Safety and acceptability of tubal ligation procedures performed by trained clinical officers in rural Uganda

This article assesses safety associated with tubal ligation performed by trained clinical officers (COs) in rural Uganda. Between March and June 2012, 518 women in 4 regions of Uganda were recruited into a prospective cohort study and followed at days 3, 7, and 45 after undergoing tubal ligation performed by a trained CO. Intraoperative and postoperative adverse events (minor, moderate, or major), and acceptability were assessed. Authors concluded that task sharing of tubal ligation to trained COs in private facilities was safe. Women reported high levels of satisfaction with the procedure. Training COs could be an effective strategy for expanding family-planning services to rural Uganda.

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