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Knowledge and skills of pre-eclampsia management among healthcare providers working in antenatal clinics in Zanzibar
Pre-eclampsia and eclampsia are the leading causes of perinatal morbidity and mortality worldwide. Early detection and treatment of preeclampsia is lifesaving; however, evidence suggests that the majority of women in low and middle income-countries are not routinely screened for high blood pressure...
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Published in: | BMC health services research 2022-12, Vol.22 (1), p.1512-1512, Article 1512 |
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description | Pre-eclampsia and eclampsia are the leading causes of perinatal morbidity and mortality worldwide. Early detection and treatment of preeclampsia is lifesaving; however, evidence suggests that the majority of women in low and middle income-countries are not routinely screened for high blood pressure during antenatal care, that those with severe and mild pre-eclampsia are not monitored for blood pressure and proteinuria as needed, and the magnesium sulphate is not administered as needed. The purpose of this study was therefore to assess knowledge and skills in pre-eclampsia and eclampsia management and their associated factors among healthcare providers working in antenatal clinics in Zanzibar.
This was a cross-sectional analytical study conducted in all levels of healthcare facilities in Zanzibar. The study involved 176 healthcare providers (nurses and doctors) who were randomly selected. A self-administered questionnaire was used to collect data and descriptive and inferential statistics were used in the analysis whereby logistic regression models were employed. The Chi-square coefficient, odds ratio, and 95% confidence intervals were reported, and the level of significance was set at p |
doi_str_mv | 10.1186/s12913-022-08892-5 |
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This was a cross-sectional analytical study conducted in all levels of healthcare facilities in Zanzibar. The study involved 176 healthcare providers (nurses and doctors) who were randomly selected. A self-administered questionnaire was used to collect data and descriptive and inferential statistics were used in the analysis whereby logistic regression models were employed. The Chi-square coefficient, odds ratio, and 95% confidence intervals were reported, and the level of significance was set at p < 0.05.
The mean age of healthcare providers was 35.94 (SD ± 7.83) years. The proportion of healthcare providers with adequate knowledge was 49.0%, and 47% had adequate skills. Knowledge level was predicted by working in higher healthcare facility levels (AOR: 3.28, 95% CI: 1.29-8.29), and having attended on-the-job training on pre-eclampsia (AOR: 7.8, 95% CI: 2.74 - 22.75). Skills were predicted by having attended on-job training (AOR: 8.6, 95% CI: 2.45 - 30.16), having working experience of five years or above in antenatal care units (AOR: 27.89, 95% CI: 5.28 - 148.89) and being a medical doctor or assistant medical doctor (AOR: 18.9, 95% CI: 2.1-166).
Approximately half of Zanzibar's ANC healthcare workers demonstrated inadequate knowledge and skills in preeclampsia care, indicating a critical need for targeted interventions to reduce maternal morbidity and mortality. Knowledge is predicted by attending on-the-job training and working in higher healthcare facility level, while skills is predicted by attending on job training, more years of working experience in antenatal care units and being a medical doctor or assistant medical doctor The study recommends the healthcare facility institutions to provide on-the-job training to for the healthcare providers working in lower healthcare facility levels.</description><identifier>ISSN: 1472-6963</identifier><identifier>EISSN: 1472-6963</identifier><identifier>DOI: 10.1186/s12913-022-08892-5</identifier><identifier>PMID: 36510295</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Ambulatory Care Facilities ; Antenatal clinic ; Blood pressure ; Care and treatment ; Clinical competence ; Cross-Sectional Studies ; Drug dosages ; Eclampsia - diagnosis ; Eclampsia - therapy ; Female ; Health care ; Health care management ; Health facilities ; Health Personnel ; Health services ; Healthcare providers ; Hospitals ; Humans ; Knowledge ; Management ; Maternal health services ; Maternal mortality ; Medical referrals ; Nurses ; Physicians ; Pre-eclampsia ; Pre-Eclampsia - diagnosis ; Pre-Eclampsia - therapy ; Preeclampsia ; Pregnancy ; Prenatal Care ; Primary care ; Questionnaires ; Regression analysis ; Sample size ; Skills ; Surveys ; Variables ; Womens health</subject><ispartof>BMC health services research, 2022-12, Vol.22 (1), p.1512-1512, Article 1512</ispartof><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2022 BioMed Central Ltd.</rights><rights>2022. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-308b3f0adc74c41517053fd8720f5898dee28798056b903a69af0b040d3651113</citedby><cites>FETCH-LOGICAL-c563t-308b3f0adc74c41517053fd8720f5898dee28798056b903a69af0b040d3651113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9746160/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2755639147?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11688,25753,27924,27925,36060,36061,37012,37013,44363,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36510295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seif, Saada Ali</creatorcontrib><creatorcontrib>Rashid, Salma Ali</creatorcontrib><title>Knowledge and skills of pre-eclampsia management among healthcare providers working in antenatal clinics in Zanzibar</title><title>BMC health services research</title><addtitle>BMC Health Serv Res</addtitle><description>Pre-eclampsia and eclampsia are the leading causes of perinatal morbidity and mortality worldwide. Early detection and treatment of preeclampsia is lifesaving; however, evidence suggests that the majority of women in low and middle income-countries are not routinely screened for high blood pressure during antenatal care, that those with severe and mild pre-eclampsia are not monitored for blood pressure and proteinuria as needed, and the magnesium sulphate is not administered as needed. The purpose of this study was therefore to assess knowledge and skills in pre-eclampsia and eclampsia management and their associated factors among healthcare providers working in antenatal clinics in Zanzibar.
