Skilled Attendants at Every Birth: Essential Requirements for the Delivery of Basic Emergency Obstetric Care, 2014

Globally, from 1990 to 2014, a 12% increase in the proportion of births attended by skilled birth attendants was achieved. But while some low- and middle- countries managed to improve access to skilled care at birth, several did not manage to reduce their high maternal mortality rates. The aim of this project was to gain an understanding of macro and micro level factors that influence the provision of emergency obstetric care by skilled birth attendants in low income country settings. Project Objectives: 1. To identify the broad range of factors which promote or prevent the delivery of obstetric care by skilled birth attendants in low- and middle- income countries through a qualitative review of the literature. 2. To explore the implementation of the policy to scale up skilled birth attendance and identify lessons learned from implementation of selected strategies to recruit, deploy and retain skilled birth attendants in Uganda. 3. To explore the barriers and facilitators at the micro level that influence provision of obstetric care by skilled birth attendants at the peripheral level of the health system in Uganda. 4. To compare the findings from the Uganda case study with other regions and global initiatives. For further information about "Skilled Attendants at Every Birth: Essential Requirements for the Delivery of Basic Emergency Obstetric Care, 2014", please contact the principal investigator.全球范围内，1990年至2014年间，由熟练助产士（skilled birth attendants）协助接生的分娩占比实现了12%的增长。但尽管部分中低收入国家（low- and middle-income countries）得以改善分娩专业护理的可及性，仍有多个国家未能降低其居高不下的孕产妇死亡率。本项目旨在明晰低收入国家场景下，熟练助产士提供急诊产科护理的宏观与微观层面影响因素。 项目目标： 1. 通过定性文献综述，明确中低收入国家中推动或阻碍熟练助产士提供产科护理的各类广泛因素。 2. 探究推广熟练助产接生政策的实施情况，并总结乌干达在招募、配置与留存熟练助产士的选定策略实施过程中的经验教训。 3. 探究乌干达卫生系统外围层级中，影响熟练助产士提供产科护理的微观层面障碍与促进因素。 4. 将乌干达案例研究的结果与其他地区及全球相关举措进行对比。 如需进一步了解《2014年"人人享有熟练助产：提供基本急诊产科护理的必要条件"》相关信息，请联系项目首席研究员。