FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2068486856> ?p ?o ?g. }

• W2068486856 endingPage "155" @default.
• W2068486856 startingPage "155" @default.
• W2068486856 abstract "Would you have your emergency caesarean section performed by a non-physician surgeon? Clearly, the answer would be no for most within the medical profession; however, for a Sierra Leonean woman who has been in obstructed labour for hours or even days, it might be a choice between surgery performed by a Community Health Officer or no surgery at all. In January 2011 an innovative 2-year postgraduate Surgical Training Program was launched in Sierra Leone, targeting physicians as well as community health officers. Community health officers have 3 years of basic medical training oriented towards primary health care, but are increasingly found at the secondary healthcare level where they serve as physician assistants. The Norwegian NGO CapaCare established the program in collaboration with the National Ministry of Health (www.capacare.org). As of January 2015, more than 30 students have been enrolled in the Surgical Training Program, 29 Community Health Officers and one Physician. Eleven have passed their final examination and are presently doing their 1-year housemanship in a government hospital. Two have been posted to district hospitals for clinical duties. During their initial 2-year training, each candidate will take part in between 650 and 1000 major surgeries, approximately half being emergency obstetric procedures. In 2013 alone, the students collectively took part in 7000 major surgeries as observers (23%), assistants (40%), supervised surgeons (17%) or independent surgeons (20%). The challenge for Sierra Leone, ranking highest in the world with a maternal mortality ratio of 1100 per 100 000 live births, is the shortage of qualified health workers in combination with a high disease burden. After 10 years of civil war, the country has fewer than 100 doctors, of which seven are obstetricians, serving a population of 6 million, with an estimated 220 000 annual deliveries (Kingham et al. Arch Surg. 2009;144:122–127). The Ebola epidemic may further worsen the human resource crisis. WHO recommends task shifting to improve access to key maternal and newborn interventions. Surgical task shifting is not new. Since the 1980s, associate clinicians have been trained to perform selected obstetrical procedures, mainly in East Africa. These training interventions have proven cost-effective, with superior retention of staff at district level (Chao et al. Lancet 2014;2:e334–e345). The shifting of responsibilities to less trained cadres raises ethical considerations about standards of care. A recent meta-analysis showed equal outcomes after caesarean section performed by associate clinicians and medical doctors (Wilson et al. BMJ 2011;342:d2600). While the benefits of a common training duration and defined scope of practice are shared between Sierra Leonean and East African training initiatives, the lack of legal recognition and formal regulations in Sierra Leone for community health officers who have undergone this additional training continues to be contentious. The international community has ambitiously declared that it is possible for all countries to reach a maternal mortality ratio below 50 within the next 20 years. This will pose challenges for Sierra Leone and require profound investments and innovations in training and the development of human resources. MM is a trainer in CapaCare's Surgical Training Program in Sierra Leone. HB is the Chairman of CapaCare. MM conceived the idea and was the primary author. HB was an editing author." @default.
• W2068486856 created "2016-06-24" @default.
• W2068486856 creator A5052127127 @default.
• W2068486856 creator A5087136022 @default.
• W2068486856 date "2014-12-26" @default.
• W2068486856 modified "2023-10-10" @default.
• W2068486856 title "Surgical task shifting in Sierra Leone: a controversial attempt to reduce maternal mortality" @default.
• W2068486856 doi "https://doi.org/10.1111/1471-0528.13175" @default.
• W2068486856 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25546033" @default.
• W2068486856 hasPublicationYear "2014" @default.
• W2068486856 type Work @default.
• W2068486856 sameAs 2068486856 @default.
• W2068486856 citedByCount "6" @default.
• W2068486856 countsByYear W20684868562015 @default.
• W2068486856 countsByYear W20684868562016 @default.
• W2068486856 countsByYear W20684868562019 @default.
• W2068486856 countsByYear W20684868562020 @default.
• W2068486856 countsByYear W20684868562022 @default.
• W2068486856 crossrefType "journal-article" @default.
• W2068486856 hasAuthorship W2068486856A5052127127 @default.
• W2068486856 hasAuthorship W2068486856A5087136022 @default.
• W2068486856 hasBestOaLocation W20684868561 @default.
• W2068486856 hasConcept C138816342 @default.
• W2068486856 hasConcept C138885662 @default.
• W2068486856 hasConcept C144024400 @default.
• W2068486856 hasConcept C159110408 @default.
• W2068486856 hasConcept C160735492 @default.
• W2068486856 hasConcept C17744445 @default.
• W2068486856 hasConcept C199539241 @default.
• W2068486856 hasConcept C2775951005 @default.
• W2068486856 hasConcept C2776279924 @default.
• W2068486856 hasConcept C2777189325 @default.
• W2068486856 hasConcept C2778137410 @default.
• W2068486856 hasConcept C2779234561 @default.
• W2068486856 hasConcept C3018567284 @default.
• W2068486856 hasConcept C41895202 @default.
• W2068486856 hasConcept C45355965 @default.
• W2068486856 hasConcept C512399662 @default.
• W2068486856 hasConcept C54355233 @default.
• W2068486856 hasConcept C71924100 @default.
• W2068486856 hasConcept C86803240 @default.
• W2068486856 hasConceptScore W2068486856C138816342 @default.
• W2068486856 hasConceptScore W2068486856C138885662 @default.
• W2068486856 hasConceptScore W2068486856C144024400 @default.
• W2068486856 hasConceptScore W2068486856C159110408 @default.
• W2068486856 hasConceptScore W2068486856C160735492 @default.
• W2068486856 hasConceptScore W2068486856C17744445 @default.
• W2068486856 hasConceptScore W2068486856C199539241 @default.
• W2068486856 hasConceptScore W2068486856C2775951005 @default.
• W2068486856 hasConceptScore W2068486856C2776279924 @default.
• W2068486856 hasConceptScore W2068486856C2777189325 @default.
• W2068486856 hasConceptScore W2068486856C2778137410 @default.
• W2068486856 hasConceptScore W2068486856C2779234561 @default.
• W2068486856 hasConceptScore W2068486856C3018567284 @default.
• W2068486856 hasConceptScore W2068486856C41895202 @default.
• W2068486856 hasConceptScore W2068486856C45355965 @default.
• W2068486856 hasConceptScore W2068486856C512399662 @default.
• W2068486856 hasConceptScore W2068486856C54355233 @default.
• W2068486856 hasConceptScore W2068486856C71924100 @default.
• W2068486856 hasConceptScore W2068486856C86803240 @default.
• W2068486856 hasIssue "2" @default.
• W2068486856 hasLocation W20684868561 @default.
• W2068486856 hasLocation W20684868562 @default.
• W2068486856 hasOpenAccess W2068486856 @default.
• W2068486856 hasPrimaryLocation W20684868561 @default.
• W2068486856 hasRelatedWork W1571187933 @default.
• W2068486856 hasRelatedWork W1982641392 @default.
• W2068486856 hasRelatedWork W4213310348 @default.
• W2068486856 hasRelatedWork W4230584802 @default.
• W2068486856 hasRelatedWork W4234555551 @default.
• W2068486856 hasRelatedWork W4246415069 @default.
• W2068486856 hasRelatedWork W4252850079 @default.
• W2068486856 hasRelatedWork W4362573210 @default.
• W2068486856 hasRelatedWork W575278372 @default.
• W2068486856 hasRelatedWork W650470348 @default.
• W2068486856 hasVolume "122" @default.
• W2068486856 isParatext "false" @default.
• W2068486856 isRetracted "false" @default.
• W2068486856 magId "2068486856" @default.
• W2068486856 workType "article" @default.