Skilled birth attendant competence: An initial assessment in four countries, and implications for the safe motherhood movement

This article in the International Journal of Gynecology and Obstetrics called into question the knowledge and skill levels of skilled birth attendants in Benin, Ecuador, Jamaica, and Rwanda. The study measured competence against guidelines from the World Health Organization's Integrated Management of Pregnancy and Childbirth protocol. For 166 participants, knowledge was evaluated using a 49-question test covering seven clinical areas, and skill was measured by having participants perform different procedures on anatomical models. While differing by country and cadre, providers averaged 56% on the knowledge questions and performed 48% of the skill steps correctly, leading to a conclusion that a wide gap exists between current evidence-based standards and competence levels.

Harvey SA, P Ayabaca, M Bucagu, S Djibrina, W Edson, S Gbangade, A McCaw-Binns, and  BR Burkhalter, “Skilled birth attendant competence: An initial assessment in four countries, and implications for the safe motherhood movement,” International Journal of  Gynecology and Obstetrics 87 (2004): 203–210.

Publication Date 
October 2004
Authors 
Harvey SA, P Ayabaca, M Bucagu, S Djibrina, W Edson, S Gbangade, A McCaw-Binns, and BR Burkhalter
Resource Type 
Publications
Peer-reviewed Journal Articles