Surgical Task Shifting Helps Reduce Neonatal Mortality in Ethiopia: A Retrospective Cohort Study
Joint Authors
Girum, Tadele
Tariku, Yihun
Mekonen, Mareshet
Takele, Haddis
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
To improve access to surgical service and to reduce neonatal mortality Ethiopia implemented surgical task shifting to nonphysician surgeons (NPSs).
We aim at assessing surgical outcomes between NPSs and physician surgeons working in two hospitals.
Methods.
We collected data from two hospitals on 474 maternal medical records.
Completed maternal medical records were included in this study.
Data were entered into Epi Info version 7 and analyzed by SPSS version 20 software.
Both descriptive and inferential statistics were done.
If the 95% confidence interval values exclude the null value, the factor was considered as a significant factor.
Result.
Totally, 3429 mothers delivered in two hospitals.
Of them, 840 (24.5%) delivered by caesarian section (CS), but 474 mothers’ records meet the inclusion criteria included in this study.
Of 474 CS deliveries, the majority (82%) of them were performed by NPS.
Maternal or fetal emergency conditions were the main reasons (92.0%, n=436) for CS.
Task shifting does not affect immediate newborn outcomes (ARR, 1.24 (0.55, 2.78)), but duration of hospitalization (ARR: 4 (2.3, 7.5)), condition of the fetus during admission (ARR: 5.22 (2.9, 9.2)), and type of anesthesia used (ARR: 0.2 (0.1, 0.4)) significantly determine the outcome.
Conclusion.
Surgical task shifting to NPS does not affect the immediate newborn outcome.
But general anesthesia is one of the major factors that affects the outcome.
American Psychological Association (APA)
Tariku, Yihun& Girum, Tadele& Mekonen, Mareshet& Takele, Haddis. 2019. Surgical Task Shifting Helps Reduce Neonatal Mortality in Ethiopia: A Retrospective Cohort Study. Surgery Research and Practice،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1210779
Modern Language Association (MLA)
Tariku, Yihun…[et al.]. Surgical Task Shifting Helps Reduce Neonatal Mortality in Ethiopia: A Retrospective Cohort Study. Surgery Research and Practice No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1210779
American Medical Association (AMA)
Tariku, Yihun& Girum, Tadele& Mekonen, Mareshet& Takele, Haddis. Surgical Task Shifting Helps Reduce Neonatal Mortality in Ethiopia: A Retrospective Cohort Study. Surgery Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1210779
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210779