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Table 3 Proportion of providers responding correctly to case scenario related to diagnosis and management of severe pre-eclampsia, by provider type, facility type and ownership

From: Health facility readiness and provider knowledge as correlates of adequate diagnosis and management of pre-eclampsia in Kinshasa, Democratic Republic of Congo

Correct responses to case scenario Midwives Physicians All (n = 197)
PHCs (n = 66) Hospitals (n = 56) p-value PHCs (n = 24) Hospitals (n = 51) p-value
Initial assessment
 Check blood pressure 87.9 94.6 0.22* 83.3 98.4 0.03 91.9
 Monitor fetal heart rate 100 100 > 0.99 100 100 > 0.99 100
 Assess urine for protein 42.4 46.4 0.66 54.2 39.2 0.22 44.2
Diagnosis and management of severe pre-eclampsia
 Diagnose severe pre-eclampsia 81.8 91.1 0.14 100 100 0.99 91.4
 Administer loading dose of MgSO4a 31.5 47.1 0.11 33.3 58.8 0.04 43.9
 Immediately refer to higher facilitya 38.9 19.6 0.03 8.3 3.9 0.33* 19.4
 Administer maintenance doses of MgSO4ab 33.3 48.8 0.18 31.8 57.1 0.48 45.5
 Administer anti-hypertensive drugsa 68.5 84.3 0.06 83.3 94.1 0.14* 82.2
 Induce laborb 3.3 9.8 0.37* 18.2 40.8 0.06 20
 Monitor MgSO4 toxicity 0 9.8 0.08* 9.1 18.4 0.27* 10.3
 Continue MgSO4 for 24 h postpartumb 6.1 7.3 0.61* 22.7 34.7 0.41 22.9
Knowledge score about diagnosis and management of severe pre-eclampsia
 Median (IQR) 5 (4 to 6) 5.5 (4 to 7) < 0.01 5 (4 to 7) 6 (5 to 8) 0.03 5 (4 to 7)
  1. PHCs Primary health centres, IQR Interquartile range, MgSO4 Magnesium sulfate
  2. *Fisher exact test
  3. aAmong providers who diagnosed severe pre-eclampsia (ni: 51 midwives in hospitals and 54 in PHCs; 51 physicians in hospitals and 24 in PHCs);
  4. bAmong providers who did not refer to a higher level facility (ni: 41 midwives in hospitals and 33 in PHCs; 49 physicians in hospitals and 22 in PHCs)