Publication:

Knowledge, attitude and competency of basic obstetric imaging services among health workers in primary healthcare facilities in Rivers State

Background Human-resources-for-health is a vitally important aspect of health system as they ensure the availability obstetric imaging services in health facilities, which are essential for improving maternal and child health outcomes of pregnancy. This study aimed to determine the knowledge, attitude and competency in providing basic obstetric imaging services (BOIS) among primary health care workers (PHCWs) in Rivers State, Nigeria.

Methods This study utilized a descriptive design, and was conducted among 290 PHCWs in Rivers State, Nigeria. It was conducted at selected model PHC facilities located in the 23 local government areas (LGAs) of Rivers State, Nigeria. Responses were elicited from all willing respondents using a self-administered adapted questionnaire. Assessment of the respondents’ knowledge and attitude of BOIS was done using a set of fifteen and ten questions respectively. Competencies and ultrasonographic skills were also assessed.

Results Most PHCWs had good knowledge 273 (95.0%) and good attitude 264 (91.0%) towards BOIS provision. Most workers 222 (80%) did not have the required ultrasonographic skills needed to provide BOIS. Of the few that possessed the skills, most were competent in using the equipment to perform various tasks including the identification of foetal anatomy 56 (84.8%), perform first trimester dating scan 48 (72.7%), assist in the use of the ultrasound scan 48 (72.7%), among other tasks.

Conclusions Knowledge and attitude towards basic obstetric ultrasound service provision were found to be good, however, practice was poor due to non-possession of required skills. Development and implementation of structured training programs to develop skills are recommended.