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ArtikelNurse auxilaries as providers of intrauterine devices for contraception in Guatemala and honduras.  
Oleh: Vernon, Ricardo
Jenis: Article from Books
Dalam koleksi: Reproductive health matters: task shifting in reproductive health services, page 51.
Topik: Mid-Level Providers; Intrauterine Devices; Injectable Contraceptives; Guatemala; Honduras
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Isi artikelNurse auxiliaries staff the majority of primary health service delivery outlets in low-income countries, particularly in rural areas with high unmet need for contraception. Yet often service delivery guidelines prohibit them from providing contraceptive methods such as the intrauterine device (IUD). Operations research in Guatemala and Honduras in 1997-2005, described in this paper, have shown that nurse auxiliaries can provide IUDs in a safe and clinically appropriate fashion, which can help improve women's choice of methods and decrease costs in health centres with physicians and professional nurses, and health posts. Empowering these health workers requires commitment at the health system and policy levels to a long-term strategy in which small pilot studies are first conducted, followed by phase scaling-up of the strategies, which can require several years.
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