Effect of midwife competence training in primary healthcare facilities on obstetric risk early detection

Ai Nur Zannah; Yuningsih Yuningsih; Asri Iman Sari; Eka Afdi Septiyono

doi:10.4081/hls.2024.11767

Authors

Ai Nur Zannah
ainz@uds.ac.id
Department of Midwifery, Faculty of Health Science, Universitas Dr. Soebandi, Jember, Indonesia. https://orcid.org/0000-0001-6899-4513
Yuningsih Yuningsih Department of Midwifery, Faculty of Health Science, Universitas Dr. Soebandi, Jember, Indonesia.
Asri Iman Sari Department of Midwifery, Faculty of Health Science, Universitas Dr. Soebandi, Jember, Indonesia.
Eka Afdi Septiyono Department of Maternity Nursing, Faculty of Nursing, Universitas Jember, Indonesia.

Early detection of obstetric risk is the main competence of midwives to anticipate the mother’s inability to adapt during pregnancy. The early detection competence of midwives determines the success of obstetric risk management, preventing pain and even death of mothers and babies. This study aimed to analyze the effect of obstetric risk early detection training on improving the competence of midwives in basic health care facilities. The study employed a quasi-experimental pre-posttest design with a control group. The samples were selected based on inclusion criteria, encompassing independent practice midwives and public health center midwives. The study comprised 27 midwives in the treatment group and 27 in the control group. The determination of and control groups was conducted through simple random sampling. Data analysis involved the use of Mann-Whitney and T-tests. The results indicated a significant difference in the increase in midwife competence within the treatment group post-training (p-value <0.001), with a notable improvement of 34.5%, compared to a 14.53% rise in midwife competence within the control group after reading the training module. Although a slight decrease in competence was observed after 2-4 weeks of training, the posttest values remained considerably higher than the pretest values. These findings underscore the impact of training on midwife competence, emphasizing the continual need for midwives to enhance their skills to elevate the health outcomes for the mothers and children under their care.

Yunitasari E, Matos F, Zulkarnain H, et al. Pregnant woman awareness of obstetric danger signs in developing country: systematic review. BMC Pregnancy Childbirth 2023;23. DOI: https://doi.org/10.1186/s12884-023-05674-7

Council NR. An Update on Research Issues in the Assessment of Birth Settings: Workshop Summary 2013.

Makhfudli M, Efendi F, Kurniati A, et al. Staffing characteristics and their associations with the severe maternal outcomes at indonesian tertiary hospitals. Kontakt 2020;22:40-6. DOI: https://doi.org/10.32725/kont.2020.007

Grant M, Wilford A, Haskins L, et al. Trust of community health workers influences the acceptance of community-based maternal and child health services. African J Prim Heal Care Fam Med 2017;9:1-8. DOI: https://doi.org/10.4102/phcfm.v9i1.1281

Rochjati P. Common obstetric emergency: (Field experiences on community based antenatal risk screening in village level in East Java, Indonesia). Med J Indones 1996;5:65-75. DOI: https://doi.org/10.13181/mji.v5i2.849

Mboi N, Syailendrawati R, Ostroff SM, et al. The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Glob Heal 2022;10:e1632-45.

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2021. Jakarta; 2022.

Diana S, Wahyuni CU, Prasetyo B. Maternal complications and risk factors for mortality. J Public Health Res 2020;9:195-8. DOI: https://doi.org/10.4081/jphr.2020.1842

Amalia SR, Lestari P, Ningrum AG. Causative Factor of Delay in Maternal Referral - Systematic Review. Indones Midwifery Heal Sci J 2022;6:1-14. DOI: https://doi.org/10.20473/imhsj.v6i1.2022.1-14

Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal 2014;2:e323-33. DOI: https://doi.org/10.1016/S2214-109X(14)70227-X

Zannah AN. Motivation, persuasive communication, and obstetric risk management training to improve midwives professionalism in preventing maternal death. J Kesehat dr Soebandi 2018;6:9-15. DOI: https://doi.org/10.36858/jkds.v6i2.118

