Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria
To assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria. A cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period. Six general...
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| Veröffentlicht in: | PloS one 2019-04, Vol.14 (4), p.e0213719-e0213719 |
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| creator | Okonofua, Friday Ntoimo, Lorretta Favour Chizomam Ogu, Rosemary Galadanci, Hadiza Gana, Mohammed Adetoye, Durodola Abe, Eghe Okike, Ola Agholor, Kingsley Abdus-Salam, Rukiyat Adeola Randawa, Abdullahi Abdullahi, Hauwa Daneji, Suleiman Muhammad Omo-Omorodion, Blessing Itohan |
| description | To assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria.
A cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period.
Six general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country.
All skilled providers offering EMOC services in the hospitals during the study.
A pre-tested self-administered questionnaire was used to obtain information relating to socio-demographic characteristics, the respondents' knowledge and skills in offering specific EMOC services (as compared to standard World Health Organization recommendations), and their confidence in transferring the skills to mid-level providers. Data were analyzed with univariate, bivariate, binary and multinomial logistic regression analyses. Main outcome measures: knowledge and skills in EMOC services by hospital and overall.
A total of 341 health providers (148 doctors and 193 nurses/midwives) participated in the study. Averagely, the providers scored less than 46% in a composite EMOC knowledge score, with doctors scoring considerable higher than the nurses/midwives. Similarly, doctors scored higher than nurses/midwives in the self-reporting of confidence in carrying out specific EMOC functions. Health providers that scored higher in knowledge were significantly more likely to report confidence in performing specific EMOC functions as compared to those with lower scores. The self-reporting of confidence in transferring clinical skills was also higher in those with higher EMOC knowledge scores.
The knowledge and reported skills on EMOC by health providers in referral facilities in Nigeria was lower than average. We conclude that the in-service training and re-training of health providers should be included in national policy and programs that address maternal mortality prevention in referral facilities in the country.
Nigeria Clinical Trials Registry 91540209. |
| doi_str_mv | 10.1371/journal.pone.0213719 |
| format | Article |
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A cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period.
Six general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country.
All skilled providers offering EMOC services in the hospitals during the study.
A pre-tested self-administered questionnaire was used to obtain information relating to socio-demographic characteristics, the respondents' knowledge and skills in offering specific EMOC services (as compared to standard World Health Organization recommendations), and their confidence in transferring the skills to mid-level providers. Data were analyzed with univariate, bivariate, binary and multinomial logistic regression analyses. Main outcome measures: knowledge and skills in EMOC services by hospital and overall.
A total of 341 health providers (148 doctors and 193 nurses/midwives) participated in the study. Averagely, the providers scored less than 46% in a composite EMOC knowledge score, with doctors scoring considerable higher than the nurses/midwives. Similarly, doctors scored higher than nurses/midwives in the self-reporting of confidence in carrying out specific EMOC functions. Health providers that scored higher in knowledge were significantly more likely to report confidence in performing specific EMOC functions as compared to those with lower scores. The self-reporting of confidence in transferring clinical skills was also higher in those with higher EMOC knowledge scores.
The knowledge and reported skills on EMOC by health providers in referral facilities in Nigeria was lower than average. We conclude that the in-service training and re-training of health providers should be included in national policy and programs that address maternal mortality prevention in referral facilities in the country.
