@article{fdi:010062339,
  title = {{O}bstetric competence among primary healthcare workers in {M}ali},
  author = {{T}raore, {M}. and {A}rsenault, {C}. and {S}choemaker-{M}arcotte, {C}. and {C}oulibaly, {A}. and {H}uchon, {C}. and {D}umont, {A}lexandre and {F}ournier, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o determine individual and contextual factors associated with emergency obstetric and neonatal care ({E}m{ONC}) competency among primary healthcare staff in {M}ali. {M}ethods: {B}etween {N}ovember 2011 and {A}pril 2012, a competency test was administered to 196 healthcare workers in 65 community health centers in {M}ali. {T}he test was scored from 0 to 100, and differences among 5 areas of {E}m{ONC} were assessed. {A} multilevel linear regression model was used to determine individual and contextual factors associated with score. {R}esults: {T}he mean score was 66.7 (minimum, 15.9; maximum, 97.7). {K}nowledge was most deficient for postpartum infection and hypertensive complications. {T}ype of health worker, years of experience, number of days absent, and availability of guidelines for management of obstetric complications within the health center were positively associated with test score ({P} < 0.05). {A}vailability of guidelines was associated with higher competency of physicians, health technicians, and obstetric nurses ({P} < 0.001), and seemed to influence the competency of healthcare workers with fewer than 10 years of experience in particular. {C}onclusion: {G}uidelines must be developed that will facilitate standardization of the management of postpartum infection and other less common complications for which healthcare workers show low competence. {S}trategies to increase use of these guidelines will be necessary.},
  keywords = {{C}linical vignette ; {E}mergency obstetric care ; {O}bstetric knowledge ; {P}rimary healthcare ; {S}ub-{S}aharan {A}frica ; {MALI}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {G}ynecology and {O}bstetrics},
  volume = {126},
  numero = {1},
  pages = {50--55},
  ISSN = {0020-7292},
  year = {2014},
  DOI = {10.1016/j.ijgo.2014.01.012},
  URL = {https://www.documentation.ird.fr/hor/fdi:010062339},
}