Document Type
Article
DOI
10.71071/JAM/v12i1.1.14
Abstract
Background: Postpartum hemorrhage (PPH) is considered to be one of the most important causes of maternal mortality especially in low resource countries such as Pakistan. Community midwives (CMWs) have a very important role in the provision of midwifery care and their clinical competency are very crucial for the handling of PPH. This study evaluates the effect of a World Health Organization (WHO)-based educational intervention on the clinical competency of CMWs in Hazara Town, Quetta, in managing PPH.
Objective: This study aimed to determine the effectiveness of a WHO based educational intervention on improving the clinical competency of CMWs in managing PPH.
Methods: One group quantitative quasi-experimental, pretest-posttest design was used in assessing the effect of the educational intervention by WHO on the clinical competency of 34 community midwives in the management of postpartum hemorrhage (PPH). Participants were selected using purposively sampling and data were processed using the SPSS version 23. Reliability of data was established as well as normality by carrying out Shapiro-Wilk, Kolmogorov-Smirnov and Bateman tests. Descriptive statistics were used for demographic characteristics while paired t test was used to compare and analyze change in clinical competency of community midwives in managing postpartum hemorrhage before and after the intervention. Intervention was found to be statistically significant with p value (< 0.05).
Data Collection: Data were collected using the Regional Competency Assessments tool and management demographic questionnaires before and after the intervention.
Results: The research showed considerable improvement in the clinical competency of community midwives in post-partum care following the educational intervention of the WHO. Most of the participants 25–35 years (67.6 %) and 3–5 years’ working experience (58.8 %). 44.1% scored in the specific low competency area (<51) before the intervention whereas, 82.4% post intervention attained high competency scores (>75). The mean scores increased significantly from a competence score of 49.41 ±11.06 to 79.38 ± 7.46 with p values of 0.001. All the skills observed were significantly improved with mean score differences of -0.529 to -2.882 and p values of 0.000 (p < 0.05).
Conclusion: WHO based education intervention significantly improved the clinical competency of CMWs in the management of PPH. The findings support the need for ongoing competency-based training programs to enhance maternal health outcomes. Broad implementation of similar interventions could contribute to reducing maternal mortality and improving healthcare quality in resource limited settings.
Recommended Citation
Abu-Ul-Hayat, A, Masih, S, & Mukhtar, M. Effects of World Health Organization’s educational interventions on clinical competency of community midwives in managing postpartum hemorrhage. Journal of Asian Midwives. 2025;12(1):12–25.
