{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:38:37Z","timestamp":1785447517549,"version":"3.56.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T00:00:00Z","timestamp":1634256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare clinical vignettes and objective structured clinical examinations (OSCE) as methods for assessing the quality of intrapartum care among skilled providers in rural primary\u2010level health facilities in Tanzania.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional study conducted at six health facilities in the Simiyu region of Tanzania. Providers were assessed using OSCE and clinical vignettes in spontaneous delivery, neonatal resuscitation, and management of postpartum hemorrhage. Trained researchers used a structured clinical checklist. The frequencies of items are presented as percentages and the agreement of the methods of assessment are reported using kappa statistics (high: kappa\u00a0&gt;\u00a00.80, moderate: kappa\u00a0=\u00a00.60\u20130.80, low: kappa\u00a0&lt;\u00a00.60).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most healthcare providers were female (60.7%), registered nurses by training (29.0%), and worked in a dispensary (56.1%), with an average age of 33\u00a0years and an average of 7.4\u00a0years of experience in their respective professions. Five items had high agreement between OSCE and clinical vignettes: postpartum vital signs every 15\u00a0min, oxytocin within 1\u00a0min of birth, diagnosis of postpartum hemorrhage, elevating legs of the mother, and deciding on manual compression of the uterus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>OSCE and clinical vignettes should be viewed as complimentary to one another in the assessment of provider knowledge and skill, with priority given to OSCE, particularly in intrapartum care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13947","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T17:29:21Z","timestamp":1632504561000},"page":"57-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Assessing provider performance of intrapartum care using simulated encounters and clinical vignettes: A comparison study from Tanzania"],"prefix":"10.1002","volume":"158","author":[{"given":"Anna Marie P.","family":"Young","sequence":"first","affiliation":[{"name":"Johns Hopkins University School of Medicine Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Marx","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Frost","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Hazel","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdunoor M.","family":"Kabanywanyi","sequence":"additional","affiliation":[{"name":"Ifakara Health Institute  Mikocheni, Dar es Salaam Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diwakar","family":"Mohan","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(16)30131-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.16.180190"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2015.07.001"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"OkekeEN ChariAV.Can institutional deliveries reduce newborn mortality? Evidence from Rwanda [RAND Coporation website].2015.https:\/\/www.rand.org\/pubs\/working_papers\/WR1072.html. Accessed May 11 2021.","DOI":"10.7249\/WR1072"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdeveco.2015.09.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60686-8"},{"key":"e_1_2_9_8_1","unstructured":"World Health Organization.Standards for improving quality of maternal and newborn core in health facilities [WHO website].2016.https:\/\/www.who.int\/maternal_child_adolescent\/documents\/improving\u2010maternal\u2010newborn\u2010care\u2010quality\/en\/. 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Accessed August 5 2021"},{"key":"e_1_2_9_16_1","unstructured":"RADAR.Implementation strength assessment and quality of care [RADAR website].2020.https:\/\/www.radar\u2010project.org\/isaqoc. Accessed May 11 2021."},{"key":"e_1_2_9_17_1","article-title":"Measuring the quality of care for maternal, neonatal, child, reproductive health and nutrition programs in low and middle\u2010income countries: tools and considerations for use from the RADAR project","author":"Marx MA","journal-title":"Glob Health Action"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.3.257"},{"key":"e_1_2_9_19_1","unstructured":"MamaNatalie Birthing Simulator.Laerdal medical [Laerdal Medical Website].2021.https:\/\/laerdal.com\/us\/products\/simulation\u2010training\/obstetrics\u2010pediatrics\/mamanatalie\/. Accessed March 5 2021."}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13947","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:07:37Z","timestamp":1692850057000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,15]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1002\/ijgo.13947"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13947","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,15]]},"assertion":[{"value":"2021-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}