Table 3 Skilled birth attendant knowledge on postabortion care
From: Health facility capacity to provide postabortion care in Afghanistan: a cross-sectional study
[Percentage (number)] | Facility type | ||||||
|---|---|---|---|---|---|---|---|
Provincial, regional, and specialty hospitals (n = 315) | District hospitals with 5 or more deliveries per day (n = 233) | District hospitals and comprehensive health centers with 0–4 deliveries per day (n = 69) | Basic health centers, sub-health centers, and family health houses (n = 104) | p-value | All public sector (n = 721) | Private facilities (n = 69) | |
Reported having received any training on basic emergency obstetric and newborn care in the past 3Â years | 27.0% (90) | 18.0% (42) | 21.7% (15) | 25.0% (26) | 0.129 | 24.0% (173) | 23.2% (16) |
Knowledge of actions to take when presented with a woman with complications from incomplete abortion | |||||||
 Assess vaginal bleeding | 59.0% (186) | 54.1% (126) | 56.5% (39) | 55.8% (58) | < 0.001 | 56.7% (409) | 66.7% (46) |
 Assess vital signs | 54.9% (173) | 52.4% (122) | 50.7% (35) | 57.7% (60) | < 0.001 | 54.1% (390) | 62.3% (43) |
 Begin IV fluids | 74.3% (234) | 70.8% (165) | 73.9% (51) | 67.3% (70) | < 0.001 | 72.1% (520) | 78.3% (54) |
 Begin antibiotics | 38.4% (121) | 40.8% (95) | 36.2% (25) | 31.7% (33) | < 0.001 | 38.0% (274) | 36.2% (25) |
 Do (manual/electric) vacuum aspiration | 31.7% (100) | 39.1% (91) | 42.0% (29) | 36.5% (38) | < 0.001 | 35.8% (258) | 23.2% (16) |
 Provide counseling | 22.5% (71) | 30.5% (71) | 15.9% (11) | 22.1% (23) | < 0.001 | 24.4% (176) | 15.9% (11) |
 Refer | 11.4% (36) | 18.0% (42) | 26.1% (18) | 32.7% (34) | < 0.001 | 18.0% (130) | 8.7% (6) |
Knowledge of counseling to provide a woman being treated for an incomplete abortion | |||||||
 Information on how to prevent reproductive tract infection/HIV | 30.5% (96) | 33.0% (77) | 34.8% (24) | 36.5% (38) | < 0.001 | 32.6% (235) | 31.9% (22) |
 Information about when a woman can conceive again | 43.8% (138) | 48.1% (112) | 27.5% (19) | 45.2% (47) | < 0.001 | 43.8% (316) | 44.9% (31) |
 Counseling on family planning and services | 73.3% (231) | 70.0% (163) | 84.1% (58) | 77.9% (81) | < 0.001 | 73.9% (533) | 69.6% (48) |
 Refer for family planning methods | 54.0% (170) | 56.2% (131) | 49.3% (34) | 59.6% (62) | < 0.001 | 55.1% (397) | 52.2% (36) |
 Information on social support | 27.0% (85) | 29.2% (68) | 27.5% (19) | 22.1% (23) | < 0.001 | 27.0% (195) | 15.9% (11) |
 Information about the consequences of an unsafe abortion | 34.9% (110) | 37.3% (87) | 20.3% (14) | 21.2% (22) | < 0.001 | 32.3% (233) | 33.3% (23) |
Does a woman have the right to choose a family planning method? (Level of agreement with the statement: a woman should not choose a family planning method until she consults with her husband) | |||||||
 Strongly agree | 35.6% (112) | 42.9% (100) | 27.5% (19) | 17.3% (18) | < 0.001 | 34.5% (249) | 26.1% (18) |
 Agree | 34.9% (110) | 30.5% (71) | 60.9% (42) | 57.7% (60) | 39.3% (283) | 53.6% (37) | |
 Neither agree nor disagree (neutral) | 7.0% (22) | 4.7% (11) | 4.3% (3) | 3.8% (4) | 5.5% (40) | 5.8% (4) | |
 Disagree | 7.0% (22) | 6.4% (15) | 7.2% (5) | 16.3% (17) | 8.2% (59) | 5.8% (4) | |
 Strongly disagree | 0.0% (0) | 0.4% (1) | 0.0% (0) | 1.9% (2) | 0.4% (3) | 8.7% (6) | |
Level of agreement with the statement: a woman who has not had a boy child should not be encouraged to use family planning | |||||||
 Strongly agree | 23.8% (75) | 25.8% (60) | 14.5% (10) | 11.5% (12) | < 0.001 | 21.8% (157) | 10.1% (7) |
 Agree | 19.0% (60) | 21.5% (50) | 20.3% (14) | 30.8% (32) | 21.6% (156) | 37.7% (26) | |
 Neither agree nor disagree (neutral) | 11.1% (35) | 14.6% (34) | 4.3% (3) | 6.7% (7) | 11.0% (79) | 11.6% (8) | |
 Disagree | 25.4% (80) | 20.2% (47) | 59.4% (41) | 44.2% (46) | 29.7% (214) | 29.0% (20) | |
 Strongly disagree | 4.1% (13) | 2.1% (5) | 1.4% (1) | 3.8% (4) | 3.2% (23) | 4.3% (3) | |