This was a cross-sectional analytical study conducted in all levels of healthcare facilities in Zanzibar. The study involved 176 healthcare providers (nurses and doctors) who were randomly selected. A self-administered questionnaire was used to collect data and descriptive and inferential statistics were used in the analysis whereby logistic regression models were employed. The Chi-square coefficient, odds ratio, and 95% confidence intervals were reported, and the level of significance was set at p < 0.05.
The mean age of healthcare providers was 35.94 (SD ± 7.83) years. The proportion of healthcare providers with adequate knowledge was 49.0%, and 47% had adequate skills. Knowledge level was predicted by working in higher healthcare facility levels (AOR: 3.28, 95% CI: 1.29-8.29), and having attended on-the-job training on pre-eclampsia (AOR: 7.8, 95% CI: 2.74 - 22.75). Skills were predicted by having attended on-job training (AOR: 8.6, 95% CI: 2.45 - 30.16), having working experience of five years or above in antenatal care units (AOR: 27.89, 95% CI: 5.28 - 148.89) and being a medical doctor or assistant medical doctor (AOR: 18.9, 95% CI: 2.1-166).
Approximately half of Zanzibar's ANC healthcare workers demonstrated inadequate knowledge and skills in preeclampsia care, indicating a critical need for targeted interventions to reduce maternal morbidity and mortality. Knowledge is predicted by attending on-the-job training and working in higher healthcare facility level, while skills is predicted by attending on job training, more years of working experience in antenatal care units and being a medical doctor or assistant medical doctor The study recommends the healthcare facility institutions to provide on-the-job training to for the healthcare providers working in lower healthcare facility levels.</description><subject>Adult</subject><subject>Ambulatory Care Facilities</subject><subject>Antenatal clinic</subject><subject>Blood pressure</subject><subject>Care and treatment</subject><subject>Clinical competence</subject><subject>Cross-Sectional Studies</subject><subject>Drug dosages</subject><subject>Eclampsia - diagnosis</subject><subject>Eclampsia - therapy</subject><subject>Female</subject><subject>Health care</subject><subject>Health care management</subject><subject>Health facilities</subject><subject>Health Personnel</subject><subject>Health services</subject><subject>Healthcare providers</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Knowledge</subject><subject>Management</subject><subject>Maternal health services</subject><subject>Maternal mortality</subject><subject>Medical referrals</subject><subject>Nurses</subject><subject>Physicians</subject><subject>Pre-eclampsia</subject><subject>Pre-Eclampsia - diagnosis</subject><subject>Pre-Eclampsia - therapy</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Primary care</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Sample size</subject><subject>Skills</subject><subject>Surveys</subject><subject>Variables</subject><subject>Womens health</subject><issn>1472-6963</issn><issn>1472-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>M0C</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkktv1DAUhSMEoqXwB1igSGzYpPgRvzZIVcWjohIb2LCx7jh2xlPHHuxMK_j1OJ1SOghlkej63O_6npymeYnRKcaSvy2YKEw7REiHpFSkY4-aY9wL0nHF6eMH30fNs1I2CGEhiXjaHFHOMCKKHTfz55hugh1G20Ic2nLlQyhtcu02286aANO2eGgniDDayca5hSnFsV1bCPPaQLZVma79YHNpb1K-8vXQxwqbbYQZQmuCj96Upfgd4i-_gvy8eeIgFPvi7n3SfPvw_uv5p-7yy8eL87PLzjBO544iuaIOwWBEb3rMsECMukEKghyTSg7WEimURIyvFKLAFTi0Qj0alv0wpifNxZ47JNjobfYT5J86gde3hZRHDXn2JljNuHM9NsZxvIyqfoq-r2ZRxC0RDirr3Z613a0mO5hqRYZwAD08iX6tx3Stleg55qgC3twBcvqxs2XWky_GhgDRpl3RRLAe1ZE9q9LX_0g3aZdjtWpRVW9U_bN_VSPUBXx0qc41C1SfCaIkIwTRqjr9j6o-g528SdE6X-sHDWTfYHIqJVt3vyNGesmd3udO19zp29zp5cavHrpz3_InaPQ3p67SCA</recordid><startdate>20221212</startdate><enddate>20221212</enddate><creator>Seif, Saada Ali</creator><creator>Rashid, Salma Ali</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20221212</creationdate><title>Knowledge and skills of pre-eclampsia management among healthcare providers working in antenatal clinics in Zanzibar</title><author>Seif, Saada Ali ; Rashid, Salma Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-308b3f0adc74c41517053fd8720f5898dee28798056b903a69af0b040d3651113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Ambulatory Care Facilities</topic><topic>Antenatal clinic</topic><topic>Blood pressure</topic><topic>Care and treatment</topic><topic>Clinical competence</topic><topic>Cross-Sectional Studies</topic><topic>Drug dosages</topic><topic>Eclampsia - diagnosis</topic><topic>Eclampsia - therapy</topic><topic>Female</topic><topic>Health care</topic><topic>Health care management</topic><topic>Health facilities</topic><topic>Health