A CROSS-SECTIONAL STUDY TO ASSESS THE KNOWLEDGE OF SKILLED BIRTH ATTENDANTS IN INDORE DISTRICT OF MADHYA PRADESH

Deepika Rathore; Dhruvendra Pandey; Mahesh Gupta; Umesh Sinha

doi:10.22159/ajpcr.2024.v17i1.48756

Authors

Deepika Rathore Department of Community Medicine, GMC Ratlam, Madhya Pradesh, India. https://orcid.org/0009-0004-3606-1160
Dhruvendra Pandey Department of Community Medicine, GMC Ratlam, Madhya Pradesh, India. https://orcid.org/0000-0002-6791-9447
Mahesh Gupta Department of Community Medicine, GMC Ratlam, Madhya Pradesh, India.
Umesh Sinha Department of Community Medicine, GMC Ratlam, Madhya Pradesh, India. https://orcid.org/0009-0002-3047-8534

DOI:

https://doi.org/10.22159/ajpcr.2024.v17i1.48756

Keywords:

Skilled birth attendants, Knowledge, Antenatal care

Abstract

Objective: The objective of the study is to assess the knowledge of skilled birth attendants (SBAs) in providing antenatal care, intranatal care, management of complications, and postnatal care.

Methods: A cross-sectional study was done at primary and secondary level of health-care delivery centers of Indore district in Madhya Pradesh. Health centers were selected by simple random sampling. SBA-trained health personnel were selected from the study health centers and their knowledge was assessed through pre-designed, semistructured questionnaire prepared from “Trainers manual for training of SBA” of MOHFW.

Result: A total of 80 trained SBAs were selected from the study health centers. Knowledge regarding postnatal care was highest (88.5%) followed by knowledge regarding antenatal care (86.8) and intranatal care (82.3%). Knowledge regarding the management of complications was lowest (75.8%). Overall, average % of knowledge regarding various subtopics among Medical Officer/AYUSH Medical Officer was 88.5%, followed by staff nurse (SN) was 85.5, lady health visitor (LHV) was 83.4%, and auxiliary nurse midwife (ANM) was 76.1%. Average % in the management of complications was lowest among LHVs (61.9%) and ANM (66.3%). A significant difference was observed between SNs and ANM with regard to intranatal care (p=0.011) and management of complications (p<0.001).

Conclusion: Knowledge of SBA was highest in postnatal care followed by antenatal and intranatal care and lowest in management of complications. Among the different categories of SBA, knowledge with regard to intranatal care and management of complications was better in SNs than ANMs.

Downloads

Download data is not yet available.

Author Biography

Deepika Rathore, Department of Community Medicine, GMC Ratlam, Madhya Pradesh, India.

Assitant Professor

Department of Community Medicine

GMC Ratlam

References

Sample Registration System Statistical Report; 2011. Available from: https://censusindia.gov.in/nada/index.php/catalog/34790/ download/38478/SRS_STAT_2011.pdf [Last accessed on 2023 Jul 26].

MHFW. Guidelines for Antenatal Care and Skilled Attendance at Birth by ANMs and LHVs. New Delhi: Maternal Health Division, Ministry of Health and Family Welfare; 2010. Available from: https://nhm.gov.in/ images/pdf/programmes/maternal-health/guidelines/sba_guidelines_ for_skilled_attendance_at_birth.pdf [Last accessed on 2020 Feb 01].

NFHS-4 2015-16. Madhya Pradesh: State Fact Sheet. Available from: http://rchiips.org/nfhs/pdf/NFHS4/MP_FactSheet.pdf [Last accessed on 2020 Feb 01].

GOI. Maternal Health Interventions NRHM/RCH II. New Delhi: Maternal Health Division. Ministry of Health and Family Welfare; 2007. Available from: https://nhm.gov.in/images/pdf/media/presentation/ reproductive-n-child-health/maternal_health_june_2007revisedpres_ mh.pps [Last accessed on 2020 Feb 01].

Government of India. Sample Registration System. Stat Report. 2010- 2012. Office of Registrar. General of India. Available from: https://censusindia.gov.in/nada/index.php/catalog/34791/download/38479/ SRS_STAT_2012.pdf [Last accessed on 2020 Feb 01].

Achievements UNDER MILLENNIUM Development Goals. Available from: http://pib.nic.in/newsite/PrintRelease.aspx?relid=123669 [Last accessed on 2016 Oct 15]; [Last accessed on 2020 Feb 01].

MoHFW. Trainers Guide for Conducting Training of Auxiliary Nurse Midwives Lady Health Visitors and Staff Nurse. New Delhi: Maternal Health Division, Ministry of Health and Family Welfare; 2005. Available from: http://nrhm.gov.in/images/pdf/programmes/ maternalhealth/guidelines/sba_trainers_guide_for_anm_lhv_sn.pdf [Last accessed on 2020 Feb 01].

Bali S, Reddy VB. Evaluation of competency and skills of skilled birth attendants in Madhya Pradesh, central India. Indian J Public Health 2018;62:61-4. doi: 10.4103/ijph.IJPH_332_16, PMID 29512569

Bajpayee D, Raju M. Evaluation of SBA training programme in Karnataka. BMC Proc 2012;6:O21. doi: 10.1186/1753-6561-6-S5-O21, PMCID PMC3467556

Harvey SA, Ayabaca P, Bucagu M, Djibrina S, Edson WN, Gbangbade S, et al. Skilled birth attendant competence: An initial assessment in four countries, and implications for the Safe Motherhood movement. Int J Gynaecol Obstet 2004;87:203-10. doi: 10.1016/j.ijgo.2004.06.017, PMID 15491581

Partamin KY, Kim YM, Mungia J, Faqir M, Ansari N, Evans C. Patterns in training, knowledge, and performance of skilled birth attendants providing emergency obstetric and newborn care in Afghanistan. Int J Gynaecol Obstet 2012;119:125-29. doi: 10.1016/j.ijgo.2012.05.030, PMID 22858205