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Table 1 Health cadres addressed by WHO’s OptimizeMNH guidance and their equivalents in Peru and Uganda

From: Developing evidence briefs for policy: a qualitative case study comparing the process of using a guidance-contextualization workbook in Peru and Uganda

Health care cadres – WHOPeruUganda
Non-specialist doctorGeneral surgeons (Médicos cirujanos generales)
Family doctors (Médicos de família)
General doctor not certified in voluntary surgical contraception or sterilization/vasectomy (Medico general no calificado en anticoncepción quirúrgica voluntaria)
Doctors certified in the provision of contraceptives, including voluntary surgical contraception or sterilization/vasectomy (Médicos calificados en provisión de anticonceptivos incluido anticoncepción quirúrgica voluntaria)
Medical officer
Advanced level associate clinicianDid not exist in PeruDid not exist in Uganda
Associate clinicianDid not exist in PeruClinical officer
MidwifeMidwife (Obstetriz)Midwife; there was some cross-over with nurses (see below). They had 2 levels – enrolled and registered (see below)
NurseNurse (Enfermero(a))Had 2 main levels of nurses:
- enrolled nurses – certificate
- registered nurses – diploma (more training than enrolled nurses)
Other levels:
- nurses with Bachelor’s degree
- ‘comprehensive’ or ‘double-trained’ nurse with training in both nursing and midwifery
Auxiliary nurseNurse technician (Técnico de enfermería)Uganda used to have nurse assistants, but they were no longer being trained or recruited; they still practiced but were no longer officially recognized; it would take time to train this cadre again as training programmes had stopped
Auxiliary nurse midwifeDid not exist in PeruUganda used to have this cadre as part of the auxiliary nursing group but they were no longer recognized
Lay health workerHealth promoter (Promotores de salud)Community health worker; however, in Uganda, they tended to be volunteers in the community and may not have had any health training or have been literate