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Table 3 Multiple linear regression for the association between provider and facility characteristics and confidence among maternal healthcare providers in Uganda and Zambia, N = 574

From: Determinants of healthcare providers’ confidence in their clinical skills to deliver quality obstetric and newborn care in Uganda and Zambia

 

Coefficient

95% CI

P-value

Knowledge (ref. Knowledge score 28–50%)

 51–58% Knowledge score

0.00

[−0.04, 0.04]

0.97

 60–93% Knowledge score

0.04

[0.00, 0.08]

0.08

Scope of practice (ref. Scope of practice 0–48%)

 50–65% Scope of practice

0.05*

[0.01, 0.09]

0.01

 69–100% Scope of practice

0.13**

[0.08, 0.17]

0.00

Provider characteristics

 Age

0.00

[−0.01, 0.01]

0.97

 Age2

0.00

[0.00, 0.00]

0.77

 Female

−0.05*

[− 0.09, 0.00]

0.03

 Training received in days

0.00

[0.00, 0.00]

0.18

 Qualification (ref. Enrolled nursea)

  Nurse assistantb

−0.14*

[− 0.25, − 0.03]

0.01

  Enrolled midwifec

0.08**

[0.05, 0.12]

0.00

  Registered nursed

0.03

[−0.03, 0.09]

0.35

  Registered midwifee

0.06*

[0.01, 0.12]

0.02

  Clinical officerf

−0.02

[−0.10, 0.05]

0.54

  Doctorg

0.15**

[0.07, 0.24]

0.00

Facility characteristics

 Hospitalh (ref. Health centeri)

−0.02

[−0.06, 0.01]

0.23

 Public facility (ref. Private facilityj)

0.03

[0.00, 0.07]

0.06

Intervention district (ref. Control)

0.03

[0.00, 0.07]

0.07

Zambia (ref. Uganda)

0.02

[−0.03, 0.06]

0.50

  1. N = 574, R-squared = 28.20%. **p < 0.01, *p < 0.05. Outcome variable is a continuous variable for confidence levels. Standard errors are adjusted for clustering with facilities. Maternal healthcare providers are those clinicians who were directly involved in the provision of obstetric and newborn care such as delivery, antenatal care, and postnatal care. aEnrolled nurses are trained for 2–3 years and are similar to licensed practical nurses in the United States bNurse assistants are trained for about 6 months and exist only in Uganda. cEnrolled midwives are trained for 2–3 years. dRegistered nurses and eregistered midwives receive medical training for 3 to 4.5 years. fClinical officers receive 3 years of training. gDoctors are typically trained for 5 to 7 years. Provider qualification can vary by country. hHospitals are equipped to provide comprehensive obstetric and neonatal care (CEmONC) which perform the 7 basic functions of BEmONC and two additional services: cesarean delivery and blood transfusion. iHealth centers are equipped to provide basic emergency obstetric and neonatal care (BEmONC) which includes 7 signal functions: 1) Administration of parenteral antibiotics, 2) Administration of uterotonic drugs for active management of the third stage of labor and prevention of postpartum hemorrhage, 3) Use of parenteral anticonvulsants for the management of preeclampsia/eclampsia, 4) Manual removal of placenta, 5) Removal of retained products, 6) Assistance of vaginal delivery, and 7) Basic neonatal resuscitation. jPrivate facility includes both for-profit and not-for profit
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BMC Health Services Research

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