Obstetrics and Gynaecology

Welcome to the next stage of the Project HEAL Delphi Study. This stage is a build-up on the initial stage. You would therefore see a repetition in some of the questions. You are to determine if the resources listed should be present in a Level 1, 2, 3, or 4 Health facility. If a particular item must be present in all the levels, you can select all the levels for that item.

The total scores will be used to develop a checklist, which hospitals can independently administer, to determine their level of health care provision based on specific specializations and overscore. These can then inform the emergency care services, referral facilities, health workers and the general public on which facility provides which level of care.

Be assured that your response is confidential. Only aggregated results would be seen by the Delphi group.

You can save your progress and continue later. When you click the “Save” button, select “skip create account” and enter your email address. A link would be sent to you  to continue from where you left off.

Level 1 OBGYN Hospital Facility 
Can be an academic/public/private facility located in an urban, suburban or rural area. The facility should be able to provide sub-specialty services including fertility, family planning, oncology, urogynaecology and fetal medicine. There should be a 24-hour service in all major specialties. Total care beginning from prevention through to rehabilitation, including research and education is available. The center should serve as a referral point in the region or section of the country.

 

Level 2 OBGYN Hospital Facility 

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility should be able to provide a 24-hour medical cover, including obstetrics/gynaecology. Theatre capabilities should be available. Not all OBGYN sub-specialties may be present, and the facility may therefore be unable to provide comprehensive care to OBGYN patients with complicated cases. Educational outreach, research and prevention programmes may however be possible.

Level 3 OBGYN Hospital Facility

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility should be staffed by medical officers with surgical capabilities. There should also be a prompt availability of general practitioners with surgical obstetric expertise where necessary. Operating theatre(s) should be available. In addition, the facility should provide prompt assessment, resuscitation and stabilization of obstetric patients and where necessary, arrange for possible transfer to a facility that provides definitive medical care. The facility should also be able to establish early transfer systems for obstetrics patients with cases that are beyond its capabilities.

 

Level 4 OBGYN Hospital Facility

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility is a minimally equipped and staffed by Physician Assistants and Nurses only. It includes ANC clinics and run mostly outpatient clinics with no overnight admissions or surgeries.

HOSPITAL ORGANIZATION

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

SUB-UNITS IN THE DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

PERSONNEL

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

DIMENSIONS OF OBSTETRIC CARE. State the relevance of the following obstetric care in the operation of an OBGYN Department in a hospital.

 

A. Routine care (for all mothers and babies)

B. Basic emergency care (for mothers and babies with complications)

C. Comprehensive emergency care (functions in addition to Basic)

The following are a list of Medical resuscitative equipment. Please select which of them you deem necessary/important for each level of hospital/facility care.

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

Kindly review the description of the Health facility level and give your edits/comments