Table 4 Principal component categorization indicating three factors from study participants (n = 153)

1

Understanding gender equality issues relating to reproductive, maternal, child, and adolescent health

0.557

2

Delivering gender sensitive reproductive, maternal, child, and adolescent health services (e.g., providing privacy for consultations, gender sensitive counselling approaches, involvement of men)

0.505

3

Providing client/patient friendly reproductive, maternal, child, and adolescent health services

0.607

4

Understanding and using maternal, newborn, and child health (MNCH) score cards [1]

0.621

5

Providing focused antenatal care (FANC) according to WHO guidelines

0.652

6

Offering malaria diagnosis with rapid diagnostic testing (RDT)

0.512

7

Providing malaria treatment in pregnancy

0.557

8

Providing education and counselling around voluntary counselling and testing (VCT) for HIV/AIDS

0.605

9

Providing education, counselling, and support around HIV/AIDS prevention, care, and management for adolescents

0.491

10

Competently managing uncomplicated deliveries

0.552

11

Competently using the partograph for every woman in labor

0.626

12

Competently providing basic emergency obstetric and newborn care (BEmONC) including:

o Parenteral antibiotics

o Parenteral uterotonic drugs

o Parenteral anticonvulsants

o Manual removal of retained placenta

o Removal of retained products of conception

o Instrumental vaginal delivery

Basic neonatal resuscitation

0.508

13

Competently providing comprehensive emergency obstetric and newborn care (CEmONC)

o All BEmONC signal functions plus

o Surgery

o Blood transfusion

0.467

14

Competently managing severe intra- and postpartum hemorrhage

0.687

15

Responding effectively to women suffering from severe pre-eclampsia and eclampsia

0.612

16

Effectively resuscitating newborns using the newborn bag and mask (HBB-Helping Babies Breathe)

0.681

17

Identifying dangerous signs and complications in childbirth and effectively managing maternal and newborn referral for further investigations or treatment

0.631

18

Providing education and counselling on prevention of mother to child transmission of HIV (PMTCT)

0.765

19

Effectively managing PMTCT treatment of HIV positive pregnant women, mothers, and infants

0.637

20

Providing education, counselling, and support to mothers in early initiation of breast feeding (within 1 h of delivery) and exclusive breast feeding for 6 months

0.650

21

Implementing the maternal, infant, and young child nutrition (MIYCN) program

0.681

22

Offering the Tanzania expanded program for immunization (EPI)

0.600

23

Understanding vaccine management and logistics (cold chain maintenance)

0.668

24

Being proficient on injection safety and infectious waste management

0.777

25

Providing family planning services to women and men in a union

0.770

26

Providing family planning services to unmarried/single women and men

0.675

27

Providing information, education, counselling, or family planning services to adolescents

0.602

28

Providing care and education for cervical cancer screening and treatment

0.617

29

Feeling confident in providing surgical care (including cesarean section)

0.533

30

Feeling confident in providing anesthetic care

0.572

31

Identifying cases of sexual and gender-based violence and knowing how to make appropriate referrals

0.671

.

32

Providing counselling, care, and support for women who are subject to gender based violence

0.721

33

Planning and organizing an individual patient’s care

0.653

34

Evaluating patients’ psychological and social needs

0.504

35

Implementing effective infection control strategies

0.712

36

Implementing effective disease surveillance and reporting

0.639

37

Organizing your own time effectively

0.623

38

Personally coping with change in the health service delivery

0.721

39

Working as a member of a team

0.660

40

Assuming a leadership role

0.435

41

Developing leadership skills

0.503

42

Mentoring and guiding other staff

0.758

43

Supervision and management of community health workers

0.487

44

Training of community health workers

0.514

45

Undertaking effective data reporting and monitoring of service delivery

0.500

46

Statistically analyzing your own data and using health facility data to understand local health challenges and inform service delivery

0.635

47

Identifying research needs and designing locally relevant research

0.470

48

Accessing research resources (e.g., time, money, information, equipment)

0.450

49

Actively influencing evidence-based service provision

0.672