| dc.description.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. | en_US |
