Background
Methods
Study design and study setting
Study population and sample size
Sampling procedure
Data collection methods and tools
Measurement of variables
Data analysis
Results
Social demographic characteristics of healthcare providers
Variable | Number | Percentage |
---|---|---|
Age group (years)
| ||
Under 30 | 37 | 21.0 |
30–39 | 91 | 51.7 |
40–49 | 34 | 19.3 |
50 and older | 14 | 8 |
Sex
| ||
Male | 76 | 43.2 |
Female | 100 | 56.8 |
Professional qualification
| ||
Diploma in nursing | 96 | 54.5 |
Degree in nursing | 10 | 5.7 |
Master in Nursing | 3 | 1.7 |
Clinical officer | 47 | 26.7 |
Assistant medical officer | 2 | 1.1 |
Medical doctor | 18 | 10.2 |
Working Facility level
| ||
PHCU | 47 | 26.7 |
PHCU+ | 71 | 40.3 |
Health center (PHCC) | 28 | 15.9 |
District hospital | 14 | 8 |
Regional hospital | 5 | 2.8 |
Tertiary hospital | 11 | 6.3 |
On job training related to management of pre-eclampsia
| ||
Attended training | 75 | 46.6 |
Not attended training | 101 | 57.4 |
Experience in ANC (years)
| ||
Less than 5 | 88 | 50 |
5 and above | 88 | 50 |
Healthcare providers’ knowledge of PE/E management
Healthcare providers skills on PE/E management
Questions | Correct n(%) | Incorrect n(%) |
---|---|---|
Knowledge
| ||
What is pre-eclampsia? | 176(100) | 0(0.0) |
At what week of gestation does pre-eclampsia develop? | 138(78.4) | 38(21.6) |
What are the symptoms of pre-eclampsia? | 176(100) | 0(0.0) |
What is the screening test for the prediction of pre-eclampsia? | 176(100) | 0(0.0) |
What are the risk factors for developing pre-eclampsia? | 124(70.5) | 52(29.5) |
What are the stated drugs for controlling blood pressure? | 138(78.4) | 38(21.6) |
In which category of pre-eclampsia doe’s magnesium sulphate injection be used? | 147(83.5) | 29(16.5) |
What is the loading dose of magnesium sulphate? | 88(50) | 88(50) |
What are the signs of magnesium sulphate toxicity? | 111(63.5) | 65(36.9) |
What is the antidote to magnesium sulphate toxicity? | 159(90.3) | 17(9.7) |
Skills
| ||
Describe screening of danger signs procedure | 82(46.6) | 94(53.4) |
Describe steps of giving the loading dose of magnesium sulphate | 64(36.4) | 112(63.6) |
Describe the steps of giving maintenance dose of magnesium sulphate | 65(36.9) | 111(63.1) |
Describe the steps of assessing magnesium sulphate toxicity | 59(33.5) | 117(66.5) |
Describe the steps of giving antidote of magnesium sulphate | 98(55.7) | 78(44.3) |
Describe the steps of checking urine for protein | 176(100) | 0(0.0) |
Describe the steps of assessing for convulsion | 82(46.6)) | 94(53.4) |
Bivariate and multivariate logistic regression models for predictors of knowledge of PE/E management
Variables | Knowledge Level | ||||
---|---|---|---|---|---|
Total
|
Adequate knowledge
n(%)
|
COR (95% CI)
|
AOR (95% CI)
|
p-value
| |
Age group (years)
a
| |||||
Under 30 | 37 | 7(18.9) | Ref. | ||
30–39 | 91 | 42(46.2) | 3.67(1.4–9.2) | 1.18(0.3–3.5) | 0.76 |
40–49 | 34 | 25(73.5) | 11.90(3.8–36.5)b | 1.57(0.3–7.3) | 0.56 |
50 and older | 14 | 12(87.5) | 25.7(4.6-141.9)b | 3.19(0.3–26.0) | 0.28 |
Sex
| |||||
Male | 76 | 39(51.3) | - | - | - |
Female | 100 | 47(47) | - | ||
Working facilities level,a | |||||
Primary level | 118 | 46(39.0) | Ref. | ||
Secondary and tertiary level | 58 | 40(69) | 3.47(1.7–6.7)b | 3.28(1.2–8.2) | 0.01 |
Professional qualification
a
| |||||
Diploma in nursing | 96 | 30(31.2) | Ref | ||
Degree/master in nursing | 13 | 13(100) | 355(0.00) | - | - |
Clinical officer | 47 | 23(48.9) | 2.1(1.0-4.3) | - | - |
Assistant/medical doctor | 20 | 20(100) | 355(0.00) | - | - |
Pre-eclampsia on job training
a
| |||||
Never attended training | 101 | 22(21.7) | Ref. | ||
Attended training | 75 | 64(85.3) | 20.89(9.4–46.2)b | 7.8(2.7–22.7) | < 0.001 |
Experience in ANC (years)
a
| |||||
Less than 5 | 88 | 22(25.0) | Ref. | ||
5 and above | 88 | 64(72.7) | 8(4.1–15.6)b | 2.3(0.7–7.1) | 0.15 |
Bivariate and multivariate logistic regression models for predictors of skills on PE/E management
Variables | Skills Level | ||||
---|---|---|---|---|---|
Total
|
Adequate skills
n(%)
|
COR (95% CI)
|
AOR (95% CI)
|
p-value
| |
Age group (years)
a
| |||||
20–39 | 41(32.5) | 12.5(5.2–30.4) | 2.8(0.7–15.6) | 0.15 | |
40–59 | 42(85.7) | Ref | |||
Sex
| |||||
Male | 76 | 37(48.5) | - | - | |
Female | 100 | 46(46) | - | - | |
Working facilities level
a
| |||||
Primary level | 118 | 47(39.8) |
Ref.
| ||
Secondary and tertiary level | 58 | 36(62.1) | 2.47(1.2–4.7)b | 1.7(0.3–9.6) | 0.5 |
Professional qualification
a
| |||||
Diploma in nursing | 96 | 39(40.6) |
Ref
| ||
Degree/master in Nursing | 13 | 12(92.3) | 17.5(2-140) | 12(0.5–251) | 0.11 |
Clinical officer | 47 | 15(31.9) | 0.6(0.3–1.4) | 0.4(0.1–1.7) | 0.44 |
Assistant/medical doctor | 20 | 17(85) | 8.2(2.2–30.1)b | 18.9(2.1–166) | 0.008 |
Pre-eclampsia on job training
a
| |||||
Never Attended training | 101 | 15(14.9) |
Ref.
| ||
Attended training | 75 | 68(90.7) | 55.6(21.4–144)b | 8.7(2.7–27.5) | < 0.001 |
Experience in ANC (years)
a
| |||||
Less than 5 | 88 | 10(11.4) | Ref. | ||
5 and above | 88 | 73(83.0) | 37.9(16-89.8)b | 27.9(5.2–148) | < 0.001 |