Abstract
This study examined the physical assessment ability of Mongolian nurses and midwives engaged in maternal care and the factors that could influence this ability. We found that nurses and midwives from prefectural hospitals had higher scores than those from national and district (soum) hospitals. The latter group could not perform more than half of the 28 tested procedures on their own, even though most had over 10 years’ experience. Therefore, to decrease the Mongolian maternal mortality ratio, we argue that in-service training for nurses and midwives in both the capital city and peripheral areas is needed.
Highlights
Mongolia, a lower-middle-income country with the world’s lowest population density, has seen a decrease in its maternal mortality ratio (MMR) from 93.0 per 100,000 births in 2000 to 65.0 by 2008 [1]
Maternal health service coverage resembles that of high-income countries, the MMR in Mongolia still seems high compared to countries that have similar coverage, such as Japan and the Republic of Korea, where MMR is 6 and 18 per 100,000 births, respectively [1]
If a woman is attended by skilled birth attendant after receiving sufficient antenatal care [2] and loses her life during childbirth, the skill and knowledge of the health personnel in question should be considered as a possible factor in this outcome, as well as economic and geographic issues
Summary
A lower-middle-income country with the world’s lowest population density, has seen a decrease in its maternal mortality ratio (MMR) from 93.0 per 100,000 births in 2000 to 65.0 by 2008 [1]. This decrease is largely due to the government’s efforts and international contributions. Maternal health service coverage resembles that of high-income countries, the MMR in Mongolia still seems high compared to countries that have similar coverage, such as Japan and the Republic of Korea, where MMR is 6 and 18 per 100,000 births, respectively [1]. Against the background data presented above, this study aims to evaluate the physical assessment (PA) ability of nurses and midwives for maternal care in Mongolia, and to investigate the factors that could influence this ability
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