Evaluation of health workforce competence in maternal and neonatal issues in public health sector of Pakistan: an Assessment of their training needs
Background More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan ha...
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| Published in: | BMC health services research Vol. 10; no. 1; p. 319 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
London
BioMed Central
27.11.2010
BioMed Central Ltd Springer Nature B.V BMC |
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| ISSN: | 1472-6963, 1472-6963 |
| Online Access: | Get full text |
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| Abstract | Background
More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change.
Methods
We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating.
Results
The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment.
Conclusions
All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. |
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| AbstractList | Background More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. Methods We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating. Results The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment. Conclusions All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating. The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment. All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change.BACKGROUNDMore than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change.We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating.METHODSWe carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating.The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment.RESULTSThe performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment.All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed.CONCLUSIONSAll three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. Abstract Background: More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. Methods: We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating. Results: The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment. Conclusions: All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. Background More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. Methods We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating. Results The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment. Conclusions All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating. The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment. All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed. |
| ArticleNumber | 319 |
| Audience | Academic |
| Author | Feroze, Asher B Jafarey, Sadiqua N Khan, Shuaib Soofi, Sajid B Ariff, Shabina Bhutta, Zulfiqar A Ali, Nabeela Sadiq, Kamran |
| AuthorAffiliation | 3 Department of Obstetrics and Gynaecology, Ziauddin Medical University, Karachi, Pakistan 1 Department of Paediatrics & Child Health, Aga Khan University, Karachi, Pakistan 2 PAIMAN, Pakistan Initiative for Maternal and Neonatal Health, JSI Research & Training Inc, Islamabad, Pakistan |
| AuthorAffiliation_xml | – name: 3 Department of Obstetrics and Gynaecology, Ziauddin Medical University, Karachi, Pakistan – name: 2 PAIMAN, Pakistan Initiative for Maternal and Neonatal Health, JSI Research & Training Inc, Islamabad, Pakistan – name: 1 Department of Paediatrics & Child Health, Aga Khan University, Karachi, Pakistan |
