Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda
Abstract Background Nurses and midwives are at the forefront of the provision of Emergency Obstetric and Neonatal Care (EmONC) and Continuous Professional Development (CPD) is crucial to provide them with competencies they need to provide quality services. This research aimed to assess uptake and ac...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10440-8 |
| _version_ | 1797233753722978304 |
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| author | Mathias Gakwerere Jean Pierre Ndayisenga Anaclet Ngabonzima Thiery Claudien Uhawenimana Assumpta Yamuragiye Florien Harindimana Bernard Ngabo Rwabufigiri |
| author_facet | Mathias Gakwerere Jean Pierre Ndayisenga Anaclet Ngabonzima Thiery Claudien Uhawenimana Assumpta Yamuragiye Florien Harindimana Bernard Ngabo Rwabufigiri |
| author_sort | Mathias Gakwerere |
| collection | DOAJ |
| description | Abstract Background Nurses and midwives are at the forefront of the provision of Emergency Obstetric and Neonatal Care (EmONC) and Continuous Professional Development (CPD) is crucial to provide them with competencies they need to provide quality services. This research aimed to assess uptake and accessibility of midwives and nurses to CPD and determine their knowledge and skills gaps in key competencies of EmONC to inform the CPD programming. Methods The study applied a quantitative, cross-sectional, and descriptive research methodology. Using a random selection, forty (40) health facilities (HFs) were selected out of 445 HFs that performed at least 20 deliveries per month from July 1st, 2020 to June 30th, 2021 in Rwanda. Questionnaires were used to collect data on updates of CPD, knowledge on EmONC and delivery methods to accessCPD. Data was analyzed using IBM SPSS statistics 27 software. Results Nurses and midwives are required by the Rwandan midwifery regulatory body to complete at least 60 CPD credits before license renewal. However, the study findings revealed that most health care providers (HCPs) have not been trained on EmONC after graduation from their formal education. Results indicated that HCPs who had acquired less than 60 CPD credits related to EmONC training were 79.9% overall, 56.3% in hospitals, 82.2% at health centres and 100% at the health post levels. This resulted in skills and knowledge gaps in management of Pre/Eclampsia, Postpartum Hemorrhage and essential newborn care. The most common method to access CPD credits included workshops (43.6%) and online training (34.5%). Majority of HCPs noted that it was difficult to achieve the required CPD credits (57.0%). Conclusion The findings from this study revealed a low uptake of critical EmONC training by nurses and midwives in the form of CPD. The study suggests a need to integrate EmONC into the health workforce capacity building plan at all levels and to make such training systematic and available in multiple and easily accessible formats. Implication on nursing and midwifery policy Findings will inform the revision of policies and strategies to improve CPD towards accelerating capacity for the reduction of preventable maternal and perinatal deaths as well as reducing maternal disabilities in Rwanda. |
| first_indexed | 2024-04-24T16:21:11Z |
| format | Article |
| id | doaj.art-692409f2609a4b238e662b5e1ebe8079 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-24T16:21:11Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-692409f2609a4b238e662b5e1ebe80792024-03-31T11:13:55ZengBMCBMC Health Services Research1472-69632024-03-0124111010.1186/s12913-023-10440-8Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in RwandaMathias Gakwerere0Jean Pierre Ndayisenga1Anaclet Ngabonzima2Thiery Claudien Uhawenimana3Assumpta Yamuragiye4Florien Harindimana5Bernard Ngabo Rwabufigiri6Regional Office for East and Southern Africa, United Nations Population FundSchool of Nursing and Midwifery, College of Medicine and Health Science, University of RwandaJSI Research & Training Institute, Inc, International DivisionSchool of Nursing and Midwifery, College of Medicine and Health Science, University of RwandaSchool of Health Sciences, University of RwandaUnited Nations Population FundCollege of Medicine and Health Sciences, School of Public Health, University of RwandaAbstract Background Nurses and midwives are at the forefront of the provision of Emergency Obstetric and Neonatal Care (EmONC) and Continuous Professional Development (CPD) is crucial to provide them with competencies they need to provide quality services. This research aimed to assess uptake and accessibility of midwives and nurses to CPD and determine their knowledge and skills gaps in key competencies of EmONC to inform the CPD programming. Methods The study applied a quantitative, cross-sectional, and descriptive research methodology. Using a random selection, forty (40) health facilities (HFs) were selected out of 445 HFs that performed at least 20 deliveries per month from July 1st, 2020 to June 30th, 2021 in Rwanda. Questionnaires were used to collect data on updates of CPD, knowledge on EmONC and delivery methods to accessCPD. Data was analyzed using IBM SPSS statistics 27 software. Results Nurses and midwives are required by the Rwandan midwifery regulatory body to complete at least 60 CPD credits before license renewal. However, the study findings revealed that most health care providers (HCPs) have not been trained on EmONC after graduation from their formal education. Results indicated that HCPs who had acquired less than 60 CPD credits related to EmONC training were 79.9% overall, 56.3% in hospitals, 82.2% at health centres and 100% at the health post levels. This resulted in skills and knowledge gaps in management of Pre/Eclampsia, Postpartum Hemorrhage and essential newborn care. The most common method to access CPD credits included workshops (43.6%) and online training (34.5%). Majority of HCPs noted that it was difficult to achieve the required CPD credits (57.0%). Conclusion The findings from this study revealed a low uptake of critical EmONC training by nurses and midwives in the form of CPD. The study suggests a need to integrate EmONC into the health workforce capacity building plan at all levels and to make such training systematic and available in multiple and easily accessible formats. Implication on nursing and midwifery policy Findings will inform the revision of policies and strategies to improve CPD towards accelerating capacity for the reduction of preventable maternal and perinatal deaths as well as reducing maternal disabilities in Rwanda.https://doi.org/10.1186/s12913-023-10440-8CPDEmONCMidwifery |
| spellingShingle | Mathias Gakwerere Jean Pierre Ndayisenga Anaclet Ngabonzima Thiery Claudien Uhawenimana Assumpta Yamuragiye Florien Harindimana Bernard Ngabo Rwabufigiri Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda BMC Health Services Research CPD EmONC Midwifery |
| title | Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda |
| title_full | Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda |
| title_fullStr | Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda |
| title_full_unstemmed | Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda |
| title_short | Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda |
| title_sort | access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in rwanda |
| topic | CPD EmONC Midwifery |
| url | https://doi.org/10.1186/s12913-023-10440-8 |
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