Suarilah I, Nihayati HE, Wahyudi AS, et al. Treatment decision-making experience among Indonesian women with obstetrics and gynecology-related cancer. Med Palliat 2023;22:68-76. DOI: https://doi.org/10.1016/j.medpal.2022.08.004

Syamsuri DD, Tjokroprawiro BA, Kurniawati EM, et al. Simulation-based training using a novel Surabaya hysterectomy mannequin following video demonstration to improve abdominal hysterectomy skills of obstetrics and gynecology residents during the COVID-19 pandemic in Indonesia: a pre-and post-intervention st. J Educ Eval Health Prof 2022;19. DOI: https://doi.org/10.3352/jeehp.2022.19.11

Shulman HB, D’Angelo DV, Harrison L, et al. The pregnancy risk assessment monitoring system (PRAMS): overview of design and methodology. Am J Public Health 2018;108:1305-13. DOI: https://doi.org/10.2105/AJPH.2018.304563

Rochjati P. Skrining Antenatal Pada Ibu Hamil (Edisi 2): Pengenalan Faktor Risiko Deteksi Dini Ibu Hamil Risiko Tinggi. Airlangga University Press; 2011.

Michie S, Van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 2011;6:1-12. DOI: https://doi.org/10.1186/1748-5908-6-42

Kurniawati EM, Bachtiar CA, Joewono HT, Utomo B. Knowledge and confidence levels improvement among obstetrics residents regarding caesarean section training using video-mannequins combination. Heliyon 2023;9. DOI: https://doi.org/10.1016/j.heliyon.2023.e13907

Motevalli S, Sulaiman T, Ghani Hamzah MS, et al. The Effects of Cognitive Restructuring and Study Skills Training on Test Anxiety and Academic Achievement among University Students. J Institutional Res South East Asia 2022;20:104-54.

Astuti VW, Kusumawati W, Afandi M. Kompetensi Pembimbing Klinik dalam Proses Pembelajaran di Klinik. J Penelit Keperawatan 2016;2.

Yusof AN. The relationship training transfer between training characteristic, training design and work environment. Hum Resour Manag Res 2012;2:1-8.

Winterton J, Delamare-Le Deist F, Stringfellow E. Typology of knowledge, skills and competences: clarification of the concept and prototype, CEDEFOP, Luxembourg, Office for Official Publications of the European Communities; 2013.

Gan S-W, Tan J-P, Ang C-S, et al. Examining a Conceptual Model of Maternal and Paternal Warmth, Emotion Regulation and Social Competence among Preadolescent Children in Malaysia. J Genet Psychol 2022;183:312-27. DOI: https://doi.org/10.1080/00221325.2022.2076580

Ameh C, Adegoke A, Hofman J, et al. The impact of emergency obstetric care training in Somaliland, Somalia. Int J Gynecol Obstet 2012;117:283-7. DOI: https://doi.org/10.1016/j.ijgo.2012.01.015

Alnowaiser A. The impact of work environment, individual characteristics, training design and motivation on training transfer to the work: the case of Saudi Arabian Public Security Organisation. University of Westminster; 2017.

Ripursari T. Competence (Knowledge, Attitudes and Skills) Midwifeve to Handling of Obstetric Emergency According to Standard Operational Procedures. J Qual Public Heal 2019;3. DOI: https://doi.org/10.30994/jqph.v3i1.46

Zannah AN. Pengaruh Komunikasi Persuasif Bidan terhadap Pengambilan Keputusan Ibu dan Keluarga yang Mengalami Kehamilan Risiko Tinggi. J Med (Media Inf Kesehatan) 2020;7:101-10.

Glenton C, Lewin S, Fretheim A, Nabudere H. countries : a qualitative evidence synthesis ( Review ). Cochrane Database Syst Rev 2017;CD011558.

Zannah, A. N., Yuningsih, Y., Sari, A. I., & Septiyono, E. A. (2024). Effect of midwife competence training in primary healthcare facilities on obstetric risk early detection. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2024.11767