| Author_xml | – sequence: 1 givenname: Shabina surname: Ariff fullname: Ariff, Shabina organization: Department of Paediatrics & Child Health, Aga Khan University – sequence: 2 givenname: Sajid B surname: Soofi fullname: Soofi, Sajid B organization: Department of Paediatrics & Child Health, Aga Khan University – sequence: 3 givenname: Kamran surname: Sadiq fullname: Sadiq, Kamran organization: Department of Paediatrics & Child Health, Aga Khan University – sequence: 4 givenname: Asher B surname: Feroze fullname: Feroze, Asher B organization: Department of Paediatrics & Child Health, Aga Khan University – sequence: 5 givenname: Shuaib surname: Khan fullname: Khan, Shuaib organization: PAIMAN, Pakistan Initiative for Maternal and Neonatal Health, JSI Research & Training Inc – sequence: 6 givenname: Sadiqua N surname: Jafarey fullname: Jafarey, Sadiqua N organization: Department of Obstetrics and Gynaecology, Ziauddin Medical University – sequence: 7 givenname: Nabeela surname: Ali fullname: Ali, Nabeela organization: PAIMAN, Pakistan Initiative for Maternal and Neonatal Health, JSI Research & Training Inc – sequence: 8 givenname: Zulfiqar A surname: Bhutta fullname: Bhutta, Zulfiqar A email: zulfiqar.bhutta@aku.edu organization: Department of Paediatrics & Child Health, Aga Khan University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21110888$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S0140-6736(05)61005-7 10.1016/S0140-6736(05)71088-6 10.1016/S0140-6736(08)61407-5 10.1056/NEJMsa042830 10.2471/BLT.07.045849 10.1016/S1322-7696(08)60478-3 10.1111/j.1651-2227.2004.tb02923.x 10.1136/bmj.38979.379641.68 10.1186/1472-6963-9-46 10.1186/1478-4491-7-36 10.1016/S0140-6736(06)69380-X 10.1016/S0140-6736(07)61693-6 10.1093/tropej/fmi106 10.1186/1478-4491-7-59 10.1371/journal.pmed.1000062 10.1016/S0140-6736(05)71048-5 10.1111/j.1741-6787.2006.00067.x 10.1111/j.1651-2227.2007.00392.x 10.1016/S0140-6736(05)74233-1 10.1016/S0140-6736(07)60325-0 10.1016/j.jmwh.2007.02.014 |
| ContentType | Journal Article |
| Copyright | Ariff et al; licensee BioMed Central Ltd. 2010 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. COPYRIGHT 2010 BioMed Central Ltd. 2010 Ariff et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright ©2010 Ariff et al; licensee BioMed Central Ltd. 2010 Ariff et al; licensee BioMed Central Ltd. |
| Copyright_xml | – notice: Ariff et al; licensee BioMed Central Ltd. 2010 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. – notice: COPYRIGHT 2010 BioMed Central Ltd. – notice: 2010 Ariff et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. – notice: Copyright ©2010 Ariff et al; licensee BioMed Central Ltd. 2010 Ariff et al; licensee BioMed Central Ltd. |
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| DOI | 10.1186/1472-6963-10-319 |
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| References | Mc Clure, Wright, Chomba, Lincetto, Bann (CR9) 2007; 96 Bhutta (CR5) 2004; 328 Bartlett, K, Higgins (CR21) 2001; 19 Fikree, Haq (CR11) 2006; 56 CR16 Jokhio, W, Cheng (CR28) 2005; 352 Allen, Jeffery (CR8) 2006; 52 Rafat (CR13) 2007; 52 CR15 Eriksson, NT, Målqvist, Persson, Ewald, Wallin (CR25) 2009; 7 Knippenberg, LJ, darmstadt, Begkoyian, Fogstad, Walelign, Paul (CR17) 2005; 365 Ronsmans, Graham (CR4) 2006; 368 CR30 Darmstadt, Bhutta, Cousens, Adam (CR19) 2006; 365 Bhutta, AT, Black, Cousens, Dewey, Giugliani, Haider, Kirkwood, Morris, Sachdev (CR7) 2008; 371 Jalil (CR12) 2004; 93 Wallin, Ewald, Wikblad, Scott-Findlay, Arnetz (CR10) 2006; 3 Considine, Botti, Thomas (CR33) 2005; 12 CR2 Reidpath, M, Mecaskey, Allotey (CR31) 2009; 6 CR3 Lawn, Zupan (CR18) 2005; 365 CR24 CR23 CR22 CR20 Bhutta, Belgaumi, Abdur, Karrar, Mouane (CR1) 2006; 333 Mason (CR32) 2005; 365 Ziraba, M, Madise, Saliku, Fotso (CR26) 2009; 9 Bhutta, Z, Sajid, Salat, Cousens, Martines (CR29) 2008; 86 Bhutta (CR34) 2007 