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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Knowledge, attitudes, and practices in safe motherhood care among obstetric providers in Bugesera, Rwanda
International Journal of Gynecology and Obstetrics, Volume 116, No. 2, Year 2012
Notification
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Description
Objective: To determine the knowledge, attitudes, and practices of obstetric care providers (OCPs) in Bugesera District, Rwanda, crucial to the delivery of safe motherhood services. Methods: A quantitative descriptive survey in Kinyarwanda targeting all OCPs in the district was implemented in November 2010 to determine demographic characteristics, safe motherhood knowledge, obstetric practices, and attitudes toward additional training. Results: The study captured 87% of OCPs, of whom 137 of 168 (82%) were A2 level nurses. Most expressed a need to improve their knowledge (60.6%) and skills confidence (72.2%) in safe motherhood. The mean percentage of correct answers of 50 questions assessing overall knowledge was 46.4%; sections on normal labor (39.3% correct) and obstetric complications (37.1% correct) were the weakest. Fundal pressure during vaginal delivery was practiced by 60.8%, and only 15.9% of providers practiced active management of the third stage of labor for all deliveries. Providers supported additional training, and 89.3% expressed willingness to participate in a 2-day workshop even if it were their day off. Conclusion: The study has identified a need to improve safe motherhood knowledge and practices of OCPs in the Bugesera District of Rwanda. OCPs support additional training as an intervention to reduce maternal mortality. © 2011 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Puri, Ruchi
United States, Durham
Duke University School of Medicine
Rulisa, Stephen R.
Rwanda, Kigali
University Teaching Hospital of Kigali
Joharifard, Shahrzad
United States, Durham
Duke University
Wilkinson, Jeffrey Paul
United States, Durham
Duke University School of Medicine
Kyamanywa, Patrick
Rwanda, Butare
University of Rwanda
Thielman, Nathan M.
United States, Durham
Duke University School of Medicine
Statistics
Citations: 20
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1016/j.ijgo.2011.09.025
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Rwanda