1983
DOI: 10.2307/1966065
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Postpartum Tubal Ligation by Nurse-Midwives in Thailand: A Field Trial

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Cited by 14 publications
(19 citation statements)
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“…Although some may assume that sharing jobs in clinics with lower-level providers will compromise quality, studies show that less-credentialed health personnel, such as clinical officers and nurse-midwives, can provide clinical methods, including tubal ligation, vasectomy, implants, and IUDs, with quality of care matching that of higher-level providers. For example, in the Thailand study referred to above, nurse-midwives provided tubal ligation of quality equal to that of physicians (Satyapan et al 1983). Similar results were obtained in a study in Bangladesh (Chowdhury and Chowdhury 1975).…”
Section: Task Sharing Within Clinics Frees Up Time For Higher-level Hsupporting
confidence: 66%
See 1 more Smart Citation
“…Although some may assume that sharing jobs in clinics with lower-level providers will compromise quality, studies show that less-credentialed health personnel, such as clinical officers and nurse-midwives, can provide clinical methods, including tubal ligation, vasectomy, implants, and IUDs, with quality of care matching that of higher-level providers. For example, in the Thailand study referred to above, nurse-midwives provided tubal ligation of quality equal to that of physicians (Satyapan et al 1983). Similar results were obtained in a study in Bangladesh (Chowdhury and Chowdhury 1975).…”
Section: Task Sharing Within Clinics Frees Up Time For Higher-level Hsupporting
confidence: 66%
“…In the 1980s, physicians in Thailand could not adequately meet the demand for female sterilization. Nurse-midwives were trained to perform sterilizations, thereby freeing up the doctors' time to perform higher-level tasks (Satyapan et al 1983;Kanchanasinith et al 1990).…”
mentioning
confidence: 99%
“…The average operation time for postpartum sterilization in Thailand was 11 -15 minutes. 17,18 In the present study, the operation time for intra-umbilicus incision was significantly shorter than for infra-umbilicus incision. The present study may be among the earliest to compare the two skin incision sites for postpartum sterilization, in which aesthetic satisfaction was assessed from both surgeons and patients.…”
Section: Operation Timesmentioning
confidence: 44%
“…Others have discussed the benefit to VMMC programs of training other clinical providers (not medical doctors) as a means of lowering costs to the program while retaining quality with similar findings [22], [23]. Research on task-shifting to other clinical providers has yielded comparable results to doctors for other types of procedures: post-partum tubal ligation [24], [25], IUD insertion [26], [27], and emergency obstetric surgery [28]. The few studies that have related quality of the operation to efficiency in terms of time-savings had mixed results.…”
Section: Discussionmentioning
confidence: 99%