Personnel</topic><topic>Health services</topic><topic>Healthcare providers</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Knowledge</topic><topic>Management</topic><topic>Maternal health services</topic><topic>Maternal mortality</topic><topic>Medical referrals</topic><topic>Nurses</topic><topic>Physicians</topic><topic>Pre-eclampsia</topic><topic>Pre-Eclampsia - diagnosis</topic><topic>Pre-Eclampsia - therapy</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Prenatal Care</topic><topic>Primary care</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Sample size</topic><topic>Skills</topic><topic>Surveys</topic><topic>Variables</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seif, Saada Ali</creatorcontrib><creatorcontrib>Rashid, Salma Ali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seif, Saada Ali</au><au>Rashid, Salma Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge and skills of pre-eclampsia management among healthcare providers working in antenatal clinics in Zanzibar</atitle><jtitle>BMC health services research</jtitle><addtitle>BMC Health Serv Res</addtitle><date>2022-12-12</date><risdate>2022</risdate><volume>22</volume><issue>1</issue><spage>1512</spage><epage>1512</epage><pages>1512-1512</pages><artnum>1512</artnum><issn>1472-6963</issn><eissn>1472-6963</eissn><abstract>Pre-eclampsia and eclampsia are the leading causes of perinatal morbidity and mortality worldwide. Early detection and treatment of preeclampsia is lifesaving; however, evidence suggests that the majority of women in low and middle income-countries are not routinely screened for high blood pressure during antenatal care, that those with severe and mild pre-eclampsia are not monitored for blood pressure and proteinuria as needed, and the magnesium sulphate is not administered as needed. The purpose of this study was therefore to assess knowledge and skills in pre-eclampsia and eclampsia management and their associated factors among healthcare providers working in antenatal clinics in Zanzibar.
This was a cross-sectional analytical study conducted in all levels of healthcare facilities in Zanzibar. The study involved 176 healthcare providers (nurses and doctors) who were randomly selected. A self-administered questionnaire was used to collect data and descriptive and inferential statistics were used in the analysis whereby logistic regression models were employed. The Chi-square coefficient, odds ratio, and 95% confidence intervals were reported, and the level of significance was set at p < 0.05.
The mean age of healthcare providers was 35.94 (SD ± 7.83) years. The proportion of healthcare providers with adequate knowledge was 49.0%, and 47% had adequate skills. Knowledge level was predicted by working in higher healthcare facility levels (AOR: 3.28, 95% CI: 1.29-8.29), and having attended on-the-job training on pre-eclampsia (AOR: 7.8, 95% CI: 2.74 - 22.75). Skills were predicted by having attended on-job training (AOR: 8.6, 95% CI: 2.45 - 30.16), having working experience of five years or above in antenatal care units (AOR: 27.89, 95% CI: 5.28 - 148.89) and being a medical doctor or assistant medical doctor (AOR: 18.9, 95% CI: 2.1-166).
Approximately half of Zanzibar's ANC healthcare workers demonstrated inadequate knowledge and skills in preeclampsia care, indicating a critical need for targeted interventions to reduce maternal morbidity and mortality. Knowledge is predicted by attending on-the-job training and working in higher healthcare facility level, while skills is predicted by attending on job training, more years of working experience in antenatal care units and being a medical doctor or assistant medical doctor The study recommends the healthcare facility institutions to provide on-the-job training to for the healthcare providers working in lower healthcare facility levels.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>36510295</pmid><doi>10.1186/s12913-022-08892-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Ambulatory Care Facilities Antenatal clinic Blood pressure Care and treatment Clinical competence Cross-Sectional Studies Drug dosages Eclampsia - diagnosis Eclampsia - therapy Female Health care Health care management Health facilities Health Personnel Health services Healthcare providers Hospitals Humans Knowledge Management Maternal health services Maternal mortality Medical referrals Nurses Physicians Pre-eclampsia Pre-Eclampsia - diagnosis Pre-Eclampsia - therapy Preeclampsia Pregnancy Prenatal Care Primary care Questionnaires Regression analysis Sample size Skills Surveys Variables Womens health |
title | Knowledge and skills of pre-eclampsia management among healthcare providers working in antenatal clinics in Zanzibar |
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