Positive Deviant Midwives (n = 35) | Non-Positive Deviant Midwives (n = 67) | ||
---|---|---|---|
n (%) | n (%) | p value | |
Demographics | |||
Age | |||
20–39 years | 11 (33.3) | 20 (30.8) | 0.80 |
40–59 years | 22 (66.7) | 45(69.2) | |
Years as midwife | |||
15 years and less | 21 (61.8) | 42 (64.6) | 0.78 |
More than 15 years | 13 (38.2) | 23 (35.4) | |
Type of Midwife | |||
Midwife | 23 (65.7) | 42 (62.7) | 0.76 |
Auxiliary midwife | 12 (34.2) | 25 (37.3) | |
Professional Experience | |||
Teaching (official or otherwise) | 16 (45.7) | 11(16.7) | 0.002* |
Year trained in EmONC | |||
2017 | 17 (48.6) | 23 (36.5) | 0.24 |
2018 | 18 (51.4) | 40 (63.5) | |
Teaching (official or otherwiseOther MVA training | 15 (44.1) | 10 (15.4) | 0.002* |
Other EmONC training | 13 (37.1) | 16 (24.2) | 0.17 |
Additional MVA experience | |||
Observed 1st since training | 11 (31.4) | 21 (31.3) | 0.99 |
Observed prior training | 6 (17.1) | 12 (17.9) | 0.92 |
Assisted 1st since training | 9 (25.7) | 17 (25.4) | 0.97 |
Assisted prior training | 14 (40.0) | 11 (16.4) | 0.009* |
MVA for therapeutic abortion | |||
Yes | 12 (34.3) | 3 (4.6) | < 0.0005** |
Not comfortable answering | 7 (20.0) | 17 (26.2) | |
Confidence | |||
Level of confidence to practice MVA | |||
Very confident to practice | 24 (68.6) | 10 (17.9) | < 0.0005* |
Not very confident | 11 (31.4) | 46 (82.1) | |
Perceived competence to practice MVA | 31 (91.2) | 39 (59.1) | 0.001* |
Barriers and facilitators | |||
Barriers | |||
Lack of interprofessional support | 9 (25.7) | 11 (16.4) | 0.26 |
Lack of MVA supplies | 11 (31.4) | 38 (56.7) | 0.02* |
Lack of MVA aspirator | 11 (31.4) | 32 (47.8) | 0.11 |
Facilitators | |||
SCOSAF | 32 (91.4) | 46 (68.7) | 0.01* |
Ancillary support to practice | |||
Mentorship | 14 (40) | 32 (47.8) | 0.46 |
MVA equipment | 17 (48.6) | 41 (61.2) | 0.22 |
Facility characteristics | |||
EmONC services | |||
Comprehensive | 29 (82.9) | 57 (86.4) | 0.64 |
Basic | 6 (17.1) | 9 (13.6) | |
Operating Authority | |||
Government | 27 (77.1) | 59 (88.1) | 0.15 |
Private/Mission | 8 (22.9) | 8 (11.9) | |
Consistent supplies for MVA | 27 (77.1) | 38 (56.7) | 0.04* |