Gordon-Maclean Cristin, Nantayi Lois K, Quinn Heidi, Ngo Thoai D
Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK.
Research, Monitoring and Evaluation Team, Marie Stopes Uganda, Kampala, Uganda.
Int J Gynaecol Obstet. 2014 Jan;124(1):34-7. doi: 10.1016/j.ijgo.2013.07.016. Epub 2013 Oct 7.
To assess safety associated with tubal ligation performed by trained clinical officers (COs) in rural Uganda.
Between March and June 2012, 518 women in 4 regions of Uganda were recruited into a prospective cohort study and followed at days 3, 7, and 45 after undergoing tubal ligation performed by a trained CO. Intraoperative and postoperative adverse events (minor, moderate, or major), and acceptability were assessed.
Mean age was 36 years (range, 20-49 years) and mean number of living children was 6.7 (range, 0-15). The overall rate of major adverse events was 1.5%: 0.4% intraoperatively; 1.9% at day 3; and 0.2% at day 7. The majority of women who underwent tubal ligation reported a good/very good experience at the facility (range, 94%-99%) and would recommend the health services to a friend (range, 93%-98%).
In the present study, task sharing of tubal ligation to trained COs in private facilities was safe. Women reported high levels of satisfaction with the procedure. Training COs could be an effective strategy for expanding family-planning services to rural Uganda.
评估在乌干达农村地区由经过培训的临床医务人员（COs）进行输卵管结扎术的安全性。
2012年3月至6月期间，乌干达4个地区的518名妇女被纳入一项前瞻性队列研究，并在由经过培训的COs进行输卵管结扎术后第3天、第7天和第45天进行随访。评估术中及术后不良事件（轻微、中度或严重）以及可接受性。
平均年龄为36岁（范围20 - 49岁），存活子女的平均数量为6.7个（范围0 - 15个）。严重不良事件的总体发生率为1.5%：术中为0.4%；术后第3天为1.9%；术后第7天为0.2%。大多数接受输卵管结扎术的妇女表示在该机构有良好/非常好的体验（范围94% - 99%），并会向朋友推荐该医疗服务（范围93% - 98%）。
在本研究中，在私立机构将输卵管结扎术的任务分担给经过培训的COs是安全的。妇女对该手术表示高度满意。培训COs可能是向乌干达农村地区扩大计划生育服务的有效策略。