Haines, S, Lehmann, Rowe, Lawn, Jan, Walker, Bhutta (CR27) 2007; 369 Zaeem Haq (CR14) 2009; 7 Bhutta, Ali, Cousens, Ali, Haider, Rizvi, Okong, Bhutta (CR6) 2008; 372 A Haines (1465_CR27) 2007; 369 ZA Bhutta (1465_CR5) 2004; 328 ZA Bhutta (1465_CR1) 2006; 333 F Jalil (1465_CR12) 2004; 93 AH Zaeem Haq (1465_CR14) 2009; 7 R Knippenberg (1465_CR17) 2005; 365 JE Lawn (1465_CR18) 2005; 365 ZA Bhutta (1465_CR34) 2007 G Darmstadt (1465_CR19) 2006; 365 1465_CR20 Leif Eriksson (1465_CR25) 2009; 7 1465_CR2 Jan Rafat (1465_CR13) 2007; 52 1465_CR24 1465_CR3 JE Bartlett (1465_CR21) 2001; 19 1465_CR22 1465_CR23 AK Ziraba (1465_CR26) 2009; 9 1465_CR15 1465_CR16 ZA Bhutta (1465_CR29) 2008; 86 L Wallin (1465_CR10) 2006; 3 J Considine (1465_CR33) 2005; 12 ZA Bhutta (1465_CR6) 2008; 372 EM Mc Clure (1465_CR9) 2007; 96 D Reidpath (1465_CR31) 2009; 6 FF Fikree (1465_CR11) 2006; 56 C Ronsmans (1465_CR4) 2006; 368 CW Allen (1465_CR8) 2006; 52 1465_CR30 AH Jokhio (1465_CR28) 2005; 352 ZA Bhutta (1465_CR7) 2008; 371 E Mason (1465_CR32) 2005; 365 15070640 - BMJ. 2004 Apr 3;328(7443):816-9 15823364 - Lancet. 2005 Apr 9-15;365(9467):1286-8 18790320 - Lancet. 2008 Sep 13;372(9642):972-89 17586307 - Lancet. 2007 Jun 23;369(9579):2121-31 19399155 - PLoS Med. 2009 Apr 28;6(4):e1000062 15901862 - N Engl J Med. 2005 May 19;352(20):2091-9 15781104 - Lancet. 2005 Mar 19-25;365(9464):1087-98 15767001 - Lancet. 2005 Mar 12-18;365(9463):977-88 19622172 - Hum Resour Health. 2009 Jul 21;7:59 16619900 - Collegian. 2005 Jan;12(1):19-24 17608829 - Acta Paediatr. 2007 Aug;96(8):1135-8 17053238 - BMJ. 2006 Oct 21;333(7573):839-42 17177929 - Worldviews Evid Based Nurs. 2006;3(4):153-64 16711335 - J Pak Med Assoc. 2006 Apr;56(4):156-63 15752534 - Lancet. 2005 Mar 5-11;365(9462):891-900 17603963 - J Midwifery Womens Health. 2007 Jul-Aug;52(4):398-405 16464977 - J Trop Pediatr. 2006 Jun;52(3):218-22 17011946 - Lancet. 2006 Sep 30;368(9542):1189-200 18568274 - Bull World Health Organ. 2008 Jun;86(6):452-9 15499944 - Acta Paediatr. 2004 Oct;93(10):1273-9 18206226 - Lancet. 2008 Feb 2;371(9610):417-40 19284626 - BMC Health Serv Res. 2009;9:46 19393073 - Hum Resour Health. 2009 Apr 24;7:36 |
| References_xml | – ident: CR22 – volume: 365 start-page: 1286 year: 2005 end-page: 1288 ident: CR32 article-title: Child survival: time to match commitments with action publication-title: Lancet doi: 10.1016/S0140-6736(05)61005-7 – ident: CR2 – ident: CR16 – volume: 365 start-page: 977 year: 2006 end-page: 88 ident: CR19 article-title: Evidence-based, cost-effective interventions: how many newborn babies can we save? publication-title: Lancet doi: 10.1016/S0140-6736(05)71088-6 – volume: 372 start-page: 972 year: 2008 end-page: 989 ident: CR6 article-title: Interventions to address maternal, newborn, and child survival: whatifference can integrated primary health care strategies make? publication-title: Lancet doi: 10.1016/S0140-6736(08)61407-5 – ident: CR30 – volume: 352 start-page: 2091 year: 2005 end-page: 9 ident: CR28 article-title: An intervention involving traditional birth attendants and perinatal and maternal mortality in Pakistan publication-title: N Engl J Med doi: 10.1056/NEJMsa042830 – volume: 86 start-page: 452 year: 2008 end-page: 459 ident: CR29 article-title: Implementing community-based perinatal care: results from a pilot study in rural Pakistan publication-title: Bull World Health Organ doi: 10.2471/BLT.07.045849 – volume: 328 start-page: 16 year: 2004 end-page: 819 ident: CR5 article-title: Maternal and child health: is south Asia ready for change? publication-title: BMJ – volume: 12 start-page: 19 year: 2005 end-page: 24 ident: CR33 article-title: