Gisele HOUNGBO
Midwife/Assistant Research, Benin RepublicTitle: The quality of care provided by midwives during labour in Benin hospitals: a quantitative study of the ALERT project
Abstract
Background:
According to the World Health Organization, maternal mortality in Benin increased from 391 to 523 deaths per 100,000 live births between 2000 and 2020. Improving the quality of care provided by midwives is key to reversing this trend. However, there are challenges in the provision of midwifery care and a gap in contextualized data on midwifery care outside the Services Availability and Readiness Assessment. This study aims to measure how care is provided by midwives during labour through a simulation technique, in four hospitals in Benin.
Methods:
Standardized questionnaires were used to conduct interviews for the responsiveness of maternity providers from April to June 2021 in 4 hospitals of the ALERT project in Benin. (i) a self-administered questionnaire assessing theoretical care practices, (ii) simulation exercises on basic skills during labour, delivery and post-delivery using a checklist and observation using a mannequin. A total of 72 midwives participated in the survey and 28 in the skill drill.
Results:
51% of the midwives who completed the questionnaire had more than 15 years of experience, but only 20.8% felt they had access to the resource for personal education and training and 9.7% felt they had support from management. The lack of support from management can be a source of de-motivation for providers.
7.1% of the providers who participated in the role play looked for fever in the parturient and none checked her respiratory rate. Few (7.1%) cleaned the perineum beforehand.
Conclusions:
The essential steps of care during labour are not respected in this simulation. The results of this study will help implement an intervention that will impact on the responsiveness and enhance the competence of providers of maternity units.
Biography
Gisele HOUNGBO trained at the National School of State Midwives of Benin (ENFEB) and obtained the diploma of state midwife in Benin since 1997.
I worked in a project funded by UNFPA which is based on reproductive health and family planning. I took care of pregnant women from the beginning of their pregnancy to childbirth and during the postnatal period.
I also worked in a private clinic called "Regal Clinic and maternity" in Nigeria in the state of DELTA. I had worked in the maternity and neonatology section. I also had to do the resuscitation of newborns in a state of apparent death, which made it possible to save a good number of newborns, to stabilize them before sending them to more appropriate centers.
I have been midwife assistant research since November 2020 up till date at the Center for Research in Human Reproduction and Demography (CERRHUD). I am particularly involved in a project which aims to reduce the rate of maternal and neonatal mortality and to co-create an intervention with the various actors involved. I had to do trainings on competence building for maternity providers. I also play the role of mentor for the implementation of the intervention.
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