Nigeria Clinical Trials Registry 91540209.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0213719</identifier><identifier>PMID: 30958834</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Biology and Life Sciences ; Bivariate analysis ; Childbirth & labor ; Clinical Competence - standards ; Clinical trials ; Data processing ; Delivery, Obstetric - standards ; Demographics ; Domestic policy ; Emergency medical services ; Emergency Medical Services - standards ; Emergency Treatment - standards ; Fatalities ; Female ; Health ; Health care industry ; Health facilities ; Health Services Accessibility ; Hospitals ; Hospitals, Maternity - standards ; Humans ; Maternal Mortality ; Medical personnel ; Medical personnel training ; Medical research ; Medicine and Health Sciences ; Middle Aged ; Midwives ; Mortality ; Nigeria - epidemiology ; Nurse Midwives ; Nurses ; Nursing services ; Obstetrics ; Obstetrics - standards ; People and Places ; Physicians ; Physicians - standards ; Pregnancy ; Prevention ; Public health ; Regression analysis ; Skills ; Teachers ; Training ; Womens health</subject><ispartof>PloS one, 2019-04, Vol.14 (4), p.e0213719-e0213719</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Okonofua et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Okonofua et al 2019 Okonofua et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-47ce5727204b310d6c97898eb7d6cf02f222897a203a83c2729d20dccd34a31b3</citedby><cites>FETCH-LOGICAL-c692t-47ce5727204b310d6c97898eb7d6cf02f222897a203a83c2729d20dccd34a31b3</cites><orcidid>0000-0002-8777-2606</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453439/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453439/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30958834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Uthman, Olalekan</contributor><creatorcontrib>Okonofua, Friday</creatorcontrib><creatorcontrib>Ntoimo, Lorretta Favour Chizomam</creatorcontrib><creatorcontrib>Ogu, Rosemary</creatorcontrib><creatorcontrib>Galadanci, Hadiza</creatorcontrib><creatorcontrib>Gana, Mohammed</creatorcontrib><creatorcontrib>Adetoye, Durodola</creatorcontrib><creatorcontrib>Abe, Eghe</creatorcontrib><creatorcontrib>Okike, Ola</creatorcontrib><creatorcontrib>Agholor, Kingsley</creatorcontrib><creatorcontrib>Abdus-Salam, Rukiyat Adeola</creatorcontrib><creatorcontrib>Randawa, Abdullahi</creatorcontrib><creatorcontrib>Abdullahi, Hauwa</creatorcontrib><creatorcontrib>Daneji, Suleiman Muhammad</creatorcontrib><creatorcontrib>Omo-Omorodion, Blessing Itohan</creatorcontrib><title>Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria.
A cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period.
Six general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country.
All skilled providers offering EMOC services in the hospitals during the study.
A pre-tested self-administered questionnaire was used to obtain information relating to socio-demographic characteristics, the respondents' knowledge and skills in offering specific EMOC services (as compared to standard World Health Organization recommendations), and their confidence in transferring the skills to mid-level providers. Data were analyzed with univariate, bivariate, binary and multinomial logistic regression analyses. Main outcome measures: knowledge and skills in EMOC services by hospital and overall.
A total of 341 health providers (148 doctors and 193 nurses/midwives) participated in the study. Averagely, the providers scored less than 46% in a composite EMOC knowledge score, with doctors scoring considerable higher than the nurses/midwives. Similarly, doctors scored higher than nurses/midwives in the self-reporting of confidence in carrying out specific EMOC functions. Health providers that scored higher in knowledge were significantly more likely to report confidence in performing specific EMOC functions as compared to those with lower scores. The self-reporting of confidence in transferring clinical skills was also higher in those with higher EMOC knowledge scores.
The knowledge and reported skills on EMOC by health providers in referral facilities in Nigeria was lower than average. We conclude that the in-service training and re-training of health providers should be included in national policy and programs that address maternal mortality prevention in referral facilities in the country.
