Browsing by Author "Muyanga, Daniel Lugwesa"

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    Assessment of knowledge and skills on active management of third stage of labor among health care providers for prevention of post-partum haemorrhage in lake zone Tanzania
    (The University of Dodoma, 2019) Muyanga, Daniel Lugwesa
    Introduction: Globally, by 2015 the maternal mortality ratio is estimated to be 216 per 100,000 live births. In Tanzania was approximately 556 per 100,000 live births; the leading cause was PPH approximately 25% of maternal deaths and uterine atony contributes 70% of PPH. These show that there are some limitations of knowledge and skills level on AMTSL among health care providers for prevention of PPH as it prevented more than 60% of PPH. Objectives: Assessment of knowledge and skills on active management of third stage of labour among health care providers for prevention of PPH in Lake Zone Tanzania. Methods: The research design was descriptive cross- sectional study. The study involved 340 participants who were obtained by convenient sampling. Regional, District hospital and health centers were selected by simple random technique, consultant hospital was purposefully selected. Data were collected using questionnaires and observational checklist. Results: The study found that, of all 340 participants, 171 (50.3%) had adequate knowledge, while 153(45.0%) had adequate skills on AMTSL among health care providers. Health care providers aged 45 years and above are (AOR 9.350,P< 0.009) times more likely to have adequate knowledge compared with health care providers aged below 25 years. Health care providers who works at hospital level are (AOR 1.779,P< 0.014) times more likely to have adequate knowledge than health care providers who works at health centres. On skills, male health care providers were 1.962(P< 0.009) times more likely to have adequate skills than female health care providers. Enrolled nurses have 70.2 % (P< 0.008) less likely to have adequate skills than medical Doctors. Conclusion: the magnitude of adequate skills on AMTSL is low, thus there is a need of improving the level of skills by clinical mentorship visits and bed side training to health care providers working in labour ward .
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    Knowledge and skills on active management of third stage of labor for prevention of post-partum haemorrhage among health care providers in Lake Zone, Tanzania: a cross sectional study
    (Springer Nature, 2022) Muyanga, Daniel Lugwesa; Joho, Angelina A.
    Background: Health care providers (HCPs) knowledge and skills are both crucial in saving the lives of mothers and their newborns during childbirth. This study aimed to assess the knowledge and skills of HCPs on active management of third stage of labor (AMTSL) for prevention of PPH in Lake Zone Tanzania. Methods: A cross-sectional analytical hospital-based study which included 340 HCPs who were randomly selected, the study was conducted from March to May 2019 in lake zone, Tanzania. Data were collected using standardized questionnaire and observational checklist. Predictors of knowledge and skills on AMTSL were determined using binary logistic regression under multivariable analysis using SPSS version 23.0. p-value less than 0.05 was considered signifcant. Results: Most 200 (58.8%) of the participants were aged between 25 and 34 years with mean age 31.4±6.26 years. Majority 240 (67.6%) were females. Of all HCPs, 171 (50.3%) had adequate knowledge whereas 153 (45.0%) had adequate skills on AMTSL. Males (AOR=1.96, 95% CI 1.18–3.26), HCPs with University education (AOR=3.29, 95% CI 1.19–9.13) and previous BEmONC training (AOR=2.20, 95% CI 1.24–3.91) were found to be the predictors of adequate knowledge on AMTSL. HCPs aged≥45 years (AOR=9.35, 95% CI 1.74–10.28) and HCPs working at a hospital (AOR=1.78, 95% CI 1.12–2.82) were associated with having adequate skills on AMTSL. Conclusion: HCPs included in this study demonstrated low skills on AMTSL as compared to knowledge which needs immediate attention. We recommend continuous in-service training and supportive supervision among HCPs working in labour wards for improving their knowledge and skills on AMTSL. This will help to reduce maternal morbidity and mortality related to PPH.