Rodriguez Maria Isabel, Gordon-Maclean Cristin
Oregon Health & Science University Department of Obstetrics & Gynecology.
Marie Stopes International.
Contraception. 2014 Jun;89(6):504-11. doi: 10.1016/j.contraception.2014.01.008. Epub 2014 Jan 21.
Task sharing is an important strategy for increasing access to modern, effective contraception for women and reducing unmet need for family planning.
The objective was to identify evidence for the safety, efficacy or acceptability of task sharing tubal sterilization to midlevel providers.
We searched PubMed, Cochrane and Popline for articles in all languages using the following key words: task sharing, tubal sterilization, midlevel providers, task shifting.
All studies reporting on any measure of safety, efficacy or acceptability of tubal sterilization performed by any cadre of midlevel providers.
Data were independently abstracted by two authors and graded using the United States Preventive Services Task Force rating for evidence quality. Heterogeneity of outcome measures precluded a meta-analysis.
Nine studies of fair to poor quality reported on safety and acceptability outcomes. Generalizability of findings is limited by inadequate sample size and lack of statistical comparisons. No study reported on long-term efficacy outcomes.
Well-designed clinical trials, of adequate sample size, are urgently needed to establish the safety, efficacy and acceptability of task sharing tubal sterilization to midlevel providers.
任务分担是增加女性获得现代有效避孕措施的机会以及减少未满足的计划生育需求的一项重要策略。
目的是确定向中级医疗服务提供者分担输卵管绝育术的安全性、有效性或可接受性的证据。
我们使用以下关键词在PubMed、Cochrane和Popline中检索所有语言的文章：任务分担、输卵管绝育术、中级医疗服务提供者、任务转移。
所有报告由任何中级医疗服务提供者 cadre 进行的输卵管绝育术的任何安全性、有效性或可接受性测量的研究。
数据由两位作者独立提取，并使用美国预防服务工作组的证据质量评级进行分级。结果测量的异质性排除了荟萃分析。
九项质量一般至较差的研究报告了安全性和可接受性结果。研究结果的普遍性受到样本量不足和缺乏统计比较的限制。没有研究报告长期疗效结果。
迫切需要设计良好、样本量充足的临床试验，以确定向中级医疗服务提供者分担输卵管绝育术的安全性、有效性和可接受性。
