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Table 5 Capacity of clinical practices sites, by facility type

From: Quality of pre-service midwifery education in public and private midwifery schools in Afghanistan: a cross sectional survey

Clinical site readiness

BHC

(n = 1)

CHC

(n = 5)

PH

(n = 5)

Private

(n = 11)

RH

(n = 5)

SH

(n = 2)

Total

(n = 29)

Availability of selected inputs

Number of midwives and nurses at day shift

1

6

28

49

29

8

121

Number of midwives and nurses at night shift

0

5

16

24

23

6

74

Sphygmomanometer

1

5

5

10

5

2

28 (97%)

Pinard/fetal stethoscope/Doppler (in any combination)

0

5

5

10

5

2

27 (93%)

Gloves

1

5

5

8

5

2

26 (90%)

Uterotonics (oxytocin or alternative)

1

5

5

8

5

2

26 (90%)

IV solution and IV set

1

5

5

8

5

1

25 (86%)

Sterile birth kit

1

4

5

9

5

2

26 (90%)

Decontamination solution

1

4

5

9

5

2

26 (90%)

Newborn resuscitation bag and mask

1

5

5

9

5

2

27 (93%)

Clinical guidelines available

0

4

5

3

2

2

16 (55%)

Clinical services utilization in past 6 months

Uncomplicated births

52

21,526

8013

5250

36,578

18,878

90,297

Assisted vaginal births

2

2698

3007

382

2471

1358

9918

Cesarean section

0

7417

684

533

10,378

5613

24,625

Antenatal care

1096

8369

6577

11,969

22,367

1689

52,067

Postnatal care

225

3581

3670

5938

31,895

619

45,928

Family planning

572

4258

3298

1929

21,543

13,973

45,573

Educational capacity

Median number of students per shift (range)

4

6

(6–7)

12

(6–25)

15

(4–32)

6

(3–12)

31

(18–44)

7

(3–44)

Number of schools that use this facility as clinical site

1

13

16

19

16

36

–

Used by one school

1

1

1

8

1

–

12

Used by two to three schools

–

3

2

1

1

–

7

Used by four to five schools

–

1

2

2

3

–

8

Used by 6–21 schools

–

–

–

–

–

2

2

Student checkout for competency in uncomplicated birth (for facilities where student logbooks were available for review)

Number of facilities where student logbooks were reviewed

1 (100%)

4 (80%)

4 (80%)

8 (73%)

1 (20%)

2 (100%)

20 (69%)

Median number of conducted births student logbook showed till the time of graduation

1

16.5

26.5

0

0

40

14.6

Students conducted 40 births independently for graduation/out of total logbooks observed

0/1

1/4

1/4

0/8

0/1

2/2

4/20 (20%)