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dc.contributor.authorVinayak, Sudhir
dc.contributor.authorBrownie, Sharon
dc.date.accessioned2019-05-29T13:13:32Z
dc.date.available2019-05-29T13:13:32Z
dc.date.issued2018
dc.identifier.issn1356-1820
dc.identifier.doi10.1080/13561820.2018.1470499
dc.identifier.urihttp://hdl.handle.net/10072/381798
dc.description.abstractUnrealized maternal and child health goals continue to challenge Kenya where adverse outcomes remain high and diagnostic services are limited. The acute shortage of doctors and radiographers requires alternate human resources for health (HRH) with the ability to identify risk factors in pregnancy through Point-Of-Care Ultrasound (POCUS). A specialist radiologist and ultrasonography team partnered with midwives to adopt interprofessional task sharing and capacity building. Faculty from the Radiology Department of our hospital designed and implemented the project which was carried out at three outreach health service centres. Designing and implementing a training model to skill midwife sonographers with the capacity to accurately identify risk factors in pregnancy is an effective model to increase POCUS access. A collaborative task sharing model focused on training quality, validation of results, tracking of errors and specialist level clinical supervision yielded a safe and scalable model of HRH capacity building. Programme evaluation, verification of outcomes and dissemination of results were all monitored. The project was a successful HRH task sharing and interprofessional learning initiative involving task sharing a clearly defined suite of sonographer competencies with participating midwives. The programme increased POCUS accessibility at the three outreach clinics with proven outcomes in the early detection and referral of risk factors in pregnancy.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherTaylor & Francis
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom641
dc.relation.ispartofpageto644
dc.relation.ispartofissue5
dc.relation.ispartofjournalJournal of Interprofessional Care
dc.relation.ispartofvolume32
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111799
dc.subject.fieldofresearchcode1117
dc.subject.keywordsHigh risk pregnancy
dc.subject.keywordsKenya
dc.subject.keywordsMaternal health services
dc.subject.keywordsMidwifery
dc.subject.keywordsPOCUS
dc.subject.keywordsTask sharing
dc.subject.keywordsUltrasonography
dc.titleCollaborative task-sharing to enhance the Point-Of-Care Ultrasound (POCUS) access among expectant women in Kenya: The role of midwife sonographers
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorBrownie, Sharon M.


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