Bibliographic Info
GuidelineWHO recommendations: optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting
Year of Publication2012
Issuing InstitutionWHO
Recommendation
Status
Updated
Recommendation in research context
Only in research contexts
AUXILIARY NURSE MIDWIVES diagnose preterm pre-labour rupture of membranes (pPROM) and deliver initial treatment of injectable antibiotics using a standard syringe, before referral. We suggest considering this option only in the context of rigorous research
Notes and Remarks
- 1.We suggest evaluating this intervention where auxiliary nurse midwives are already an established cadre and where a well-functioning referral system is in place or can be put in place
- 2.Planners need to consider a number of issues when shifting tasks from one health worker cadre to another. These include the distribution of roles among cadres, regulatory issues, stakeholder involvement, training and supervision, systems for referral, supply chains, and possible changes to payments or other incentives