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

BACKGROUND: 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 mo...

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Autores principales: Moller, Ann-Beth, Welsh, Joanne, Gross, Mechthild M., Petzold, Max, Ayebare, Elizabeth, Chipeta, Effie, Hounkpatin, Hashim, Kandeya, Bianca, Mwilike, Beatrice, Sognonvi, Antoinette, Hanson, Claudia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7912468/
https://www.ncbi.nlm.nih.gov/pubmed/33639966
http://dx.doi.org/10.1186/s12978-021-01109-8
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author Moller, Ann-Beth
Welsh, Joanne
Gross, Mechthild M.
Petzold, Max
Ayebare, Elizabeth
Chipeta, Effie
Hounkpatin, Hashim
Kandeya, Bianca
Mwilike, Beatrice
Sognonvi, Antoinette
Hanson, Claudia
author_facet Moller, Ann-Beth
Welsh, Joanne
Gross, Mechthild M.
Petzold, Max
Ayebare, Elizabeth
Chipeta, Effie
Hounkpatin, Hashim
Kandeya, Bianca
Mwilike, Beatrice
Sognonvi, Antoinette
Hanson, Claudia
author_sort Moller, Ann-Beth
collection PubMed
description BACKGROUND: 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. METHODS: 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. DISCUSSION: 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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spelling pubmed-79124682021-03-01 Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol Moller, Ann-Beth Welsh, Joanne Gross, Mechthild M. Petzold, Max Ayebare, Elizabeth Chipeta, Effie Hounkpatin, Hashim Kandeya, Bianca Mwilike, Beatrice Sognonvi, Antoinette Hanson, Claudia Reprod Health Study Protocol BACKGROUND: 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. METHODS: 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. DISCUSSION: 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. BioMed Central 2021-02-27 /pmc/articles/PMC7912468/ /pubmed/33639966 http://dx.doi.org/10.1186/s12978-021-01109-8 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Moller, Ann-Beth
Welsh, Joanne
Gross, Mechthild M.
Petzold, Max
Ayebare, Elizabeth
Chipeta, Effie
Hounkpatin, Hashim
Kandeya, Bianca
Mwilike, Beatrice
Sognonvi, Antoinette
Hanson, Claudia
Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol
title Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol
title_full Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol
title_fullStr Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol
title_full_unstemmed Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol
title_short Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol
title_sort assessment of midwifery care providers intrapartum care competencies, in four sub-saharan countries: a mixed-method study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7912468/
https://www.ncbi.nlm.nih.gov/pubmed/33639966
http://dx.doi.org/10.1186/s12978-021-01109-8
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