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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Skilled birth attendant competence: An initial assessment in four countries, and implications for the Safe Motherhood movement
International Journal of Gynecology and Obstetrics, Volume 87, No. 2, Year 2004
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Description
Percentage of deliveries assisted by a skilled birth attendant (SBA) has become a proxy indicator for reducing maternal mortality in developing countries, but there is little data on SBA competence. Our objective was to evaluate the competence of health professionals who typically attend hospital and clinic-based births in Benin, Ecuador, Jamaica, and Rwanda. Methods: We measured competence against World Health Organization's (WHO) Integrated Management of Pregnancy and Childbirth guidelines. To evaluate knowledge, we used a 49-question multiple-choice test covering seven clinical areas. To evaluate skill, we had participants perform five different procedures on anatomical models. The 166 participants came from facilities at all levels of care in their respective countries. Results: On average, providers answered 55.8% of the knowledge questions correctly and performed 48.2% of the skills steps correctly. Scores differed somewhat by country, provider type, and subtopic. Conclusion: A wide gap exists between current evidence-based standards and current levels of provider competence. © 2004 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Harvey, Steven A.
United States, Chevy Chase
University Research Co., Llc
Ayabaca, P.
United States, Chevy Chase
University Research Co., Llc
Bucagu, Maurice
Rwanda, Butare
University of Rwanda
Djibrina, Sabou
United States, Chevy Chase
University Research Co., Llc
Edson, W. N.
United States, Chevy Chase
University Research Co., Llc
Gbangbade, Sourou
Benin
Averting Matern. Death Disability P.
McCaw-Binns, Affette
Jamaica, Kingston
The University of the West Indies
Burkhalter, B. R.
United States, Chevy Chase
University Research Co., Llc
Statistics
Citations: 134
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1016/j.ijgo.2004.06.017
ISSN:
00207292
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Locations
Benin
Rwanda