New in RHL
Task shifting to optimize the role of lay health workers
Shortages in the health workforce are often highlighted as a major barrier to the realization of the health-related MDGs. Due to this, the WHO recommends task shifting/sharing of health promotion efforts—an effective, acceptable, and feasible strategy that may also reduce inequalities by extending care to underserved populations. For example, lay health workers should take on the role of promoting adequate nutrition, exclusive breastfeeding, and the uptake of other heath-related behaviours and health care services for maternal and newborn health.
High coverage of life-saving interventions not enough
Substantial progress has been made in increasing access to health care worldwide, however this may not be sufficient to substantially reduce maternal mortality and morbidity. Despite a high coverage of essential interventions (e.g., uterotonics for the management of post-partum haemorrhage), 12 out of the 29 countries included in a recent WHO study had mortality rates that were two-to-three times higher than expected. Investment in emergency care and the overall improvement of the quality of maternal health care also necessary.
Non-latex versus latex male condoms for contraception
In the trials included in the review, compared with latex condoms, non-latex condoms were more likely to break or slip off during intercourse or withdrawal. However, substantial proportions of study participants reported a preference for non-latex condoms, suggesting that non-latex condoms could be an acceptable alternative for those with a higher need for sensitivity or those who have aversion to latex condoms.
VIDEO: Laparoscopic sterilization with Falope ring and Filshie clip
This video demonstrates the technique of female laparoscopic sterilization with Falope ring and Filshie clip.
VIDEO: Termination of pregnancy with the manual vacuum aspirator
This video demonstrates the technique of termination of early pregnancy with the manual vacuum aspirator.