Implementation of emergency obstetric care training in Bangladesh: lessons learned.

Abstract:

:The Women's Right to Life and Health project aimed to reduce maternal morbidity and mortality in Bangladesh through provision of comprehensive emergency obstetric care (EmOC) in the country's district and sub-district hospitals. Human resources development was one of the project's major activities. This paper describes the project in 2000-2004 and lessons learned. Project documents, the training database, reports and training protocols were reviewed. Medical officers, nurses, facility managers and laboratory technicians received training in the country's eight medical college hospitals, using nationally accepted curricula. A 17-week competency-based training course for teams of medical officers and nurses was introduced in 2003. At baseline in 1999, only three sub-district hospitals were providing comprehensive EmOC and 33 basic EmOC, mostly due to lack of trained staff and necessary equipment. In 2004, 105 of the 120 sub-district hospitals had become functional for EmOC, 70 with comprehensive EmOC and 35 with basic EmOC, while 53 of 59 of the district hospitals were providing comprehensive EmOC compared to 35 in 1999. The scaling up of competency-based training, innovative incentives to retain trained staff, evidence-based protocols to standardise practice and improve quality of care and the continuing involvement of key stakeholders, especially trainers, will all be needed to reach training targets in future.

journal_name

Reprod Health Matters

authors

Islam MT,Haque YA,Waxman R,Bhuiyan AB

doi

10.1016/S0968-8080(06)27229-X

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

61-72

issue

27

eissn

0968-8080

issn

1460-9576

pii

S0968-8080(06)27229-X

journal_volume

14

pub_type

杂志文章
  • Stigmatisation and commercialisation of abortion services in Poland: turning sin into gold.

    abstract::This paper is about the economic consequences of the stigmatisation and illegality of abortion and its almost complete removal from public health services in Poland since the late 1980s. Once abortion left the public sphere, it entered the grey zone of private arrangements, in which a woman's private worries became so...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(11)37548-9

    authors: Chełstowska A

    更新日期:2011-05-01 00:00:00

  • The right to love: the desire for parenthood among men living with HIV.

    abstract::Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(03)02293-6

    authors: Paiva V,Filipe EV,Santos N,Lima TN,Segurado A

    更新日期:2003-11-01 00:00:00

  • Rights-based services for adolescents living with HIV: adolescent self-efficacy and implications for health systems in Zambia.

    abstract::A rights-based approach in HIV service delivery for adults is increasingly taking root in sub-Saharan Africa in the context of greater availability of antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services, which we learned during a ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)41701-9

    authors: Mburu G,Hodgson I,Teltschik A,Ram M,Haamujompa C,Bajpai D,Mutali B

    更新日期:2013-05-01 00:00:00

  • Increasing access to safe menstrual regulation services in Bangladesh by offering medical menstrual regulation.

    abstract::In spite of wide availability of menstrual regulation services, women often resort to a variety of medicines for inducing abortion. The Bangladeshi Government is now supporting attempts to investigate the introduction of medical menstrual regulation in the public sector. This study examined the acceptability of medica...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(14)43795-9

    authors: Yasmin R,Rob U,Hena IA,Das TR,Ahmed FU

    更新日期:2015-02-01 00:00:00

  • The value of advocacy in promoting social change: implementing the new Domestic Violence Act in South Africa.

    abstract::South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(00)90187-3

    authors: Usdin S,Christofides N,Malepe L,Maker A

    更新日期:2000-11-01 00:00:00

  • Ten reasons to oppose the criminalization of HIV exposure or transmission.

    abstract::Recent years have seen a push to apply criminal law to HIV exposure and transmission, often driven by the wish to respond to concerns about the ongoing rapid spread of HIV in many countries. Particularly in Africa, some groups have begun to advocate for criminalization in response to the serious phenomenon of women be...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(09)34462-6

    authors: Jürgens R,Cohen J,Cameron E,Burris S,Clayton M,Elliott R,Pearshouse R,Gathumbi A,Cupido D

    更新日期:2009-11-01 00:00:00

  • Contextualising sexual harassment of adolescent girls in Bangladesh.

    abstract::Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including a persistent feeling of insecurity and loss of self-esteem. This article aims to contextualize a particular form of sexual hara...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)41696-8

    authors: Nahar P,van Reeuwijk M,Reis R

    更新日期:2013-05-01 00:00:00

  • Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries.

