Table 4. Mean Phase II competency scores (%) by provider cadre and topica.
| Topic | Doctors (n) | Medical students (n) | Professional nursesb (n) | Auxiliary nurses (n) | Total (n) |
|---|---|---|---|---|---|
| Knowledge test | |||||
| Infection prevention | 21.4% (506) | 12.2% (148) | 16.2% (339) | 9.6% (365) | ** 15.9% (1358) |
| Uncomplicated labour and delivery | 73.1% (357) | 71.7% (117) | 52.6% (256) | 47.5% (307) | ** 60.3% (1037) |
| Immediate newborn care | 65.3% (347) | 60.8% (120) | 44.8% (243) | 39.0% (313) | ** 51.9% (1023) |
| Haemorrhage during pregnancy | 88.4% (357) | 86.8% (117) | 75.9% (256) | 70.3% (307) | ** 79.8% (1037) |
| Postpartum haemorrhage | 81.1% (357) | 75.9% (117) | 60.4% (256) | 57.8% (307) | ** 68.5% (1037) |
| Pregnancy-induced hypertension | 60.5% (357) | 57.2% (117) | 45.5% (256) | 43.0% (307) | ** 51.2% (1037) |
| Sepsis | 76.3% (357) | 73.4% (117) | 61.5% (256) | 53.0% (307) | ** 65.4% (1037) |
| Active management of third stage labour | 84.1% (357) | 82.6% (117) | 67.8% (256) | 63.4% (307) | ** 73.8% (1037) |
| Total knowledge score | 71.5% (506) | 67.5% (148) | 56.7% (339) | 51.4% (365) | 62.0% (1358) |
| Partograph test | |||||
| Written questions only | 67.0% (343) | 65.8% (116) | 41.9% (118) | 32.9% (89) | ** 57.8% (666) |
| Graphing only | 67.3% (343) | 69.1% (116) | 19.3% (118) | 9.9% (89) | ** 51.5% (666) |
| Total partograph test score | 67.1% (343) | 66.6% (116) | 36.3% (118) | 27.1% (89) | 56.2% (666) |
| Skills evaluation | |||||
| Active management of third stage labour | 52.5% (170) | 48.7% (41) | 40.9% (93) | 36.4% (81) | ** 45.9% (385) |
| Manual extraction of the placenta | 53.1% (170) | 45.0% (41) | – | – | ** 51.5% (211) |
| Bimanual uterine compression | 48.4% (170) | 37.2% (41) | – | – | ** 46.2% (211) |
| Immediate newborn care | 76.4% (159) | 76.8% (40) | 67.4% (86) | 63.6% (84) | ** 71.5% (369) |
| Neonatal resuscitation with ambu bag | 61.6% (159) | 57.7% (40) | 50.1% (86) | 45.0% (84) | ** 54.7% (369) |
a Statistical significance for the difference in scores between provider cadres determined by ANOVA: * P < 0.05; ** P < 0.001. b As in Table 2, five nurse-midwives who participated in Phase II were included in the category “professional nurses”.