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Table 2 Respondents’ obstetric experience and skills in EmONC

From: Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda

 

District hospital

n (%)

Health center

n (%)

Health post

n (%)

Total

n (%)

Average number of births conducted per week

Less than 1

0 (0.0%)

5 (3.9%)

0 (0.0%)

5 (3.4%)

Between 1 and 5

7 (43.8%)

96 (74.4%)

3 (75.0%)

106 (71.1%)

Between 5 and 10

8 (50%)

20 (15.5%)

0 (0.0%)

28 (18.8%)

More than 10

1 (6.2%)

8 (6.2%)

1 (25%)

10 (6.7%)

Number of HCP who felt confident in performing a birth –related diagnosis on their own

Yes

16 (100%)

118 (91.5%)

0 (0.0%)

134 (89.9%)

No

0

11 (8.5%)

4 (100%)

16 (10.7%)

Number of HCP who felt Confident in performing birth on their own

Yes

16 (100%)

116 (89.9%)

1 (25%)

133 (89.9%)

No

0

13 (10.1%)

3 (75%)

15 (10.1%)

Frequency to experience birth complication while performing normal delivery

Never

0 (0.0%)

8 (6.2%)

1 (25.0%)

9 (6.0%)

Sometimes

15 (93.8%)

117 (90.7%)

3 (75.0%)

135 (90.6%)

Often

1 (6.3%)

4 (3.1%)

0 (0.0%)

5 (3.4%)

Area of maternal health in which HCP feel less confident

Diagnostic and management of pre/eclampsia

5 (31.3%)

92 (71.3%)

3 (75%)

100 (67.1%)

Diagnostic and management of Puerperal sepsis

4 (25%)

67 (51.9%)

2 (50%)

73 (49.0%)

Diagnostic and management of Postpartum Hemorrhage

4 (25%)

73 (56.6%)

2 (50%)

79 (53%)

Diagnostic and management of obstructed labor

8 (50%)

75 (58.1%)

4 (100%)

87 (58.4%)

Other*

1 (6.3%)

2 (1.6%)

0 (0.0%)

3 (2.0%)

None

4 (25%)

9 (7.0%)

0 (0.0%)

13 (8.7%)

Area of Newborn health in which HCP feel less confident

Prevention of hypothermia

1 (6.1%)

18 (14%)

4 (100%)

19 (12.8%)

Prevention of infections

0 (0.0%)

41 (31.8%)

1 (25%)

42 (28.25%)

Immediate care after delivery for baby who cried

0 (0.0%)

7 (5.4%)

0 (0.0%)

7 (4.7%)

Immediate care after delivery for baby who did not cry

6 (37.5%)

101 (78.3%)

4 (100%)

111 (74.5%)

None

9 (56.3%)

15 (11.6%)

0 (0.0%)

24 (16.1%)

  1. * Other areas include bleeding during pregnancy, infection during pregnancy, Manual Vacuum Aspiration, Cord prolapse, Management of labor in case of fetal distress, Post abortion care and Use of Cardiotocography TG and use of Echography