Preliminary clinical assessment of a task‐shifting device for subcutaneous contraceptive implants

2021 ◽  
Author(s):  
Carrie Bell ◽  
Ibrahim Mohedas ◽  
Caroline Soyars ◽  
Kathleen H. Sienko
Keyword(s):  
Clinical Assessment ◽  
Task Shifting ◽  
Contraceptive Implants

Assessing the Usability of a Task-Shifting Device for Inserting Subcutaneous Contraceptive Implants for Use in Low-Income Countries

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Kevin C. Jiang ◽  
Ibrahim Mohedas ◽  
Gashaw Andargie Biks ◽  
Mulat Adefris ◽  
Takele Tadesse Adafrie ◽  
...  
Keyword(s):  
Low Income ◽  
Traditional Method ◽  
Healthcare Providers ◽  
Task Shifting ◽  
Error Rates ◽  
Low Income Countries ◽  
Procedural Error ◽  
Contraceptive Implants ◽  
Long Acting ◽  
Long Acting Contraceptives

Abstract Women in low- and middle-income countries (LMICs) have limited access to long-acting contraceptives. Access to long-acting contraceptives, such as subcutaneous contraceptive implants, could be increased by task-shifting implant administration from advanced to minimally trained healthcare providers. The objective of this study was to investigate the usability of a task-shifting device for administering subcutaneous contraceptive implants. Healthcare providers (n = 128) from multiple health centers in Ethiopia were trained to administer implants on an arm simulator with the traditional method and a method using the device. Participants were observed while inserting implants into the arm simulator, and procedural error rates were calculated. Observations were analyzed using an iterative inductive coding methodology. For the device-assisted method, minimally trained healthcare providers had larger procedural error rates than other professions (p = 0.002). For the traditional method, physicians had larger procedural error rates than nurses and midwives (p = 0.03). Several procedural errors were identified such as participants inserting and removing the trocar and plunger completely or inserting and/or removing the trocar too far or not enough. These findings reinforce the importance of performing formative usability testing during the early phases of a medical device design process, considering users' mental models, and avoiding assumptions about healthcare providers' abilities.

scholarly journals Task Shifting Provision of Contraceptive Implants to Community Health Extension Workers: Results of Operations Research in Northern Nigeria

2015 ◽  
Vol 3 (3) ◽  
pp. 382-394 ◽  
Author(s):  
Zulfiya Charyeva ◽  
Olugbenga Oguntunde ◽  
Nosa Orobaton ◽  
Emmanuel Otolorin ◽  
Fatima Inuwa ◽  
...  
Keyword(s):  
Community Health ◽  
Operations Research ◽  
Task Shifting ◽  
Northern Nigeria ◽  
Health Extension Workers ◽  
Contraceptive Implants

597: How Accurate is the Clinical Assessment of the Inguinal Region in Patients with Squamous Cell Carcinoma of the Penis

2006 ◽  
Vol 175 (4S) ◽  
pp. 193-193 ◽  
Author(s):  
Paul Hadway ◽  
Cathy M. Corbishley ◽  
Matthew Perry ◽  
Nicholas A. Watkin
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Clinical Assessment ◽  
Inguinal Region

205: Diagnosing Dysfunctional Elimination Syndrome: A Correlation of Clinical Assessment, Validated Questionnaire, and Uroflow/EMG Patterns

2004 ◽  
Vol 171 (4S) ◽  
pp. 54-54
Author(s):  
Christina Kim ◽  
Steven G. Docimo ◽  
Kathleen McKay ◽  
Paige Corral ◽  
Judith Bell ◽  
...  
Keyword(s):  
Clinical Assessment ◽  
Dysfunctional Elimination Syndrome ◽  
Validated Questionnaire ◽  
Emg Patterns

Review of Research in Clinical Assessment.

1967 ◽  
Vol 12 (5) ◽  
pp. 282, 284
Author(s):  
RALPH HEINE
Keyword(s):  
Clinical Assessment

Some Conditions for Task Shifting in Low and Middle-Income Countries

2012 ◽  
Author(s):  
Joop de Jong ◽  
Mark Jordans ◽  
Ivan Komproe ◽  
Robert Macy ◽  
Aline & Herman Ndayisaba ◽  
...  
Keyword(s):  
Task Shifting ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income
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