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close this bookEssential Elements of Obstetric Care at First Referral Level (WHO - OMS, 1991, 80 p.)
close this folder3. Implementation
View the document(introduction...)
View the documentHealth personnel
View the documentFacilities
View the documentEquipment, supplies and drugs
View the documentSupervision
View the documentEvaluation
View the documentResearch
View the documentCost and financial considerations


Consideration of essential elements of obstetric care at first referral level and the skills and materials needed opens up many areas for further research. Research is needed on appropriate technology, for example, to develop reliable and inexpensive methods for detecting and measuring anaemia, durable tubing for vacuum extractors, and simple and effective partographs for use at primary level.

Health systems research is needed to investigate the effects of delegating obstetric functions to health workers other than doctors and to peripheral health facilities.