Better Neonatal Health Outcomes: Management of Materno-Foetal Risk Factors in Peripheral Health Centres In Burundi

Desire Habonimana^1,2, Denis Niyomwungere¹, Pontien Ndabashinze^1,2, Nadine Misago³, Emile Nkurunziza⁴, Leonard Bivahagumye^1,2, Eugene Ndirahisha^1,2

Received: November 06, 2020   Published: November 30, 2020

DOI: 10.32474/PAPN.2020.03.000153

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Abstract

Background

In Burundi, maternal health care is mainly provided by midwives especially in peripheral health centres. However, midwives may not have needed knowledge and management capacity to offer care needed for women presenting maternal risks. This study assessed and modelled determinants of the knowledge and management of materno-foetal risk factors among midwives offering maternal health care in peripheral health centres in Burundi.

Subjects and Method

A cross-sectional survey was conducted on 90 midwives from 32 peripheral health centres offering maternal health care using a multistage random sampling. Dichotomous outcomes were built, and logistic models fitted on sociodemographic determinants. Significance of coefficients were detected using confidence intervals.

Results

Of 90 midwives, 57 (63%) and 63 (70%) had deficient knowledge level and management capacity of materno-foetal risk fectors; respectively. Younger midwives, those who studied in technical public schools, and those who had received professional trainings were more likely to have good knowledge. The effect of experience was inconclusive. Midwives whose work experience amounted up to 5 years were better off while those with higher experience accused having deficient knowledge. A good knowledge of maternofoetal risk factors predicted better management capacity up to seven times more (OR=7.21 [2.23-23.40]). Contrarily, male gender, long commute distance and the age above 45 years negatively predicted better management capacity.

Conclusion

In peripheral health centres offering maternal health care, newly recruited midwives and those who completed university education need further capacity building training to enhance both their knowledge level and management capacity related to materno-foetal risk factors.

Keywords:Midwives; Peripheral Health Centres; Materno-Foetal Risk Fectors; Knowledge Level; Management Capacity

Abstract| Background| Subjects and Method| Data Analysis| Research Ethics| Results| Logistic models| Discussion| Financial Support and Sponsorship| Acknowledgement| Conflict of Interest| References|