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- Title
Assessment of diagnostic accuracy and adherence to maternal and child health guidelines as a measure of clinical competence of frontline healthcare workers in Nigeria.
- Authors
Obisesan, O.; Akinyemi, J. O.; Morhason-Bello, I. O.; Yusuf, O. B.; Eyelade, R. O.; Ilori, T.; Aderinto, A. A.; Kana, I.; Solanke, O.; Suleiman, J.; Okara, D.; Adebiyi, A.; Abdullahi, A. M.; Adewole, I. F.
- Abstract
Clinical competence of primary healthcare (PHC) workers is important in the delivery of maternal and child health care and services. In this cross-sectional study, we investigated the diagnostic accuracy and adherence to clinical guidelines for the management of some clinical conditions such as malaria, diarrhea, pneumonia, neonatal asphyxia and postpartum hemorrhage, as a proxy to measure the clinical competence of frontline health workers in PHCs in selected states in Nigeria. Ninety PHC facilities were randomly selected in each State and the FCT. Of the 3330 health workers, only 36.0% were able to correctly diagnose the five selected medical conditions. There was a significant difference in the diagnostic accuracy of the health workers with the doctors having highest diagnostic accuracy (65.5%) compared to other health workers (p<0.001). Adherence to the management guidelines was generally poor across all cadres of health workers and this pattern appear similar across the geopolitical regions in the country. The highest adherence to guidelines was observed among medical doctors (38.2%). The diagnostic accuracy and adherence to national guidelines for managing patients was poor among health workers, particularly, among other cadres except doctors. PHC workers in Nigeria need continuous training to enhance their clinical competence to improve quality of maternal and child health care.
- Subjects
NIGERIA; DIAGNOSIS of diarrhea; PNEUMONIA diagnosis; MALARIA treatment; MALARIA diagnosis; ANEMIA diagnosis; PNEUMONIA treatment; NATIONAL competency-based educational tests; FIELD research; PHYSICAL diagnosis; HEALTH education; POSTPARTUM hemorrhage; DIARRHEA; HEALTH facilities; ANALYSIS of variance; CROSS-sectional method; MEDICAL protocols; PRIMARY health care; COMPARATIVE studies; CHILD health services; CLINICAL competence; CASE studies; DEHYDRATION; CHI-squared test; DESCRIPTIVE statistics; MEDICAL history taking; SENSITIVITY &; specificity (Statistics); ASPHYXIA neonatorum; STATISTICAL sampling; DATA analysis software; DISEASE management; EVALUATION
- Publication
African Journal of Reproductive Health, 2022, Vol 26, Issue 11, p77
- ISSN
1118-4841
- Publication type
Article
- DOI
10.29063/ajrh2022/v26i11s.8