Evidence map›Paper›PMID 33639966›Full record

ArticleReproductive health2021

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

Ann-Beth Moller, Joanne Welsh, Mechthild M Gross, Max Petzold, Elizabeth Ayebare, Effie Chipeta, Hashim Hounkpatin, Bianca Kandeya, Beatrice Mwilike, Antoinette Sognonvi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 6 countries.

Ann-Beth MollerSchool of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden. ann-beth.moller.2@gu.se.
Joanne WelshMidwifery Research and Education Unit, Hannover Medical School, Hannover, Germany.
Mechthild M GrossMidwifery Research and Education Unit, Hannover Medical School, Hannover, Germany.
Max PetzoldSchool of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Elizabeth AyebareDepartment of Nursing, Makerere University, Kampala, Uganda.
Effie ChipetaCollege of Medicine, The Centre for Reproductive Health, University of Malawi, Blantyre, Malawi.
Hashim HounkpatinCentre de Recherche en Reproduction Humaine et en Démographie (CERRHUD), Cotonou, Benin.
Bianca KandeyaCollege of Medicine, The Centre for Reproductive Health, University of Malawi, Blantyre, Malawi.
Beatrice MwilikeMuhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania.
Antoinette SognonviCentre de Recherche en Reproduction Humaine et en Démographie (CERRHUD), Cotonou, Benin.
Claudia HansonGlobal Public Health, Karolinska Institute, Stockholm, Sweden.
Medizinische Hochschule Hannover · DEUniversity of Gothenburg · SEUniversity of Malawi · MWLondon School of Hygiene & Tropical Medicine · GBMakerere University · UGMuhimbili University of Health and Allied Sciences · TZ

Funding

Horizon 2020 847824
6 · The paper itself

Abstract

backgroundWe 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.

methodsUsing 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 registrationPACTR202006793783148-June 17th, 2020.

Indexed as

Attitude of Health PersonnelClinical CompetenceMidwiferyQuality of Health CareAdultBeninChecklistDelivery, ObstetricFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth Services AccessibilityHumansInfant CareInfant, NewbornIn-service trainingIntrapartum careMidwifery care providersMulti country studySub-Saharan Africa

Identifiers

PMID33639966
PMCPMC7912468
OpenAlexW3134273849

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.