Design, format, validity and reliability of multiple choice questions for use in nursing research and education publication-title: Collegian doi: 10.1016/S1322-7696(08)60478-3 – volume: 56 start-page: 156 year: 2006 end-page: 63 ident: CR11 article-title: She may reach a facility but will still die! An analysis of quality of public sector maternal health services, District Multan, Pakistan publication-title: J Pak Med Assoc – year: 2007 ident: CR34 publication-title: Maternal And Child Health In Pakistan: Challenges And Opportunities – volume: 93 start-page: 1273 year: 2004 end-page: 1279 ident: CR12 article-title: Perinatal health in Pakistan: a review of the current situation publication-title: Acta Paediatr doi: 10.1111/j.1651-2227.2004.tb02923.x – volume: 333 start-page: 839 year: 2006 end-page: 42 ident: CR1 article-title: Child health and survival in the Eastern Mediterranean region publication-title: BMJ doi: 10.1136/bmj.38979.379641.68 – ident: CR23 – volume: 9 start-page: 46 year: 2009 ident: CR26 article-title: The state of emergency obstetric care services in Nairobi informal settlements and environs: Results from a maternity health facility survey publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-9-46 – volume: 7 start-page: 36 year: 2009 ident: CR25 article-title: Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam publication-title: Human Resources for Health doi: 10.1186/1478-4491-7-36 – ident: CR3 – ident: CR15 – volume: 368 start-page: 1189 year: 2006 end-page: 200 ident: CR4 article-title: Maternal mortality: who, when, where, and why? publication-title: Lancet doi: 10.1016/S0140-6736(06)69380-X – volume: 371 start-page: 417 year: 2008 end-page: 440 ident: CR7 article-title: What works? Interventions for maternal and child undernutrition and survival publication-title: The Lancet doi: 10.1016/S0140-6736(07)61693-6 – volume: 52 start-page: 218 year: 2006 end-page: 222 ident: CR8 article-title: Implementation and evaluation of a neonatal educational program in rural Nepal publication-title: Journal of Tropical Pediatrics doi: 10.1093/tropej/fmi106 – volume: 7 start-page: 59 year: 2009 ident: CR14 article-title: Knowledge and communication needs assessment of community health workers in a developing country: a qualitative study publication-title: Human resources for health doi: 10.1186/1478-4491-7-59 – volume: 19 start-page: 43 year: 2001 end-page: 50 ident: CR21 article-title: Organizational research: determining appropriate sample size in survey research publication-title: Information Technology, Learning, and Performance Journal – volume: 6 start-page: 4 year: 2009 ident: CR31 article-title: The Millennium Development Goals Fail Poor Children: The Case for Equity-Adjusted Measures publication-title: PLoS Med doi: 10.1371/journal.pmed.1000062 – volume: 365 start-page: 891 year: 2005 end-page: 900 ident: CR18 article-title: 4 million neonatal deaths: When? Where? Why? publication-title: Lancet doi: 10.1016/S0140-6736(05)71048-5 – volume: 3 start-page: 153 year: 2006 end-page: 164 ident: CR10 article-title: Understanding Work Contextual Factors: A Short Cut to Evidence-Based Practice? publication-title: Worldviews on Evidence-Based Nursing doi: 10.1111/j.1741-6787.2006.00067.x – volume: 96 start-page: 1135 year: 2007 end-page: 1138 ident: CR9 article-title: Evauation of the educational impact of the WHO, essential newborn care course uin Zambia publication-title: Acta Paediatrica doi: 10.1111/j.1651-2227.2007.00392.x – volume: 365 start-page: 1087 year: 2005 end-page: 1098 ident: CR17 article-title: Systematic scaling up of neonatal care in countries publication-title: Lancet doi: 