Nigeria Clinical Trials Registry 91540209.</description><subject>Adult</subject><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Bivariate analysis</subject><subject>Childbirth & labor</subject><subject>Clinical Competence - standards</subject><subject>Clinical trials</subject><subject>Data processing</subject><subject>Delivery, Obstetric - standards</subject><subject>Demographics</subject><subject>Domestic policy</subject><subject>Emergency medical services</subject><subject>Emergency Medical Services - standards</subject><subject>Emergency Treatment - standards</subject><subject>Fatalities</subject><subject>Female</subject><subject>Health</subject><subject>Health care industry</subject><subject>Health facilities</subject><subject>Health Services Accessibility</subject><subject>Hospitals</subject><subject>Hospitals, Maternity - standards</subject><subject>Humans</subject><subject>Maternal Mortality</subject><subject>Medical personnel</subject><subject>Medical personnel training</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Midwives</subject><subject>Mortality</subject><subject>Nigeria - epidemiology</subject><subject>Nurse Midwives</subject><subject>Nurses</subject><subject>Nursing services</subject><subject>Obstetrics</subject><subject>Obstetrics - standards</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Physicians - standards</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Skills</subject><subject>Teachers</subject><subject>Training</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9uO0zAQhiMEYpeFN0BgCQnBRYtj52QukKoVh0orVuJ0aznOJPWuYxfbWehT8Mq4bbpq0F6gXMSafP8_mfFMkjxN8TylZfrmyg7OCD1fWwNzTLYxdi85TRkls4Jgev_ofJI88v4K45xWRfEwOaGY5VVFs9Pkz8J78F6ZDoUVoGtjf2loOkDCNMhfK609sgZBD64DIzfI1j5AcEoiKVzEehulKxA6rNDa2RvVgPNv0bJfayVFUNZ41Fp3QPwmynuPfHBgupjSbFMrgz6rDpwSj5MHrdAenozvs-T7h_ffzj_NLi4_Ls8XFzNZMBJmWSkhL0lJcFbTFDeFZGXFKqjLeGwxaQkhFStFrF1UVEaQNQQ3UjY0EzSt6VnyfO-71tbzsZeeExJ7FHtTFpFY7onGiiu-dqoXbsOtUHwXsK7jwgUlNXDcQlsQqNKKNBlLSc1A0DqrcN2SMidt9Ho3ZhvqHhoJJjihJ6bTL0ateGdveJHlNKMsGrwaDZz9OYAPvFdegtbCgB12_12QeKski-iLf9C7qxupTsQClGltzCu3pnyRV2nBaE7KSM3voOLTQK9kHLxWxfhE8HoiiEyA36ETg_d8-fXL_7OXP6bsyyN2P0ve6mE3X1Mw24PSWe8dtLdNTjHf7sihG3y7N3zcmyh7dnxBt6LDotC_R9YVCA</recordid><startdate>20190408</startdate><enddate>20190408</enddate><creator>Okonofua, Friday</creator><creator>Ntoimo, Lorretta Favour Chizomam</creator><creator>Ogu, Rosemary</creator><creator>Galadanci, Hadiza</creator><creator>Gana, Mohammed</creator><creator>Adetoye, Durodola</creator><creator>Abe, Eghe</creator><creator>Okike, Ola</creator><creator>Agholor, Kingsley</creator><creator>Abdus-Salam, Rukiyat Adeola</creator><creator>Randawa, Abdullahi</creator><creator>Abdullahi, Hauwa</creator><creator>Daneji, Suleiman Muhammad</creator><creator>Omo-Omorodion, Blessing Itohan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8777-2606</orcidid></search><sort><creationdate>20190408</creationdate><title>Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria</title><author>Okonofua, Friday ; Ntoimo, Lorretta Favour Chizomam ; Ogu, Rosemary ; Galadanci, Hadiza ; Gana, Mohammed ; Adetoye, Durodola ; Abe, Eghe ; Okike, Ola ; Agholor, Kingsley ; Abdus-Salam, Rukiyat Adeola ; Randawa, Abdullahi ; Abdullahi, Hauwa ; Daneji, Suleiman Muhammad ; Omo-Omorodion, Blessing Itohan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-47ce5727204b310d6c97898eb7d6cf02f222897a203a83c2729d20dccd34a31b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Bivariate analysis</topic><topic>Childbirth & labor</topic><topic>Clinical Competence - standards</topic><topic>Clinical trials</topic><topic>Data processing</topic><topic>Delivery, Obstetric - standards</topic><topic>Demographics</topic><topic>Domestic policy</topic><topic>Emergency medical services</topic><topic>Emergency Medical Services - standards</topic><topic>Emergency Treatment - standards</topic><topic>Fatalities</topic><topic>Female</topic><topic>Health</topic><topic>Health care industry</topic><topic>Health facilities</topic><topic>Health Services Accessibility</topic><topic>Hospitals</topic><topic>Hospitals, Maternity - standards</topic><topic>Humans</topic><topic>Maternal