Assessing provider performance of intrapartum care using simulated encounters and clinical vignettes: A comparison study from Tanzania.

ABSTRACT:

Objective

To compare clinical vignettes and objective structured clinical examinations (OSCE) as methods for assessing the quality of intrapartum care among skilled providers in rural primary-level health facilities in Tanzania.

Methods

Cross-sectional study conducted at six health facilities in the Simiyu region of Tanzania. Providers were assessed using OSCE and clinical vignettes in spontaneous delivery, neonatal resuscitation, and management of postpartum hemorrhage. Trained researchers used a structured clinical checklist. The frequencies of items are presented as percentages and the agreement of the methods of assessment are reported using kappa statistics (high: kappa > 0.80, moderate: kappa = 0.60-0.80, low: kappa < 0.60).

Results

Most healthcare providers wer

SUBMITTER: Young AMP 

PROVIDER: S-EPMC9292807 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature