Silvia Cagnin, Andrea Martini, Daniele Donato, Paolo Angeli, Patrizia Pontisso
Electronic sanitary database: a new potential tool to identify occult chronic liver disease in general population
Internal and emergency medicine
nurses midwives forefront provision emergency obstetric neonatal care emonc continuous professional development cpd crucial provide competencies need provide quality services research aimed assess uptake accessibility midwives nurses cpd determine knowledge skills gaps key competencies emonc inform cpd programming study applied quantitative crosssectional descriptive research methodology using random selection forty 40 health facilities hfs selected 445 hfs performed least 20 deliveries per month july 1st 2020 june 30th 2021 rwanda questionnaires used collect data updates cpd knowledge emonc delivery methods accesscpd data analyzed using ibm spss statistics 27 software nurses midwives required rwandan midwifery regulatory body complete least 60 cpd credits license renewal however study findings revealed health care providers hcps trained emonc graduation formal education results indicated hcps acquired less 60 cpd credits related emonc training 799 overall 563 hospitals 822 health centres 100 health post levels resulted skills knowledge gaps management preeclampsia postpartum hemorrhage essential newborn care common method access cpd credits included workshops 436 online training 345 majority hcps noted difficult achieve required cpd credits 570 findings study revealed low uptake critical emonc training nurses midwives form cpd study suggests need integrate emonc health workforce capacity building plan levels make training systematic available multiple easily accessible formats findings inform revision policies strategies improve cpd towards accelerating capacity reduction preventable maternal perinatal deaths well reducing maternal disabilities rwanda