Mortality</topic><topic>Medical personnel</topic><topic>Medical personnel training</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Midwives</topic><topic>Mortality</topic><topic>Nigeria - epidemiology</topic><topic>Nurse Midwives</topic><topic>Nurses</topic><topic>Nursing services</topic><topic>Obstetrics</topic><topic>Obstetrics - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okonofua, Friday</au><au>Ntoimo, Lorretta Favour Chizomam</au><au>Ogu, Rosemary</au><au>Galadanci, Hadiza</au><au>Gana, Mohammed</au><au>Adetoye, Durodola</au><au>Abe, Eghe</au><au>Okike, Ola</au><au>Agholor, Kingsley</au><au>Abdus-Salam, Rukiyat Adeola</au><au>Randawa, Abdullahi</au><au>Abdullahi, Hauwa</au><au>Daneji, Suleiman Muhammad</au><au>Omo-Omorodion, Blessing Itohan</au><au>Uthman, Olalekan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-04-08</date><risdate>2019</risdate><volume>14</volume><issue>4</issue><spage>e0213719</spage><epage>e0213719</epage><pages>e0213719-e0213719</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria.
A cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period.
Six general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country.
All skilled providers offering EMOC services in the hospitals during the study.
A pre-tested self-administered questionnaire was used to obtain information relating to socio-demographic characteristics, the respondents' knowledge and skills in offering specific EMOC services (as compared to standard World Health Organization recommendations), and their confidence in transferring the skills to mid-level providers. Data were analyzed with univariate, bivariate, binary and multinomial logistic regression analyses. Main outcome measures: knowledge and skills in EMOC services by hospital and overall.
A total of 341 health providers (148 doctors and 193 nurses/midwives) participated in the study. Averagely, the providers scored less than 46% in a composite EMOC knowledge score, with doctors scoring considerable higher than the nurses/midwives. Similarly, doctors scored higher than nurses/midwives in the self-reporting of confidence in carrying out specific EMOC functions. Health providers that scored higher in knowledge were significantly more likely to report confidence in performing specific EMOC functions as compared to those with lower scores. The self-reporting of confidence in transferring clinical skills was also higher in those with higher EMOC knowledge scores.
The knowledge and reported skills on EMOC by health providers in referral facilities in Nigeria was lower than average. We conclude that the in-service training and re-training of health providers should be included in national policy and programs that address maternal mortality prevention in referral facilities in the country.
Nigeria Clinical Trials Registry 91540209.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30958834</pmid><doi>10.1371/journal.pone.0213719</doi><tpages>e0213719</tpages><orcidid>https://orcid.org/0000-0002-8777-2606</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-04, Vol.14 (4), p.e0213719-e0213719 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2205395876 |
| source | PubMed Central Free; MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Biology and Life Sciences Bivariate analysis Childbirth & labor Clinical Competence - standards Clinical trials Data processing Delivery, Obstetric - standards Demographics Domestic policy Emergency medical services Emergency Medical Services - standards Emergency Treatment - standards Fatalities Female Health Health care industry Health facilities Health Services Accessibility Hospitals Hospitals, Maternity - standards Humans Maternal Mortality Medical personnel Medical personnel training Medical research Medicine and Health Sciences Middle Aged Midwives Mortality Nigeria - epidemiology Nurse Midwives Nurses Nursing services Obstetrics Obstetrics - standards People and Places Physicians Physicians - standards Pregnancy Prevention Public health Regression analysis Skills Teachers Training Womens health |
| title | Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria |
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