Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol

Springer Science and Business Media LLC - Tập 18 - Trang 1-9 - 2021
Ann-Beth Moller1, Joanne Welsh2, Mechthild M. Gross2, Max Petzold1, Elizabeth Ayebare3, Effie Chipeta4, Hashim Hounkpatin5, Bianca Kandeya4, Beatrice Mwilike6, Antoinette Sognonvi5, Claudia Hanson7,8
1School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
2Midwifery Research and Education Unit, Hannover Medical School, Hannover, Germany
3Department of Nursing, Makerere University, Kampala, Uganda
4College of Medicine, The Centre for Reproductive Health, University of Malawi, Blantyre, Malawi
5Centre de Recherche en Reproduction Humaine et en Démographie (CERRHUD), Cotonou, Benin
6Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania;
7Global Public Health, Karolinska Institute, Stockholm, Sweden
8Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK

Tóm tắt

We aim to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care. Using an explanatory sequential mixed method design we will employ three methods (i) a survey will be conducted using self-administered questionnaires assessing knowledge, (ii) skills drills assessing basic intrapartum skills and attitudes, using an observation checklist and (iii) Focus Group Discussions (FGDs) to explore midwifery care providers’ experiences and perceptions of in-service training. All midwifery care providers in the study facilities are eligible to participate in the study. For the skills drills a stratified sample of midwifery care providers will be selected in each hospital according to the number of providers and, professional titles and purposive sampling will be used for the FGDs. Descriptive summary statistics from the survey and skills drills will be presented by country. Conventional content analysis will be employed for data analysis of the FGDs. We envision comparative insight across hospitals and countries. The findings will be used to inform a targeted quality in-service training and quality improvement intervention related to provision of basic intrapartum care as part of the ALERT project. Trial registration: PACTR202006793783148—June 17th, 2020.

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