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International Journal of Gynecology and Obstetrics. 2007 Feb; 96(2):147-150.The objective was to compare two World Health Organization (WHO) partographs -- a composite partograph including latent phase with a simplified one without the latent phase. Comparison of the two partographs in a crossover trial. Eighteen physicians participated in this trial. One or the other partograph was used in 658 parturients. The mean (S.D.) user-friendliness score was lower for the composite partograph (6.2 (0.9) vs. 8.6 (1.0); P = 0.002). Most participants (84%) experienced difficulty "sometimes" with the composite partograph, but no participant reported difficulty with the simplified partograph. While most maternal and perinatal outcomes were similar, labor values crossed the action line significantly more often when the composite partograph was used, and the women were more likely to undergo cesarean deliveries. The simplified WHO partograph was more user-friendly, was more to be completed than the composite partograph, and was associated with better labor outcomes. (author's)
Obstetric fistula: Guiding principles for clinical management and programme development, a new WHO guideline.
International Journal of Gynecology and Obstetrics. 2007 Nov; 99 Suppl 1:S117-S121.It is estimated that more than 2 million women are living with obstetric fistulas (OFs) worldwide, particularly in Africa and Asia, and yet this severe morbidity remains hidden. As a contribution to the global Campaign to End Fistula, the World Health Organization (WHO) published Obstetric fistula: Guiding principles for clinical management and programme development, a manual intended as a practical working document. Its 3 main objectives are to draw attention to the urgency of the OF issue and serve as an advocacy document for prompt action; provide policy makers and health professionals with brief, factual information and principles that will guide them at the national and regional levels as they develop strategies and programs to prevent and treat OFs; and assist health care professionals as they acquire better skills and develop more effective services to care for women treated for fistula repair. (author's)
The scorecard: Moniitoring and evaluating the implementation of the World Bank’s Reproductive Health Action Plan 2010–2015.
London, United Kingdom, IPPF, 2011 Jul.  p.This scorecard is an analysis of the World Bank's Reproductive Health Action Plan. Approved in 2010, the Action Plan marks the Bank's renewed commitment to sexual and reproductive health. Building on recommendations of an evaluation of the Bank and consultation with civil society, it sets out the Bank's approach to increase its effectiveness in promoting and supporting national policies and strategies for reproductive health, and to support improved reproductive health outcomes at national level. One year after its approval, it is time to take stock of the Plan; to assess implementation globally and nationally; to celebrate progress; and to identify where increased focus is needed to ensure that the Plan is reflected in Bank policy and lending patterns. This scorecard includes an analysis of the Reproductive Health Action Plan and its Results Framework. It reviews progress to date and makes recommendations for changes to the indicators. It also includes three country scorecards -- for Burkina Faso, Mali and Ethiopia -- which chart progress at country level in three of the 57 focal countries. (Excerpts)