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Table 2 Percentage of postpartum care providers who fulfilled each skill item, and average scores

From: Factors affecting the performance of maternal health care providers in Armenia

#

ITEM

Nurses / midwives (285)

1.

Washes hands with soap & water and dries them

22.8

2.

Greets and calls woman by her first name and introduces him/herself if first visit

91.9

3.

Ensures woman is in a comfortable environment

38.0 (284)

4.

Explains purpose of the session and nature of the procedures

52.5 (284)

5.

Asks questions and allows client to express herself

85.6 (284)

6.

Pays attention and is interested in personal problems of the woman

69.5

7.

Asks about last pregnancy and delivery: evolution, outcome, any complications

71.9

8.

Asks about present status and any danger signs

73.7

9.

Explores pulse rate

20.9 (282)

10.

Explores blood pressure

66.3

11.

Takes temperature

58.1 (284)

12.

Examines skin and conjunctivae

18.7 (284)

13.

Checks for oedema, redness and varicose veins – legs

16.2 (284)

14.

Inspects and palpates abdomen for uterine involution

41.8

15.

Examines breasts and inquires for any lactation problem

74.7

16.

Examines lochia (amount, color, smell)

48.4

17.

Asks about baby's health: sleeping, feeding, posture, skin color, breathing, fever

68.1

18.

Assesses baby's health: feeding, posture, skin color, breathing, fever

57.5

19.

Informs woman about her health condition

44.9

20.

Informs woman about the baby's health condition

49.8

21.

Informs woman about potential complications and trains on self assessment

40.0

22.

Orients woman about breast feeding and breast care

86.3

23.

Orients woman about personal hygiene

74.0

24.

Orients woman about gender, sexuality and STI prevention

24.2

25.

Counsels woman about her nutritional needs

60.4 (283)

26.

Orients woman about hospital/clinic services (e.g. location, hours, etc.) for follow-up

32.4 (284)

27.

Orients woman about baby vaccination

56.1

28.

Orients woman about birth spacing and contraception

19.4 (284)

29.

Solicits questions to ensure client has understood

31.6

30.

Schedules appointment according to clinic needs and woman's convenience

60.4

31.

Records all findings, assessments, diagnosis and care with client

39.3

32.

Thanks client for her time

46.3

AVERAGE PERCENTAGE SCORE

51.3%

TOTAL SKILLS SCORE (Items 0 – 32) 2

16.4

  1. 1 Percentages of total valid observations 2 Obtained by adding up all the positive answers to each item: range 0 – 32 (0 = Nil; 32 = All)