    abstract::We aimed to describe the prevalence of intimate partner violence (IPV) during pregnancy across 19 countries, and examine trends across age groups and UN regions. We conducted a secondary analysis of data from the Demographic and Health Surveys (20 surveys from 15 countries) and the International Violence Against Women...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(10)36533-5

    authors: Devries KM,Kishor S,Johnson H,Stöckl H,Bacchus LJ,Garcia-Moreno C,Watts C

    更新日期:2010-11-01 00:00:00

  • Abortion law reform in Nepal: women's right to life and health.

    abstract::In Nepal, the effects of the low social status of women and lack of access to health care and family planning have resulted in a maternal mortality ratio that is among the highest in South Asia. By the mid-1990s, the contribution of unsafe abortions to maternal deaths and morbidity was acknowledged by key individuals ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24007-1

    authors: Shakya G,Kishore S,Bird C,Barak J

    更新日期:2004-11-01 00:00:00

  • Misclassified maternal deaths among East African immigrants in Sweden.

    abstract::Western countries have reported an increased risk of maternal mortality among African immigrants. This study aimed to identify cases of maternal mortality among immigrants from the Horn of Africa living in Sweden using snowball sampling, and verify whether they had been classified as maternal deaths in the Cause of De...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(07)30322-4

    authors: Elebro K,Rööst M,Moussa K,Johnsdotter S,Essén B

    更新日期:2007-11-01 00:00:00

  • Materno-infantilism, feminism and maternal health policy in Brazil.

    abstract::In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of ma...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)39616-X

    authors: Diniz S

    更新日期:2012-06-01 00:00:00

  • Why withdrawal? Why not withdrawal? Men's perspectives.

    abstract::Withdrawal is an ancient and prevalent form of male contraception which has largely been ignored by family planning programme managers all over the world. The objective of this study was to understand men's perspectives on withdrawal use, both users and non-users. In-depth interviews with 62 male factory workers in we...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(05)25175-3

    authors: Ortayli N,Bulut A,Ozugurlu M,Cokar M

    更新日期:2005-05-01 00:00:00

  • The Global Commission on HIV and the Law: recommendations for legal reform to promote sexual and reproductive health and rights.

    abstract::The Global Commission on HIV and the Law was established in 2010 to identify and analyse the complex framework of international, national, religious and customary law shaping national responses to HIV and the well-being of people living with HIV and key populations. Two years of deliberation, based on an exhaustive re...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(14)44807-9

    authors: El Feki S,Avafia T,Fidalgo TM,Divan V,Chauvel C,Dhaliwal M,Cortez C

    更新日期:2014-11-01 00:00:00

  • Breaking the silence: South African HIV policies and the needs of men who have sex with men.

    abstract::Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(09)33442-4

    authors: Rispel LC,Metcalf CA

    更新日期:2009-05-01 00:00:00

  • Achieving effective cervical screening coverage in South Africa through human resources and health systems development.

    abstract::South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivat...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)32403-3

    authors: Kawonga M,Fonn S

    更新日期:2008-11-01 00:00:00

  • Implications of the Federal Abortion Ban for Women's Health in the United States.

    abstract::In 2007, the US Supreme Court upheld the Partial Birth Abortion Ban Act of 2003, also known as the Federal Abortion Ban or "the Ban." The decision undermines decades of established US abortion law that had recognised the preservation of the health of women as a paramount consideration. The Ban asserts that the state's...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31374-3

    authors: Weitz TA,Yanow S

    更新日期:2008-05-01 00:00:00

  • Sexual health in the International Classification of Diseases (ICD): implications for measurement and beyond.

    abstract::This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.11.008

    authors: Chou D,Cottler S,Khosla R,Reed GM,Say L

    更新日期:2015-11-01 00:00:00

  • Abortion: the legal right has been won, but not the moral right.

    abstract::In 1978 the abortion law was liberalised in Norway. It permits abortion on request up to 12 weeks of pregnancy, and after that with the agreement of a medical commission, taking the woman's own views into consideration. In 2003, 96% of abortions took place before 12 weeks of pregnancy. There is considerable support am...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24016-2

    authors: Løkeland M

    更新日期:2004-11-01 00:00:00

  • A project to improve the quality of abortion services in Moldova.

    abstract::Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(05)26206-7

    authors: Comendant R

    更新日期:2005-11-01 00:00:00

  • Expanding safer sex options: introducing the female condom into national programmes.

    abstract::Although the female condom has been introduced into over 90 countries since 1997, it has only been accepted in sexual and reproductive health programmes as a mainstream method in a few. This paper describes introductory strategies developed by Ministries of Health and non-governmental organisations in Brazil, Ghana, Z...