10.1016/S0140-6736(05)74233-1 – volume: 369 start-page: 2121 year: 2007 end-page: 31 ident: CR27 article-title: Achieving child survival goals: potential contribution of community health workers publication-title: Lancet doi: 10.1016/S0140-6736(07)60325-0 – ident: CR24 – volume: 52 start-page: 398 year: 2007 end-page: 405 ident: CR13 article-title: Midwifery Education and Maternal and Neonatal Health Issues: Challenges in Pakistan publication-title: Journal of Midwifery & Women's Health doi: 10.1016/j.jmwh.2007.02.014 – ident: CR20 – volume: 328 start-page: 16 year: 2004 ident: 1465_CR5 publication-title: BMJ – volume: 19 start-page: 43 year: 2001 ident: 1465_CR21 publication-title: Information Technology, Learning, and Performance Journal – volume: 9 start-page: 46 year: 2009 ident: 1465_CR26 publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-9-46 – volume: 333 start-page: 839 year: 2006 ident: 1465_CR1 publication-title: BMJ doi: 10.1136/bmj.38979.379641.68 – volume: 6 start-page: 4 year: 2009 ident: 1465_CR31 publication-title: PLoS Med doi: 10.1371/journal.pmed.1000062 – ident: 1465_CR15 – ident: 1465_CR30 – volume: 372 start-page: 972 year: 2008 ident: 1465_CR6 publication-title: Lancet doi: 10.1016/S0140-6736(08)61407-5 – volume: 52 start-page: 398 year: 2007 ident: 1465_CR13 publication-title: Journal of Midwifery & Women's Health doi: 10.1016/j.jmwh.2007.02.014 – ident: 1465_CR2 – ident: 1465_CR23 – volume: 365 start-page: 891 year: 2005 ident: 1465_CR18 publication-title: Lancet doi: 10.1016/S0140-6736(05)71048-5 – volume: 7 start-page: 59 year: 2009 ident: 1465_CR14 publication-title: Human resources for health doi: 10.1186/1478-4491-7-59 – volume: 7 start-page: 36 year: 2009 ident: 1465_CR25 publication-title: Human Resources for Health doi: 10.1186/1478-4491-7-36 – volume: 365 start-page: 1087 year: 2005 ident: 1465_CR17 publication-title: Lancet doi: 10.1016/S0140-6736(05)74233-1 – volume: 3 start-page: 153 year: 2006 ident: 1465_CR10 publication-title: Worldviews on Evidence-Based Nursing doi: 10.1111/j.1741-6787.2006.00067.x – volume: 369 start-page: 2121 year: 2007 ident: 1465_CR27 publication-title: Lancet doi: 10.1016/S0140-6736(07)60325-0 – volume: 368 start-page: 1189 year: 2006 ident: 1465_CR4 publication-title: Lancet doi: 10.1016/S0140-6736(06)69380-X – volume: 86 start-page: 452 year: 2008 ident: 1465_CR29 publication-title: Bull World Health Organ doi: 10.2471/BLT.07.045849 – volume: 12 start-page: 19 year: 2005 ident: 1465_CR33 publication-title: Collegian doi: 10.1016/S1322-7696(08)60478-3 – ident: 1465_CR16 – volume: 96 start-page: 1135 year: 2007 ident: 1465_CR9 publication-title: Acta Paediatrica doi: 10.1111/j.1651-2227.2007.00392.x – volume: 365 start-page: 977 year: 2006 ident: 1465_CR19 publication-title: Lancet doi: 10.1016/S0140-6736(05)71088-6 – ident: 1465_CR3 – volume: 371 start-page: 417 year: 2008 ident: 1465_CR7 publication-title: The Lancet doi: 10.1016/S0140-6736(07)61693-6 – ident: 1465_CR22 – ident: 1465_CR20 – volume-title: Maternal And Child Health In Pakistan: Challenges And Opportunities year: 2007 ident: 1465_CR34 – volume: 93 start-page: 1273 year: 2004 ident: 1465_CR12 publication-title: Acta Paediatr doi: 10.1111/j.1651-2227.2004.tb02923.x – volume: 52 start-page: 218 year: 2006 ident: 1465_CR8 publication-title: Journal of Tropical Pediatrics doi: 10.1093/tropej/fmi106 – volume: 352 start-page: 2091 year: 2005 ident: 1465_CR28 publication-title: N Engl J Med doi: 10.1056/NEJMsa042830 – volume: 365 start-page: 1286 year: 2005 ident: 1465_CR32 publication-title: Lancet doi: 10.1016/S0140-6736(05)61005-7 – ident: 1465_CR24 – volume: 56 start-page: 156 year: 2006 ident: 1465_CR11 publication-title: J Pak Med Assoc – reference: 17586307 - Lancet. 