Cristin Gordon-Maclean1, Lois K Nantayi2, Heidi Quinn3, Thoai D Ngo4. 1. Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK. Electronic address: cristin.gordon-maclean@mariestopes.org. 2. Research, Monitoring and Evaluation Team, Marie Stopes Uganda, Kampala, Uganda. 3. USAID Support for International Family Planning Organizations (SIFPO) Team, Marie Stopes International, London, UK. 4. Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK.
Abstract
OBJECTIVE: To assess safety associated with tubal ligation performed by trained clinical officers (COs) in rural Uganda. METHODS: 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. RESULTS: 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%). CONCLUSION: 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.
OBJECTIVE: To assess safety associated with tubal ligation performed by trained clinical officers (COs) in rural Uganda. METHODS: 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. RESULTS: 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%). CONCLUSION: 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.
Authors: Tom Lutalo; Ron Gray; Sanyukta Mathur; Maria Wawer; David Guwatudde; John Santelli; Fred Nalugoda; Fredrick Makumbi Journal: Contraception Date: 2015-07-29 Impact factor: 3.375
Authors: Babayemi O Olakunde; Jennifer R Pharr; Lung-Chang Chien; Rebecca D Benfield; Francisco S Sy Journal: PLoS One Date: 2020-12-15 Impact factor: 3.240