>. Accessed 11 October 2008
  37. National Program Implementation Plan – Reproductive and Child Health Phase II, Program Document, 109. New Delhi: Ministry of Health and Family Welfare; 2006;At: < http://mohfw.nic.in/NRHM/RCH/guidelines/NPIP_Rev_III.pdf>. Accessed 11 October 2008
  38. McPake B, Mensah K. Task shifting in health care in resource-poor countries. Lancet. 2008;372(9462):870–871
  39. Hodges SC, Mijumbi C, Okello M, et al. Anaesthesia services in developing countries: defining the problems. Anaesthesia. 2007;62:4–11

PII: S0968-8080(09)33433-3

doi: 10.1016/S0968-8080(09)33433-3

Reproductive Health Matters
Volume 17, Issue 33 , Pages 21-31 , May 2009

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