RELEVANCE OF NURSE PRACTITIONER MIDWIVES IN INDIAN STATES INCLUDING ASSAM

Bhuyan H
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Abstract

Introduction: Midwives can meet nearly 90 % of the need for essential sexual,reproductive, maternal, new born and adolescent health interventions, Quality midwifery care provided by skilled and competent midwives of international standard can reduce maternal and neonatal mortality and stillbirth rate by 83% and with 56 maternal andnewbornhealthoutcome.MaterialsAndMethods: Thispaperisbasedonreviewof contemporary literaturedevelopedby the UNFPA,WHO,ICM, Indian NursingCouncilandthe Government ofIndia,focussingon the importance ofimplementation of Nurse Practitioner Midwives of the global standards. Findings And Discussions: Amidst a signicant shortage in the provision of effectiveprimary care, jeopardizing millions ofIndians'access tobasichealthcare services, especially thepoorest, it is very evident that nurse practitioners are the need of the hour in India. Their role in advanced practice could allay a signicant portion of the shortage in the health workforce ratio, thereby, transforming their role as rst contact providers. Taking lessons from wellestablished systems and evidences on the panoramic impacts of nurse practitioners in terms of cost-effectiveness, accessibility, holistic, and patient-cantered approach; their role is very signicant for a country like India. Capitalizing on nurses in advanced practice to increasingpatient'saccess to healthcare services willbeappealingandbenecial. Health systemsare currently hugely burdenedandwillrequiretheinvolvementofnursepractitionersas therstpoint-of-caredeliverypersonnel.Conclusion:Basedon the identied contextual factors prevailing in India and other similar global initiatives and context designing and implementing Midwifery Led Care Unit (MLCU) along with a legal framework to enable midwives to provide full scope of practice in tune with the global standards tocareforwomenduringlabouris theneedofhour.
印度各邦(包括阿萨姆邦)助产士护士的相关性
导言:助产士可满足近 90%的性健康、生殖健康、孕产妇健康、新生儿健康和青少年健康干预需求,由技术熟练、能力出众、符合国际标准的助产士提供的优质助产护理可将孕产妇和新生儿死亡率及死胎率降低 83%,并带来 56% 的孕产妇和新生儿健康结果:本文基于对联合国人口基金、世界卫生组织、ICM、印度护理委员会和印度政府所撰写的当代文献的回顾,重点关注实施全球标准的助产士护士的重要性。研究结果与讨论:在提供有效的初级保健服务方面存在着明显的cant 短缺,危及数百万印度人,尤其是最贫困人口获得基本医疗保健服务的机会,很显然,执业护士是印度的当务之急。她们在高级实践中发挥的作用可以缓解医疗卫生人员比例短缺的重大,从而转变她们作为,成为第一接触提供者的角色。从业护士在成本效益、可及性、整体性和以患者为中心等方面的全景式影响,可以从完善的系统和证据中吸取经验教训;对于印度这样的国家来说,她们的作用非常重要_COPYc。利用高级执业护士来增加病人获得医疗保健服务的机会,将是一个很有吸引力和本cial 的做法。卫生系统目前负担沉重,将需要护士从业人员作为rpoint of-caredelivery personnel的参与。结论:根据已确定的印度背景因素以及其他类似的全球倡议和背景,设计和实施助产士领导的护理单元(MLCU),并制定法律框架,使助产士能够提供符合全球标准的全面业务范围,以护理分娩妇女,这是当务之急。
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