ArticlePloS one2019
Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07248605 (Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices), which is not on this map. Cited by 16 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- Article
- Coadaptation and implementation of intrapartum clinical guidelines to save lives during childbirth: Protocol for an adapted PartoMa intervention in Eastern Ethiopia.BMC health services research · 2026Article
- Strategies to improve outcomes of obstetric emergencies in sub-Saharan Africa: A scoping review.PloS one · 2026Article
- The lived experiences of pediatric nursing students following high-fidelity simulations and problem-based learning sessions.BMC nursing · 2025Article
- Adherence to labor and delivery care quality standards and associated factors among nurse-midwives in two public teaching and referral hospitals in Kenya: a cross-sectional survey.The Pan African medical journal · 2023Article
- Barriers and enablers to emergency obstetric and newborn care services use in Wolaita Zone, Southern Ethiopia: a qualitative case study.BMC public health · 2022Article
- Effects of multifaceted interventions to prevent and manage primary postpartum haemorrhage in referral hospitals: a quasi-experimental study in Nigeria.BMJ global health · 2022Article
- Key components influencing the sustainability of a multi-professional obstetric emergencies training programme in a middle-income setting: a qualitative study.BMC health services research · 2021Article
- Factors related to the practice of vacuum-assisted birth: findings from provider interviews in Kigoma, Tanzania.BMC pregnancy and childbirth · 2021Article
- Factors that influence management of postpartum hemorrhage among midwives in a rural setting in Kenya.African health sciences · 2021Article
- Article
- Outcome of multifaceted interventions for improving the quality of antenatal care in Nigerian referral hospitals.Reproductive health · 2020Article
- Determinants of healthcare providers' confidence in their clinical skills to deliver quality obstetric and newborn care in Uganda and Zambia.BMC health services research · 2020Article
- Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran.Journal of education and health promotion · 2020Article
- Adherence to Practice Guidelines in the Implementation of Emergency Obstetric and Newborn Care in Referral Hospitals in Osun State, Nigeria.SAGE open nursingArticle
- Maternal and Perinatal Death Surveillance and Response: An Evaluation of Practices Among Healthcare Workers in South-South, Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
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Authors and funding
14 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria. STUDY
designA cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period.
settingSix general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country. POPULATION: All skilled providers offering EMOC services in the hospitals during the study.
methodsA 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.
resultsA 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.
conclusionThe 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.
trial registrationNigeria Clinical Trials Registry 91540209.
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