School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Midwifery Research and Education Unit, Hannover Medical School, Hannover, Germany.
Reprod Health. 2021 Feb 27;18(1):50. doi: 10.1186/s12978-021-01109-8.
We aim to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care.
Using an explanatory sequential mixed method design we will employ three methods (i) a survey will be conducted using self-administered questionnaires assessing knowledge, (ii) skills drills assessing basic intrapartum skills and attitudes, using an observation checklist and (iii) Focus Group Discussions (FGDs) to explore midwifery care providers' experiences and perceptions of in-service training. All midwifery care providers in the study facilities are eligible to participate in the study. For the skills drills a stratified sample of midwifery care providers will be selected in each hospital according to the number of providers and, professional titles and purposive sampling will be used for the FGDs. Descriptive summary statistics from the survey and skills drills will be presented by country. Conventional content analysis will be employed for data analysis of the FGDs.
We envision comparative insight across hospitals and countries. The findings will be used to inform a targeted quality in-service training and quality improvement intervention related to provision of basic intrapartum care as part of the ALERT project.
PACTR202006793783148-June 17th, 2020.
我们旨在评估四个研究国家（贝宁、马拉维、坦桑尼亚和乌干达）的助产士护理人员的能力（知识、技能和态度），以及他们对在职培训的经验和看法，这是减少撒哈拉以南非洲围产期死亡率和发病率的利用证据采取行动项目（ALERT）的一部分。虽然今天在中低收入国家，更多的妇女在医疗保健机构分娩，但孕产妇和新生儿死亡率的下降幅度低于预期。这种矛盾现象可能是由于产时护理的标准和质量取决于几个因素，如卫生人力能力和卫生系统的准备情况以及获得护理的机会。
我们将采用一种解释性顺序混合方法设计，使用三种方法（i）使用自我管理问卷进行调查，评估知识，（ii）使用观察清单评估基本产时技能和态度的技能演练，以及（iii）进行焦点小组讨论（FGD），以探讨助产士护理人员对在职培训的经验和看法。研究设施中的所有助产士护理人员都有资格参加这项研究。对于技能演练，将根据医院中提供者的数量，按照专业职称对助产士护理人员进行分层抽样，然后使用目的抽样进行 FGD。将按国家报告调查和技能演练的描述性汇总统计数据。将采用常规内容分析法对 FGD 的数据进行分析。
我们设想在医院和国家之间进行比较性的深入了解。研究结果将用于为基本产时护理的提供提供有针对性的在职培训和质量改进干预措施提供信息，这是 ALERT 项目的一部分。
PACTRO202006793783148-2020 年 6 月 17 日。
