经期间服务任务分担：孟加拉国的实施努力和经验教训。
Task-sharing in menstrual regulation services: Implementation efforts and lessons learned in Bangladesh.
机构信息
Independent Consultant, Dhaka, Bangladesh.
出版信息
Int J Gynaecol Obstet. 2020 Jul;150 Suppl 1(Suppl 1):4-8. doi: 10.1002/ijgo.13009.
OBJECTIVE
To explore the strategies undertaken to decentralize menstrual regulation services and implement task-sharing, including barriers and facilitators, with nonphysician providers in Bangladesh.
METHODS
We conducted a desk review of relevant policies and health service information from grey and published literature on task-sharing in menstrual regulation services, plus stakeholder interviews with 19 representatives of relevant health organizations to investigate facilitators for and barriers to the implementation of task-sharing of these services.
RESULTS
Task-sharing in menstrual regulation began in 1979 as part of the national family planning program. The Ministry of Health and Family Welfare has guidelines for menstrual regulation services provided by a wide range of healthcare workers using manual vacuum aspiration and the medications misoprostol and mifepristone. Despite government approval, implementation of task-sharing is challenging owing to lack of skilled providers, lack of facility readiness, and unmet need for family planning.
CONCLUSION
The government needs to implement effective planning for skills building of nonphysician providers and ensuring facility readiness for provision of menstrual regulation services to reduce unsafe abortion in Bangladesh.
目的
探索在孟加拉国向非医师提供者下放经期调节服务和实施任务分担的策略，包括障碍和促进因素。
方法
我们对相关政策和卫生服务信息进行了文献综述，查阅了有关经期调节服务任务分担的灰色文献和已发表文献，并对 19 名相关卫生组织的利益攸关方进行了访谈，以调查这些服务任务分担的促进因素和障碍。
结果
1979 年，经期调节作为国家计划生育方案的一部分开始实行任务分担。卫生和家庭福利部制定了由各类医疗保健工作者使用手动真空抽吸和米索前列醇及米非司酮提供经期调节服务的指南。尽管政府批准了，但由于缺乏熟练的提供者、缺乏设施准备以及计划生育需求未得到满足，任务分担的实施仍然具有挑战性。
结论
政府需要为非医师提供者的技能培养和确保提供经期调节服务的设施准备实施有效的规划，以减少孟加拉国的不安全堕胎。
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