title: Knowledge, attitudes, and practices in safe motherhood care among obstetric providers in Bugesera, Rwanda.
abstract: OBJECTIVE
  To determine the knowledge, attitudes, and practices of obstetric care providers (OCPs) in Bugesera District, Rwanda, crucial to the delivery of safe motherhood services.
  
  
  METHODS
  A quantitative descriptive survey in Kinyarwanda targeting all OCPs in the district was implemented in November 2010 to determine demographic characteristics, safe motherhood knowledge, obstetric practices, and attitudes toward additional training.
  
  
  RESULTS
  The study captured 87% of OCPs, of whom 137 of 168 (82%) were A2 level nurses. Most expressed a need to improve their knowledge (60.6%) and skills confidence (72.2%) in safe motherhood. The mean percentage of correct answers of 50 questions assessing overall knowledge was 46.4%; sections on normal labor (39.3% correct) and obstetric complications (37.1% correct) were the weakest. Fundal pressure during vaginal delivery was practiced by 60.8%, and only 15.9% of providers practiced active management of the third stage of labor for all deliveries. Providers supported additional training, and 89.3% expressed willingness to participate in a 2-day workshop even if it were their day off.
  
  
  CONCLUSIONS
  The study has identified a need to improve safe motherhood knowledge and practices of OCPs in the Bugesera District of Rwanda. OCPs support additional training as an intervention to reduce maternal mortality.
authors: Department of Obstetrics and Gynecology, Hubert-Yeargan Center for Global Health, Duke Global Health Institute, Duke University Medical Center, Durham, USA. ruchipuri.md@gmail.com
authors: Ruchi
authors: R
authors: Puri
authors: Stephen
authors: S
authors: Rulisa
authors: Shahrzad
authors: S
authors: Joharifard
authors: Jeffrey
authors: J
authors: Wilkinson
authors: Patrick
authors: P
authors: Kyamanywa
authors: Nathan
authors: N
authors: Thielman
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000706:statistics & numerical data; D003695:Delivery of Health Care / Q000592:standards / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008427:Maternal Health Services / Q000592:standards / Q000706:statistics & numerical data*; D008428:Maternal Mortality; D008875:Middle Aged; D011247:Pregnancy; D011446:Prospective Studies; D012432:Rwanda; D055815:Young Adult