Evaluating the role of clinical officers in providing reproductive health services in Kenya

Human Resources for Health
Marianne Corine DarwinkelJohn Anzetse Aswani

Abstract

Most sub-Saharan African countries have too few reproductive health (RH) specialists, resulting in high RH-related mortality and morbidity. In Kenya, task sharing in RH began in 2002, with the training of clinical officer(s)-reproductive health (CORH). Little is known about them and the extent of their role in the health system. In 2016, we conducted a retrospective, quantitative two-stage study in Kenya to evaluate the use of CORH and 28 of their curriculum-derived RH competencies, to determine their contribution to expanded access to RH care. CORH were surveyed, using structured questionnaires and telephone interviews. Data on the frequency with which CORH used specified competencies were collected from health records in selected facilities. Forty-nine of all 104 CORH participated in the survey (47%). Forty-eight (98%) had worked in the clinical area, and 79% were still engaging in clinical work. All 48 worked in emergency obstetrics, emergency gynaecology, and nonemergency RH, and 38 (79%) filled clinical leadership positions. Vasectomy was least performed, by only 9 (18%) CORH. All other competencies were applied by at least half of the CORH, and 22 competencies by more than three quarters. Forty-one (84%) CORH performed ca...Continue Reading

References

Jun 1, 1996·British Journal of Obstetrics and Gynaecology·C PereiraM Cotiro
Jun 19, 2007·Lancet·Fitzhugh Mullan, Seble Frehywot
Sep 20, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·M E KrukS Galea
Jul 23, 2013·Human Resources for Health·Patrick MbindyoMike English

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Citations

Jul 3, 2019·Health Economics·Chad D MeyerhoeferRichard J Manski
Sep 8, 2019·BMC Health Services Research·Evaline Lang'atMarleen Temmerman

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