The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Patterns in training, knowledge, and performance of skilled birth attendants providing emergency obstetric and newborn care in Afghanistan
Abstract
OBJECTIVE: To assess current skilled birth attendants (SBAs) in Afghanistan, looking for opportunities to improve quality and expand emergency obstetric and newborn care (EmONC) services. METHODS: The EmONC training, knowledge, and skills of 82 doctors and 142 midwives in 78 facilities were assessed using interviews, knowledge tests, observation of performance on anatomic models, and decision-making scenarios. RESULTS: Three-quarters had training in at least half of the 24 possible skills. Doctors' and midwives' levels of training in specific skills were generally similar. Doctors were more likely to be very confident of their skills. Midwives and doctors scored similarly in assessments of decision making and performance of technical skills. SBAs showed weaknesses in specific steps to manage common high-risk emergencies. Decision-making skills were good in a maternal care scenario but weak on managing a newborn not breathing. Doctors' and midwives' scores were similar. CONCLUSION: Midwives and doctors in Afghanistan are similarly competent. Focusing on training and deploying midwives may be cost effective without diminishing quality. In-service training and job rotation could help SBAs retain their EmONC skills. Training and practice to manage common high-risk emergencies deserve priority.
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A cross-sectional study from Afghanistan reports that knowledge on newborn infection signs/symptoms, treatment and care of low birthweight (LBW) newborns was one of the lowest scored topics.
“A cross-sectional study from Afghanistan reports that knowledge on newborn infection signs/symptoms, treatment and care of low birthweight (LBW) newborns was one of the lowest scored topics.42”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [42]
Citations
Cites
Can skilled attendance at delivery reduce maternal mortality in developing countries
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Högberg, U. (2005) · Scandinavian Journal of Public Health · Cited by 143
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Franco, L. (2002) · International Journal for Quality in Health Care · doi:10.1093/intqhc/14.suppl_1.17 · Cited by 49
Reducing Maternal Mortality: Can we derive policy guidance from developing country experiences?
Liljestrand, J., & Pathmanathan, I. (2004) · Journal of Public Health Policy · doi:10.1057/palgrave.jphp.3190030 · Cited by 48
Availability and quality of emergency obstetric and neonatal care services in Afghanistan
Kim, Y. M., Zainullah, P., Mungia, J., Tappis, H., Bartlett, L., & Zaka, N. (2011) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2011.10.017 · Cited by 44
Self-citationKim, Y. M., Tappis, H., Zainullah, P., Ansari, N., Evans, C. L., Bartlett, L., Zaka, N., & Zeck, W. (2012) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-12-14 · Cited by 41
Self-citationFortney, J. A. (2008) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2008.01.013 · Cited by 15
Quality of obstetric care observed in 14 hospitals in Benin Ecuador Jamaica and Rwanda.
Burkhalter, B. R., Edson, W. N., Harvey, S. A., Boucar, M., & Djibrina, S. (2006) · Journal of Family Planning and Reproductive Health Care · Cited by 9
Flagged first, then by citations
Research works printed but not linked: 3
- Afghanistan Midwifery and Nursing Education Accreditation Board (AMNAEB), 2010, Annual Report 2010
- Afghanistan Ministry of Public Health, 2010, Emergency Obstetric and Neonatal Care (EmONC) Needs Assessment in Afghanistan
- 2009, Averting Maternal Death and Disability Needs Assessment of Emergency Obstetric and Newborn Care (EmONC): Data Collector's Manual
Cited by
Sorted by citations
A systematic review of newborn health interventions in humanitarian settings
Rodo, M., Duclos, D., DeJong, J., Akik, C., & Singh, N. S. (2022) · BMJ Global Health · doi:10.1136/bmjgh-2022-009082 · Cited by 11
Metadata
- Authors
- Partamin, Kim, Y., Mungia, J., Faqir, M., Ansari, N., & Evans, C.
- Affiliations
- Jhpiego (US)
- Corresponding author
- Partamin
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2012-08-02
- Volume
- 119
- Issue
- 2
- Pages
- 125-129
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2083568826
- Cited by
- 21
- References
- 9
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- UNICEF
- Ministry of Public Health
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Keywords
- skilled birth attendants, emergency obstetric and newborn care, midwives, physicians, midwifery education, clinical competence, clinical decision-making, neonatal resuscitation, in-service training, job rotation, Afghanistan
- MeSH terms
- Afghanistan, Child Health Services, Clinical Competence, Decision Making, Emergencies, Female, Humans, Infant, Newborn, Health Knowledge, Attitudes, Practice, Maternal Health Services, Midwifery, Models, Anatomic, Physicians, Pregnancy, Delivery, Obstetric
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