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The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals.

McCord, C., Mbaruku, G., Pereira, C., Nzabuhakwa, C. and Bergstrom, S. (2009) The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals. Health affairs (Project Hope), 28 (5). pp. 876-885. ISSN 1544-5208

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Abstract

Five countries in sub-Saharan Africa use nonphysicians to perform major emergency obstetrical surgery. In Tanzania, assistant medical officers provide most of this surgery outside of major cities. Questions about the quality of surgery by nonphysicians have kept most African countries from following this example. We reviewed the records of all patients admitted for complicated deliveries to fourteen district hospitals during four months. Among 1,134 complicated deliveries and 1,072 major obstetrical operations, there were no significant differences between assistant medical officers and medical officers in outcomes, risk indicators, or quality. There were significant differences between mission and government hospitals.

Item Type: Article
Keywords: Obsteric, Surgery, Medical officers, Tanzania, non physicians, Obsteric operations
Subjects: Health Systems > Surveillance, monitoring & evaluation
Divisions: Ifakara Health Institute > Biomedical
Depositing User: Mr Joseph Madata
Date Deposited: 10 Sep 2012 08:10
Last Modified: 10 Sep 2012 08:10
URI: http://ihi.eprints.org/id/eprint/231

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