Evaluación de competencias en la atención del embarazo, parto, posparto, recién nacido y sus complicaciones, Junio – Septiembre 2005
In 2005, QAP assisted the Ministry of Health of Nicaragua to carry out a national competency assessment of skilled birth attendants to identify gaps and weaknesses that would be addressed through in-service training and supervision. The assessment included Ministry of Health hospitals (20) and health centers (44) drawn from each of the country's 17 health areas. A total of 1,358 physicians and nurses who attend deliveries were evaluated through a written knowledge test. From this group, 580 providers participated in skills tests related to the prevention and management of obstetric and neonatal complications. Anatomical models were used for the skill assessment. While the assessment found moderate to high levels of knowledge in several functional areas, clinical skills were generally weaker. The skill assessment found that only 51% of the personnel assessed were able to adequately fill out a partogram; 46% correctly performed active management of third stage of labor; 51%, manual extraction of the placenta; 46%, bimanual uterine compression; 71% immediate newborn care; and 55%, neonatal resuscitation. The report was published in 2006 by the Ministry of Health of Nicaragua, QAP, PAHO, CARE, and UNICEF.