Preparing the health workforce in Ethiopia: A Cross-sectional study of competence of anesthesia graduating students

Kibwana, Sharon; Woldemariam, Damtew; Misganaw, Awoke; Teshome, Mihereteab; Akalu, Leulayehu; Kols, Adrienne; Kim, Young Mi; Mengistu, Samuel Tekle; Roosmalen, Jos van; Stekelenburg, Jelle

doi:10.4103/1357-6283.178931

Cited by 18 publications

(18 citation statements)

References 34 publications

(38 reference statements)

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“…Efforts to address shortages of health workers in low resource settings have focused on rapidly increasing the number of higher education programs for health workers. 2 Rapid increases in the number and size of training programs for health professionals in low and middle-income countries demands material and human resource inputs. 3 …”

Section: Introductionmentioning

confidence: 99%

Educational Resources for Preservice Anesthesia Training Programs in Amhara Region, Ethiopia

Yetneberk¹,

Berhe²,

Getnet³

et al. 2021

AMEP

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Section: Introductionmentioning

confidence: 99%

Educational Resources for Preservice Anesthesia Training Programs in Amhara Region, Ethiopia

Yetneberk¹,

Berhe²,

Getnet³

et al. 2021

AMEP

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“…Information regarding the level of competence that graduating anesthetists bring to their work place is limited. A recent study 7 indicated that some graduating anesthesia students were unable to successfully perform key skills during an observed structured clinical examination.…”

mentioning

confidence: 99%

Education, Practice, and Competency Gaps of Anesthetists in Ethiopia: Task Analysis

Kibwana¹,

Teshome²,

Asemu³

et al. 2018

Journal of PeriAnesthesia Nursing

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“…[ 3 ]. This low competence score of midwives in our study could be attributed to the students’ perceived poor quality of health care providers’ pre service education in Ethiopia [ 11 , 19 ] including gaps in availability of quality and adequacy of teachers, educational resources and the practical sites. In a study conducted in Addis Ababa, insufficient in-service and pre-service trainings were also identified as barriers to providing quality basic emergency obstetric and neonatal care.…”

Section: Discussionmentioning

confidence: 91%

“…These results are consistent with previous studies conducted in Ethiopia looking at graduating midwifery [ 11 ] and anesthesia students. [ 19 ] These persistent findings of lower competence of female health care providers requires further investigation to identify challenges faced by female health care providers in gaining and maintaining the required skills and competencies.…”

Section: Discussionmentioning

confidence: 99%

Assessing the competence of midwives to provide care during labor, childbirth and the immediate postpartum period – A cross sectional study in Tigray region, Ethiopia

Goshu

Godefay²,

Bihonegn

et al. 2018

PLoS ONE

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BackgroundThe availability of a skilled birth attendant is widely recognized as a critical factor in reducing maternal and newborn mortality. Competence of maternal healthcare providers directly affects quality of care and health outcomes. This study assessed competence of midwives and associated factors in provision of care during labor, and the immediate postpartum period at public health facilities in Tigray, Ethiopia.MethodsA cross-sectional study design was employed to collect data through direct observation of the performance of 144 midwives selected from 57 health facilities. Data were collected from January to February 2015 by 12 experienced midwives who were trained on basic emergency obstetric care and had previous experience with data collection. Using a standardized competence checklist, adapted from International confederation of midwives, data collectors interviewed and directly observed the performance of midwives from admission of laboring mothers to six hours after delivery. Multivariable linear regression was used to identify predicators associated with overall clinical competence of midwives.ResultThe mean competence score of midwives was found to be 51%. In multivariable linear regression, male midwifery professionals (p = 0.022), availability of up to date job aids in work place (p = 0.04) and being recognized for improved performance (p = 0.005) were significantly associated with competence of midwives in the provision of care during labor, childbirth and immediate postpartum period.ConclusionCompetence of midwives was found to be low to provide safe and quality maternity care in the region. Male gender, availability of complete job aids and receiving recognition/awards for better performance were predicted competence. This requires attention and investment from Tigray regional health bureau and health development partners working on maternal and child health. Competence based in-service training, on-the-job mentoring, availing up to dated standard job aids, recognition of high performing midwives are recommended to improve the quality of maternity care in public health facilities of the region. Moreover, affirmative actions including on-the-job training and supervision are needed to improve the competence of female midwives.

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Preparing the health workforce in Ethiopia: A Cross-sectional study of competence of anesthesia graduating students

Abstract: Ethiopia has successfully expanded higher education for anesthetists, but a focus on quality of training and assessment of learners is required to ensure that graduates have mastered basic skills and are able to offer safe services.

Cited by 18 publications

References 34 publications

Educational Resources for Preservice Anesthesia Training Programs in Amhara Region, Ethiopia

Educational Resources for Preservice Anesthesia Training Programs in Amhara Region, Ethiopia

Education, Practice, and Competency Gaps of Anesthetists in Ethiopia: Task Analysis

Assessing the competence of midwives to provide care during labor, childbirth and the immediate postpartum period – A cross sectional study in Tigray region, Ethiopia

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