dc.contributor.author | Mavalankar, Dileep | |
dc.contributor.author | Callahan, Katie | |
dc.contributor.author | Sriram, Veena | |
dc.contributor.author | Singh, Prabal V. | |
dc.contributor.author | Desai, Ajesh | |
dc.date.accessioned | 2011-05-03T08:24:46Z | |
dc.date.available | 2011-05-03T08:24:46Z | |
dc.date.copyright | 2009-04-15 | |
dc.date.issued | 2009-04-15T08:24:46Z | |
dc.identifier.uri | http://hdl.handle.net/11718/10466 | |
dc.description | International Journal of Gynecology and Obstetrics, 107 (2009), 283-88. | en |
dc.description.abstract | Objective: 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. | |
dc.language.iso | en | en |
dc.title | Where there is no anesthetist--increasing capacity for emergency obstetric care in rural India: an evaluation of a pilot program to train general doctors | en |
dc.type | Article | en |