Resources

Key Articles on Mid-level Providers and Delegation

Below are a handful of references, articles, documents and links related to mid-level providers. Additional sources will be posted over time, as the site continues to grow.

Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery. Pereira C, Cumbi A, Malalane R, Vaz F, McCord C, Bacci A, Bergstrom S. British Journal of Obstetrics and Gynaecology 2007; published online 18 September.

Economic evaluation of surgically trained assistant medical officers in performing major obstetric surgery in Mozambique. Kruk M, Pereira C, Vaz F, Bergstrom S, Galea S. British Journal of Obstetrics and Gynaecology 2007; 114:1253-1260.

Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi. Chilopora G, Pereira C, Kamwendo F, Chimbiri A, Malunga E, Bergstrom S. Human Resources for Health 2007; 5:17. (link)

Nurses’ experiences of recruitment and immigration from developing countries: a phenomenological approach. Troy PH, Wyness PH, McAuliffe E. Human Resources for Health 2007; 5:15. (link)

Non-physician clinicians in 47 sub-Saharan African countries. Mullan F, Frehywot S. The Lancet 2007; published online 13 June.

Who will do the caesareans when there is no doctor? Finding creative solutions to the human resource crisis. Bergstrom S. BJOG: An International Journal of Obstetrics and Gynaecology 2005; 112 (9):1168-1169.

Using mid-level cadres as substitutes for internationally mobile health professionals in Africa: a desk review. Dovlo D. Human Resources for Health 2004; 2: 7. (link)

Shifting visions: "delegation" policies and the building of a "rights-based" approach to maternal mortality. Freedman LP. Journal of the American Medical Women's Association 2002; 54 (3):154-158.

Training medical assistants for surgery. Vaz F, Bergstrom S, Vaz MdL, Langa J, Bugalho A. Bulletin of the World Health Organization 1999; 77 (8):688-691.

A comparative study of caesarean deliveries by assistant medical officers and obstetricians in Mozambique. Pereira C, Bugalho A, Bergstrom S, Vaz F, Cotiro M. British Journal of Obstetrics and Gynaecology 1996; 103 (6):508-512.

Reducing maternal mortality in Kigoma, Tanzania. Mbaruku G, Bergstrom S. Health Policy and Planning 1995; 10 (1):71-8.