Assessement of Knowledge and Practice of Obstetric Care Providers toward Active Management of Third Stage of Labor at Public Health Centers in the Towns of Finfine Area Special Zone of Oromia Regional State, Ethiopia

Nigussie, Dejene (2017) Assessement of Knowledge and Practice of Obstetric Care Providers toward Active Management of Third Stage of Labor at Public Health Centers in the Towns of Finfine Area Special Zone of Oromia Regional State, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Introduction: Postpartum hemorrhage is the most common leading cause of maternal mortality worldwide and most of the death is in developing countries including Ethiopia. Globally, it is responsible for more than 25% of all maternal death and this proportion is higher in sub-Saharan Africa. Postpartum hemorrhage can be minimized and prevented by application of a protocol known as active management of third stage of labor. Proportion of deliveries assisted by a skilled birth attendant and antenatal care coverage have been used as a key proxy indicator for monitoring global progress towards decreasing maternal mortality. However, these two indicators may not reflect the content or quality of the care provider. Objective; The objective of this study is to assess Knowledge and practice of obstetric care providers toward active management of third stage of labour (AMTSL) at health centers of Finfine area special zone of Oromia regional state, Ethiopia from April to May 2017 Methods and materials; Institutional based descriptive cross sectional study design was implemented. Whole health centers in selected towns were included to the study with 118 obstetric care providers from all health centers. Interviewer-administered structure questionnaire and observation by using observational check list was employed. Data was entered using Epidata V.3.1 and exported to SPSS version 21.0 for statistical analyses. Descriptive statistical analysis was used to present data while logistic regression were used to determine association of independent variables with practice of obstetrics care providers. Results: Adequate knowledge on AMTSL was achieved by 40.7% of obstetrics care providers while good practice on AMTSL was achieved by 18.6% of them. Sex, pre or in service training, access to reading materials and knowledge levels of obstetrics care providers were among factors that affects their practice on AMTSL. Conclusions and recommendations: The overall knowledge and practice of obstetric care providers on AMTSL in the present study were not satisfactory. In views of the findings of this study, it implies that the practice of obstetric care providers was much lower than their knowledge of AMTSL. The investigator calls for immediate interventions.

Item Type:	Thesis (Masters)
Uncontrolled Keywords:	Knowledge, practice, Active management of third stage of labour, postpartum hemorrhage,Ethiopia
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	18 Oct 2018 10:39
Last Modified:	18 Oct 2018 10:39
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6888

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