Observational studyAfrican journal of primary health care & family medicine2022
Self-perceived competency of midwives in Kenya: A descriptive cross-sectional study.
Observational study in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Practice Competency and Associated Factors Among Midwifery and Nursing Students in Ethiopia: A Systematic Review and Meta-Analysis.Nursing open · 2026Pooled it
- Midwives' competence and confidence in Kenya: a sequential explanatory study design.BMC health services research · 2026Article
- Dignity in childbirth: A perspective from sub-Saharan Africa.Public health challenges · 2023Article
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3 authors.
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Abstract
backgroundMidwifery competence is demonstrated in the context of midwifery education, regulation and practice to support the quality delivery of care to women. Midwives with appropriate competencies can deliver up to 80% of maternal health services. The pre-service education programmes in Kenya offers different midwifery competencies for the various programmes, influencing expected outcomes in practice.
aimThis study aimed to assess midwives' perceived level of competence based on the International Confederation of Midwives (ICM) standards in Kenya.
settingThe study was conducted in selected public health facilities in Kenya.
methodsAn observational cross-sectional design was used. A multi-stage sampling technique was used to select the counties and health facilities and random sampling to determine 576 midwives. Data were collected using a self-administered assessment tool adopted from the ICM competency domains.
resultsA total of 495 (85.9%) midwife respondents participated in this study, of which 389 (78.6%) respondents in all training categories were highly competent in the four ICM domains. The midwives' qualifications and facility level were associated with their self-perceived competence during practice. Those trained in the direct-entry midwifery programme were more competent, p = 0.016 (Kruskal wallis H = 8.432).
conclusionMidwives' competence was influenced by the level of education and facility where they practice. All pre-service midwifery programme graduates must meet the essential ICM competencies and need to enhance continuous professional development (CPD) programmes and facility-based mentorship for the midwives.Contribution: To optimise midwifery-led practice in primary health care, midwifery competence should be enhanced in pre-service and in-service education for improved health outcomes.
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