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    • Master of Public Health in Population and Reproductive Health
    • Master of Public Health in Population and Reproductive Health (Dissertations)
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    Factors related to training needs of skilled birth attendants in emergency maternal, neonatal, and obstetric care; case study: Kabarole district

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    Ahumuza Peace_HSC_MPH_PRH_2020_Nanyingi Miisa.pdf (11.21Mb)
    Date
    2020-05-01
    Author
    Ahumuza, Peace
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    Abstract
    BACKGROUND - According to the World Health Organization (2016), approximately 830 women in the world die every day from preventable causes related to pregnancy and childbirth. In 2015, 303,000 women around the world died due to complications during pregnancy and childbirth (Alkema et al., 2016) signifying an unmet need for optimal maternal health services .While Uganda has registered significant reduction in MMR from 438 (UDHS, 2011) to 336 per 100,000 (UBOS and ICF, 2017), Albeit the achievements, progress is rather slow. At facility level, 75% of maternal deaths in Uganda are due to preventable causes (Isabirye et al., 2017) these can be easily averted with appropriate provider knowledge and skills acquisition. Many programs advocate and indeed conduct trainings among providers with the hope to improve and attain desired skills. Trainings in EmONC have been associated with improved care but would be even more beneficial if training needs are assessed and trainings tailored to address the identified gaps. OBJECTIVE : Examine the factors related to training needs (gaps) of Skilled Birth Attendants in Emergency Maternal and Neonatal Obstetric care in Kabarole District. Methods: A cross sectional descriptive analytical study was used, all skilled birth attendants offering EmNOC care in Kabarole district were included and students on clinical rotation with less than one year of clinical experience were eliminated. Primary data was used and data was collected using self-administered questionnaires and analysed using STATA 14 RESULTS : The skilled birth attendants had training needs (gaps) mainly in in administration of Magnesium Sulphate, manual removal of placenta, and Assisted Vaginal Delivery. The individual and institutional factors r elated to EmONC training needs were cadre and level of education, type of facility and having not received training last years increased the chances of having training needs Participants with certificate level education were 10.7 times more likely to have training needs in EmONC than those with degree and Masters and this was strongly significant as shown by the p-value (<0.001) [OR=10.7: 95% CI 0.3.385 – 33.811: P <0.001]. Participants with diploma level education were 3.2 times more likely to have training needs CONCLUSION: The findings of the study signify a need for skilled birth attendants need to receive continuous training and training needs assessments are relevant prior to trainings. This helps identify the actual needs to address existing gaps to improve their knowledge and ensure quality services.
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    http://dissertations.umu.ac.ug/xmlui/handle/123456789/1381
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    • Master of Public Health in Population and Reproductive Health (Dissertations) [43]

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