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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
Main Authors: Seif, Saada Ali, Rashid, Salma Ali
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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 
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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 &lt; 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. 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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. 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The Chi-square coefficient, odds ratio, and 95% confidence intervals were reported, and the level of significance was set at p &lt; 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). 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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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