Please use this identifier to cite or link to this item: http://hdl.handle.net/11718/25407
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dc.contributor.authorMavalankar D.
dc.contributor.authorCallahan K.
dc.contributor.authorSriram V.
dc.contributor.authorSingh P.
dc.contributor.authorDesai A.
dc.date.accessioned2022-02-11T10:17:05Z-
dc.date.available2022-02-11T10:17:05Z-
dc.date.issued2009
dc.identifier.citationMavalankar, D., Callahan, K., Sriram, V., Singh, P., & Desai, A. (2009). Where there is no anesthetist - increasing capacity for emergency obstetric care in rural India: An evaluation of a pilot program to train general doctors. International Journal of Gynecology and Obstetrics, 107(3). https://doi.org/10.1016/j.ijgo.2009.09.007
dc.identifier.issn207292
dc.identifier.urihttps://www.doi.org/10.1016/j.ijgo.2009.09.007
dc.identifier.urihttp://hdl.handle.net/11718/25407-
dc.description.abstractObjective: The lack of anesthesia providers in rural public sector hospitals is a significant barrier to providing emergency obstetric care. In 2006, the state of Gujarat initiated the Life Saving Anesthetic Skills (LSAS) for Emergency Obstetric Care (EmOC) training program for medical offers (MOs). We evaluated the trained MOs' experience of the program, and identified factors leading to post-training performance. Methods: The sample was chosen to equally represent performing and nonperforming LSAS-trained MOs using purposive sampling qualitative interviews with trainees across Gujarat (n = 14). Data on facility preparedness and monthly case load were also collected. Results: Being posted with a specialist anesthesiologist and with a cooperative EmOC provider increased the likelihood that the MOs would provide anesthesia. MOs who did not provide anesthesia were more likely to have been posted with a nonperforming or uncooperative EmOC provider and were more likely to have low confidence in their ability to provide anesthesia. Facilities were found to be under prepared to tackle emergency obstetric procedures. Conclusion: Program managers should consider extending the duration of the program and placing more emphasis on practical training. Posting doctors with cooperative and performing EmOC providers will significantly improve the effectiveness of the program. A separate team of program managers who plan, monitor, and solve the problems reported by the trained MOs would further enhance the success of scaling up the training program. � 2009 International Federation of Gynecology and Obstetrics.
dc.language.isoen_US
dc.publisherJohn Wiley and Sons Ltd
dc.relation.ispartofInternational Journal of Gynecology and Obstetrics
dc.subjectAnesthesia
dc.subjectEmergency obstetric care
dc.subjectIndia
dc.subjectMaternal mortality
dc.subjectMid-level providers
dc.subjectTask shifting
dc.titleWhere there is no anesthetist - increasing capacity for emergency obstetric care in rural India: An evaluation of a pilot program to train general doctors
dc.typeArticle
dc.rights.licenseCC BY-NC-ND
dc.contributor.affiliationIndian Institute of Management, Ahmedabad, India
dc.contributor.affiliationMailman School of Public Health, Columbia University, NY, United States
dc.contributor.affiliationState Institute of Health and Family Welfare, Government of Gujarat, India
dc.contributor.institutionauthorMavalankar, D., Indian Institute of Management, Ahmedabad, India
dc.contributor.institutionauthorCallahan, K., Mailman School of Public Health, Columbia University, NY, United States
dc.contributor.institutionauthorSriram, V., Mailman School of Public Health, Columbia University, NY, United States
dc.contributor.institutionauthorSingh, P., Indian Institute of Management, Ahmedabad, India
dc.contributor.institutionauthorDesai, A., State Institute of Health and Family Welfare, Government of Gujarat, India
dc.description.scopusid6701799274
dc.description.scopusid57196827838
dc.description.scopusid26768287600
dc.description.scopusid35094580600
dc.description.scopusid23570560700
dc.identifier.doi10.1016/j.ijgo.2009.09.007
dc.identifier.endpage288
dc.identifier.startpage283
dc.identifier.issue3
dc.identifier.volume107
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