Determinants of healthcare providers' confidence in their clinical skills to deliver quality obstetric and newborn care in Uganda and Zambia

BMC Health Services Research
Min Kyung KimMargaret E Kruk

Abstract

Poor quality obstetric and newborn care persists in sub-Saharan Africa and weak provider competence is an important contributor. To be competent, providers need to be both knowledgeable and confident in their ability to perform necessary clinical actions. Confidence or self-efficacy has not been extensively studied but may be related to individuals' knowledge, ability to practice their skills, and other modifiable factors. In this study, we investigated how knowledge and scope of practice are associated with provider confidence in delivering obstetric and newborn health services in Uganda and Zambia. This study was a secondary analysis of data from an obstetric and newborn care program implementation evaluation. Provider knowledge, scope of practice (completion of a series of obstetric tasks in the past 3 months) and confidence in delivering obstetric and newborn care were measured post intervention in intervention and comparison districts in Uganda and Zambia. We used multiple linear regression models to investigate the extent to which exposure to a wider range of clinical tasks associated with confidence, adjusting for facility and provider characteristics. Of the 574 providers included in the study, 69% were female, 24% were...Continue Reading

References

May 7, 2002·Social Science & Medicine·Lynne Miller FrancoRuth Kanfer
Nov 8, 2003·Social Science & Medicine·Lynne Miller FrancoPatrick Stubblebine
Nov 27, 2007·Bulletin of the World Health Organization·Steven A HarveyUNKNOWN Nicaraguan Maternal and Neonatal Health Quality Improvement Group
Jul 29, 2008·Patient Education and Counseling·Danielle C BlanchRichard M Frankel
Apr 10, 2014·International Journal of Nursing Practice·Young Ok YangJin-Hyang Yang
Oct 30, 2015·Human Resources for Health·David R HotchkissManisha Tharaney
Mar 3, 2017·Bulletin of the World Health Organization·Anna D GageMargaret E Kruk
Aug 24, 2017·Human Resources for Health·Jakub GajewskiRuairi Brugha
Feb 13, 2018·BMC Nursing·Thokozani Bvumbwe, Ntombifikile Mtshali
Sep 10, 2018·The Lancet Global Health·Margaret E KrukMuhammad Pate
Nov 6, 2018·International Journal of Mental Health Systems·Jessica SpagnoloFatma Charfi

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Citations

Apr 16, 2021·BMC Pregnancy and Childbirth·Sunday DominicoPatricia E Bailey
Sep 10, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Min Kyung KimMargaret E Kruk
Oct 2, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Sherry A BurrellMaryAnn Heverly

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