Eduardo Mondlane University, Maputo, Mozambique.
Int J Gynaecol Obstet. 2011 Aug;114(2):180-3. doi: 10.1016/j.ijgo.2011.05.004. Epub 2011 Jun 22.
To calculate the met need for comprehensive emergency obstetric care (CEmOC) in 2 Tanzanian regions (Mwanza and Kigoma) and to document the contribution of non-physician clinicians (assistant medical officers [AMOs]) and medical officers (MOs) with regard to meeting the need for CEmOC.
All hospitals in the 2 regions were visited to determine the proportion of major obstetric interventions performed by AMOs and MOs. All deliveries (n = 38 758) in these hospitals in 2003 were reviewed. The estimated met need for emergency obstetric care (EmOC) was calculated using UN process indicators, as was the contribution to that attainment by AMOs. Hospital case fatality rates were also determined.
Estimated met need was 35% in Mwanza and 23% in Kigoma. AMOs operating independently performed most major obstetric surgery. Outside of the single university hospital, AMOs performed 85% of cesareans and high proportions of other obstetric surgeries. The case fatality rate was 2.0% in Mwanza and 1.2% in Kigoma.
AMOs carried most of the burden of life-saving EmOC-particularly cesarean deliveries-in the regions investigated. Case fatality was close to the 1% target set by the UN process indicators, but met need was far below the goal of 100%.
计算坦桑尼亚两个地区（姆万扎和基戈马）全面产科急诊护理的实际需求，并记录非医师临床医生（助理医疗官[AMO]）和医师在满足产科急诊护理需求方面的贡献。
访问了这两个地区的所有医院，以确定 AMO 和 MO 实施主要产科干预的比例。审查了这两个地区医院 2003 年所有分娩（n = 38758）。使用联合国程序指标计算紧急产科护理（EmOC）的实际需求，以及 AMO 对此实现的贡献。还确定了医院的病死率。
姆万扎的估计实际需求为 35%，基戈马为 23%。AMO 独立开展了大部分主要产科手术。除了单一的大学医院外，AMO 实施了 85%的剖宫产和其他产科手术的高比例。姆万扎的病死率为 2.0%，基戈马为 1.2%。
在调查地区，AMO 承担了挽救生命的紧急产科护理的大部分负担 - 特别是剖宫产。病死率接近联合国程序指标设定的 1%目标，但实际需求远低于 100%的目标。
