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A. Metin Gülmezoglu World Health Organization

Optimizing the delivery of key interventions to attain MDGs 4 & 5 through task-shifting (Optimize4MNH) RECOMMENDATIONS for HEALTH PROFESSIONALS. A. Metin Gülmezoglu World Health Organization. Health worker categories. Lay health workers Auxiliary nurses nurse-midwives Nurses Midwives

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A. Metin Gülmezoglu World Health Organization

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  1. Optimizing the delivery of key interventions to attain MDGs 4 & 5through task-shifting(Optimize4MNH)RECOMMENDATIONS for HEALTH PROFESSIONALS A. Metin GülmezogluWorld Health Organization

  2. Health worker categories • Lay health workers • Auxiliary • nurses • nurse-midwives • Nurses • Midwives • Associate clinicians (Non-physician clinicians) • Associate clinicians • Advanced level associated clinicians • Non-specialist doctors

  3. Special cases: abortion • Abortion provision by mid-level providers is being addressed through a separate guideline developed by RHR department and is not included this process. • Guideline panel was convened in July 2011 and the guideline is currently going through GRC and publication clearance "[The authors] have shown, unequivocally, that appropriately trained midlevel providers are able to do both surgical and medical abortions as competently as are doctors in relatively low-resource settings where the need is greatest." Yap-Seng Chong and Eng-Kien Tan Comment, Lancet

  4. Special cases • HIV-PMTCT questions were addressed • The recommendations made by this panel will feed into a more comprehensive guideline that is in progress led by the HIV/AIDS department • Regulatory aspects of task-shiftingprogrammes is being considered by HSS/HRH as a separate guideline. In the Opt4MNH guideline, these issues are highlighted in the evidence frameworks

  5. Special cases: Contraception • Contraception questions will be addressed by this panel. • HRP/RHR and The Reproductive Health Supplies Coalition (RHSC) will support a follow-up finalization and operationalization meeting dedicated to contraceptive task-shifting/sharing • This meeting will take place in Geneva on 26 June 2012

  6. Recommendation categories • Recommend • Recommend with (targeted) monitoring and evaluation • Recommend only in the context of rigorous research • Recommend against

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