2007 Jun 23;369(9579):2121-31 – reference: 17608829 - Acta Paediatr. 2007 Aug;96(8):1135-8 – reference: 19399155 - PLoS Med. 2009 Apr 28;6(4):e1000062 – reference: 15781104 - Lancet. 2005 Mar 19-25;365(9464):1087-98 – reference: 17603963 - J Midwifery Womens Health. 2007 Jul-Aug;52(4):398-405 – reference: 18790320 - Lancet. 2008 Sep 13;372(9642):972-89 – reference: 18568274 - Bull World Health Organ. 2008 Jun;86(6):452-9 – reference: 16464977 - J Trop Pediatr. 2006 Jun;52(3):218-22 – reference: 15752534 - Lancet. 2005 Mar 5-11;365(9462):891-900 – reference: 17053238 - BMJ. 2006 Oct 21;333(7573):839-42 – reference: 18206226 - Lancet. 2008 Feb 2;371(9610):417-40 – reference: 19393073 - Hum Resour Health. 2009 Apr 24;7:36 – reference: 16711335 - J Pak Med Assoc. 2006 Apr;56(4):156-63 – reference: 17177929 - Worldviews Evid Based Nurs. 2006;3(4):153-64 – reference: 16619900 - Collegian. 2005 Jan;12(1):19-24 – reference: 19622172 - Hum Resour Health. 2009 Jul 21;7:59 – reference: 19284626 - BMC Health Serv Res. 2009;9:46 – reference: 15901862 - N Engl J Med. 2005 May 19;352(20):2091-9 – reference: 15823364 - Lancet. 2005 Apr 9-15;365(9467):1286-8 – reference: 15070640 - BMJ. 2004 Apr 3;328(7443):816-9 – reference: 15767001 - Lancet. 2005 Mar 12-18;365(9463):977-88 – reference: 15499944 - Acta Paediatr. 2004 Oct;93(10):1273-9 – reference: 17011946 - Lancet. 2006 Sep 30;368(9542):1189-200 |
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| Snippet | Background
More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from... More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications... Background More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from... Abstract Background: More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from... Abstract Background More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from... |
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| SubjectTerms | Adult Breastfeeding & lactation Child Child Health Services - standards Children & youth Childrens health Clinical Competence Community Health Services - manpower Community Health Services - organization & administration Continuing medical education Curricula Data collection Delivery of Health Care, Integrated - organization & administration Education Evaluation Families & family life Family planning Female Health Administration Health care policy Health education Health Informatics Health Personnel - education Health Personnel - standards Health Services Accessibility - organization & administration Hospitals Hospitals, District Humans Infant Mortality Infant, Newborn Infants Influence Infrastructure Initiatives Knowledge Male Management Maternal & child health Maternal health services Maternal Health Services - standards Maternal Mortality Medical personnel Medical referrals Medicine Medicine & Public Health Midwifery Midwifery - education Midwifery - standards Mortality National Health Programs Needs analysis Needs Assessment Neonatal care Nurses Nursing Research Obstetrics Pakistan Patient outcomes Pediatrics Postpartum period Pregnancy Prenatal care Professional Role Public Health Public sector Public Sector - standards Reproductive health Research Article Social skills Studies Surgeons Surveys and Questionnaires Training Training Support |
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| Title | Evaluation of health workforce competence in maternal and neonatal issues in public health sector of Pakistan: an Assessment of their training needs |
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