Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria.
PLoS One. 2019 Mar 21;14(3):e0213491. doi: 10.1371/journal.pone.0213491. eCollection 2019.
Nigeria has one of the highest maternal mortality ratios in the world. The nurses and midwives being the first point of contact play a central role in addressing these problems. This study was conducted to assess the knowledge and utilization of the technologies (misoprostol, anti-shock garment and magnesium sulphate) in the reduction of maternal mortality amongst the Primary Health Care (PHC) nurses and midwives in Lagos State, Nigeria. In addition, the availability of the technologies in the flagship Primary Health Centres (PHCs) was assessed.
This was a cross-sectional study among all the nurses and midwives at the flagship PHCs in Lagos state and a total of 230 were eventually studied. Data was collected using a self-administered, structured questionnaire and a checklist. Descriptive and inferential statistics were applied. Level of significance was set at 5% (p<0.05).
All the respondents were aware of the technologies but most (73.9%) had poor knowledge of them. Majority (74.8%) of the respondents had good knowledge of maternal mortality and its major causes. Most, 81.3% of the respondents have administered misoprostol, 37.0% magnesium sulphate while 52.2% have administered anti shock garment. Out of the 57 flagship PHCs, 27 (47.4%) had magnesium sulphate, 42 (73.7%) had misoprostol and 52 (91.2%) had anti-shock garments in their facilities. Respondents who were double qualified (nurse/midwife) had significantly better knowledge of maternal mortality and its major causes (p = 0.009) than the other cadres. Longer years of experience (p = 0.019), training in the use of misoprostol (p = 0.020) and training in the use of magnesium sulphate (p = 0.001) significantly improved knowledge of the technologies.
Respondents had good knowledge of maternal mortality and its major causes and poor knowledge of the technologies for maternal mortality reduction, despite the trainings attended. Of the three technologies considered, misoprostol was the most commonly used. Periodic refresher courses for the training and retraining of PHC nurses and midwives on the technologies for maternal mortality reduction is recommended.
尼日利亚是世界上孕产妇死亡率最高的国家之一。护士和助产士作为第一个接触点，在解决这些问题方面发挥着核心作用。本研究旨在评估拉各斯州初级卫生保健（PHC）护士和助产士对减少孕产妇死亡率的技术（米索前列醇、抗休克服和硫酸镁）的知识和利用情况。此外，还评估了旗舰初级保健中心（PHC）中这些技术的可用性。
这是一项在拉各斯州所有旗舰 PHC 的护士和助产士中进行的横断面研究，最终共研究了 230 人。使用自我管理的结构化问卷和检查表收集数据。应用描述性和推断性统计。显著性水平设为 5%（p<0.05）。
所有受访者都知道这些技术，但大多数（73.9%）对这些技术的了解较差。大多数（74.8%）受访者对孕产妇死亡率及其主要原因有很好的了解。大多数（81.3%）受访者已经使用过米索前列醇，37.0%使用过硫酸镁，而 52.2%使用过抗休克服。在 57 个旗舰 PHC 中，27 个（47.4%）有硫酸镁，42 个（73.7%）有米索前列醇，52 个（91.2%）有抗休克服。双证（护士/助产士）的受访者对孕产妇死亡率及其主要原因的知识明显更好（p=0.009），而其他职级的受访者则较差。更长的工作年限（p=0.019）、米索前列醇使用培训（p=0.020）和硫酸镁使用培训（p=0.001）显著提高了对这些技术的了解。
受访者对孕产妇死亡率及其主要原因有很好的了解，但对减少孕产妇死亡率的技术知之甚少，尽管他们参加了培训。在所考虑的三种技术中，米索前列醇是最常用的。建议定期为 PHC 护士和助产士提供减少孕产妇死亡率技术的培训和再培训的进修课程。
