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Table 3 Mean prenatal and postpartum care scores by presence/absence of performance factors

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

VARIABLE/FACTOR

RESPONSE (%)

PNC MEAN SCORE

N

PPC MEAN SCORE

ANALYSIS TYPE

Type of observation

Real

14.9

135

19.2** (N= 65)

 

Simulated

13.5

150

15.7 (N = 213)

BACKGROUND

1. Facility type

Polyclinic/Women's consultation

17.4**

64

18.0

 

Ambulatory/Health Center

13.4

68

15.7

 

FAP

13.2

153

16.2

2. Worker category

Nurse

13.5*

170

16.9

 

Midwife – Nurse/midwife

15.4

108

16.0

3. Age

≤ 41 yrs.

13.9

140

16.1

 

42+

14.4

145

16.8

4. Years working in the facility

0–11

14.1

138

16.4

 

12+

14.3

147

16.5

JOB EXPECTATIONS

5. Has job description

Yes

15.7*

76

18.8**

 

No, DK

13.6

209

15.6

6. Whether standards for performance have been set

Yes

14.4

223

16.8

 

No

13.4

62

15.3

MOTIVATION & INCENTIVES

7. Receive bonuses or raises for good work

Yes

14.0

23

16.0

 

No

14.2

262

16.5

8. Non-monetary incentives (employer) – 1 st reply

Yes

14.4**

272

16.7**

 

No

8.6

13

10.7

9. Non-monetary incentives (community) – 1 st reply

Yes

14.3*

280

16.6**

 

No

7.6

5

7.4

10. Opportunities for promotion

Yes

15.8

48

17.7

 

No

13.8

220

16.2

11. Disincentives for job badly done

Yes

14.2

112

16.3

 

No

14.8

127

15.9

FEEDBACK

12. Receive feedback about job performance

Yes

14.3

265

16.4

 

No

12.7

15

16.3

13. Appropriate Feedback (composite)

Yes

14.6+

217

16.9#

 

No, DK

12.8

68

15.1

14. Having Performance Reviews

Yes

14.8*

183

17.4**

 

No, DK

13.1

102

14.8

ORGANIZATIONAL SUPPORT

15. Received supervision in last 6 months

Yes

14.4*

267

16.6

 

No

10.9

18

14.2

16. Nature of supervision – 1st reply

Admin

14.8

213

16.8

 

Other

11.8

35

16.1

WORK ORGANIZATION & ENVIRONMENT

17. Adequacy of Job place (composite)

Yes (≥ 75%)

14.3

184

16.5

 

No (< 75%)

13.9

101

16.4

18. Has the necessary equipment, instruments and supplies

Yes

15.5**

117

17.0

 

No

13.3

166

16.1

19. Satisfied w/organization of work

Yes

14.9**

218

16.9*

 

No, DK

11.8

67

14.9

KNOWLEDGE & SKILLS

20. Believes has necessary skills to do the job

Yes

14.8**

234

17.0**

 

No, DK

11.5

51

13.9

21. Whether received training in RH

Yes

15.0*

171

17.1*

 

No

13.0

114

15.4

22. Been trained in the use of tools

Yes

15.0**

211

17.5**

 

No

11.8

72

13.3

23. Year of last training

2001–2002

15.3

128

17.7

 

1972–1999

13.9

43

17.0

OVERALL MEAN SCORE

14.2

285

16.4

  1. * p < 0.05; ** p < 0.01; + p = 0.047; # p = 0.05 *variables significant for both clinical areas are highlighted