Obstetrics and Gynecology Simulation and Global Health Initiatives
- 282 Downloads
The increasing number of obstetrics and gynecology trainees and providers interested in global health experiences along with shortages of skilled health-care providers in lower resource settings creates important opportunities to incorporate simulation in global health work and in global health settings. Simulation can be used to prepare providers ethically, emotionally, and clinically for global health work. In addition, simulation can be used to augment the teaching of essential skills and introduce comparatively new technology to providers in resource-limited settings. Simulation aimed at lifesaving and quality-of-life measures has the potential to decrease maternal mortality and morbidity as well as deaths related to gynecologic cancers and unsafe abortions in any setting including areas with fewer resources. To ensure relevance and sustainability, factors to consider when adapting simulations and simulation curricula for any environment include making sure the supplies and content are adapted to the needs, culture, and resources of the specific health-care context. It is essential to coordinate with local partners in international settings to design simulation curricula both for preparations prior to international travel and for use in those settings.
KeywordsGlobal health Simulation Low-fidelity Lower resource setting Pre-departure preparation Obstetric simulation Gynecologic simulation
List of Abbreviations
Human immunodeficiency virus
Human papilloma virus
Long-acting reversible contraception
Loop electrosurgical excision procedure
Manual vacuum aspiration
Visual inspection with acetic acid
World Health Organization
Working Group on Ethics Guidelines for Global Health Training
- 2.Stagg AR, Blanchard MH, Carson SA, Peterson HB, Flynn EB, Ogburn T. Obstetrics and gynecology resident interest and participation in global health. Obstet Gynecol. 2017 Apr 4 [Epub ahead of print].Google Scholar
- 7.Nour N, editor. Obstetrics and gynecology in low-resources settings: a practical guide. Cambridge, MA: Harvard University; 2016.Google Scholar
- 8.World Health Organization. WHO guidelines: maternal, reproductive and women’s health [Internet]. [cited 2017 Mar 1]. Available from: http://www.who.int/publications/guidelines/reproductive_health/en/.
- 9.Johns Hopkins Berman Institute of Bioethics. Ethical Challenges in Short-Term Global Health Training [Internet]. [cited 2017 Feb 3]. Available from: http://ethicsandglobalhealth.org/.
- 10.Consortium of Universities for Global Health. Global Health Training Modules [Internet]. [cited 2017 Mar 1]. Available from: http://www.cugh.org/resources/educational-modules.
- 13.American College of Obstetricians and Gynecologists. OB-GYN Simulations Curricula [Internet]. [cited 2017 Mar 1]. Available from: http://www.acog.org/Aboug-ACOG/ACOG-Departments/Simulations-Consortium/Ob-GYN-Simulations-Curricula.
- 14.Pronto International. Pronto International [Internet]. Available from: http://prontointernational.org/our-resources.
- 15.Laerdal. MamaNatalie Birthing Simulator [Internet]. [cited 2017 Mar 1]. Available from: http://www.laerdal.com/us/products/simulation-training/obstetrics-pediatrics/mamanatalie/.
- 16.USAID K. Global Health eLearning Center [Internet]. [cited 2017 Mar 1]. Available from: https://www.globalhealthlearning.org/about.
- 17.PROMPT Maternity Foundation. PROMPT [Internet]. [cited 2017 Mar 1]. Available from: http://www.promptmaternity.org/training/.
- 18.Laerdal. Mama-U [Internet]. Available from: http://www.laerdalglobalhealth.com/doc/2580/Mama-U.
- 23.World Health Organization. Maternal mortality fact sheet [Internet]. 2016 [cited 017 Mar 1]. Available from: https://www.who.int/mediacentre/factsheets/fs348/en/.
- 27.PROMPT Maternity Foundation. Practical obstetric multi-professional training [Internet]. [cited 2017 Mar 1]. Available from: http://www.promptmaternity.org/
- 29.Debas HT, Donkon P, Gawande A, Jamison DT, Kruk ME, editors. Essential surgery. 3rd ed. Washington, DC: The International Bank for Reconstruction and Development/The World Bank; 2015.Google Scholar
- 42.Lozo S, Eckardt MJ, Altawil Z, Nelson BD, Ahn R, Khisa W, et al. Prevalence of unrepaired third- and fourth-degree tears among women taken to the operating room for repair of presumed obstetric fistula during two fistula camps in Kenya. Int Urogynecol J Pelvic Floor Dysfunct. 2016;27(3):463–6.CrossRefGoogle Scholar
- 48.World Health Organization. WHO Guidelines for Safe Surgery 2009. Who [Internet]. 2009;125. Available from: http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf.
- 50.2020 FP. FP2020 Initiative [Internet]. [cited 2017 Mar 1]. Available from: http://www.familyplanning2020.org/.
- 51.Ngo TD, Nuccio O, Pereira SK, Footman K, Reiss K. Evaluating a LARC expansion program in 14 Sub-Saharan African countries: a service delivery model for meeting FP2020 goals. Matern Child Health J. 2016;1:1–10.Google Scholar
- 52.Cleeve A, Faxelid E, Nalwadda G, Klingberg-Allvin M. Abortion as agentive action: reproductive agency among young women seeking post-abortion care in Uganda. Cult Health Sex. 2017;1058:1–15.Google Scholar