    journal_title:Reproductive health matters

    pub_type: 杂志文章,评审

    doi:10.1016/s0968-8080(03)02178-5

    authors: Warren M,Philpott A

    更新日期:2003-05-01 00:00:00

  • Reasons for second trimester abortions in England and Wales.

    abstract::This paper summarises the findings of a study on second trimester abortion in England and Wales in 2005. Second trimester abortions constitute a relatively small proportion of the total number of legal abortions performed in these countries yet attract quite substantial public, and particularly media, attention. Discu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31375-5

    authors: Ingham R,Lee E,Clements SJ,Stone N

    更新日期:2008-05-01 00:00:00

  • Obstetric violence: a new framework for identifying challenges to maternal healthcare in Argentina.

    abstract::Argentina has recognized women's right to not be subjected to obstetric violence, the violence exercised by health personnel on the body and reproductive processes of pregnant women, as expressed through dehumanizing treatment, medicalization abuse, and the conversion of natural processes of reproduction into patholog...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2016.05.001

    authors: Vacaflor CH

    更新日期:2016-05-01 00:00:00

  • The church, the state and women's bodies in the context of religious fundamentalism in the Philippines.

    abstract::After almost 500 years of Spanish colonial rule, Canon law and laws of Spanish origin continue to dominate Philippine family, civil and penal law. Most if not all of these laws place serious limitations on the realisation of women's sexual and reproductive rights. Since 2002, the current president, Gloria Mocapagal Ar...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24152-0

    authors: Ruiz Austria CS

    更新日期:2004-11-01 00:00:00

  • A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples.

    abstract::Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmis...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)39639-0

    authors: Crankshaw TL,Matthews LT,Giddy J,Kaida A,Ware NC,Smit JA,Bangsberg DR

    更新日期:2012-12-01 00:00:00

  • Protecting safe abortion in humanitarian settings: overcoming legal and policy barriers.

    abstract::Women and girls are increasingly the direct and targeted victims of armed conflict and studies show that they are disproportionately and differentially affected. However, humanitarian laws, policies, and protocols have yet to be meaningfully interpreted and adapted to respond to their specific needs, including to sexu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1400361

    authors: Radhakrishnan A,Sarver E,Shubin G

    更新日期:2017-11-01 00:00:00

  • Clear and compelling evidence: the Polish tribunal on abortion rights.

    abstract::On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00023-x

    authors: Girard F,Nowicka W

    更新日期:2002-05-01 00:00:00

  • Human rights accountability for maternal death and failure to provide safe, legal abortion: the significance of two ground-breaking CEDAW decisions.

    abstract::In 2011, the Committee on the Elimination of Discrimination against Women (CEDAW) issued two landmark decisions. In Alyne da Silva Pimentel v. Brazil, the first maternal death case decided by an international human rights body, it confirms that States have a human rights obligation to guarantee that all women, irrespe...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)39610-9

    authors: Kismödi E,de Mesquita JB,Ibañez XA,Khosla R,Sepúlveda L

    更新日期:2012-06-01 00:00:00

  • Targeting access to reproductive health: giving contraception more prominence and using indicators to monitor progress.

    abstract::Unmet need for contraception represents a major failure in the provision of reproductive health services and reflects the extent of access to services for spacing and limiting births, which are also affected by personal, partner, community and health system factors. In the context of the Millennium Development Goals, ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(07)29284-5

    authors: Bernstein S,Edouard L

    更新日期:2007-05-01 00:00:00

  • Sex workers in Kenya, numbers of clients and associated risks: an exploratory survey.

    abstract::In Kenya in 1999, an estimated 6.9% of women nationally said they had exchanged sex for money, gifts or favours in the previous year. In 2000 and 2001, in collaboration with sex workers who had formed a network of self-help groups, we conducted an exploratory survey among 475 sex workers in four rural towns and three ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)23125-1

    authors: Elmore-Meegan M,Conroy RM,Agala CB

    更新日期:2004-05-01 00:00:00

  • Self-aware sex education: a theoretical and practical approach in Venezuela.

    abstract::Even a few decades ago, it was considered normal and even desirable in Latin America for young women to become pregnant before they were 20--provided they were married; while young men were expected to become sexually active as soon as they entered adolescence, without much concern about potential risks or with whom t...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(01)90018-7

    authors: Muñoz M

    更新日期:2001-05-01 00:00:00