{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T11:01:26Z","timestamp":1772276486299,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Health care providers (HCPs) knowledge and skills are both crucial in saving the lives of mothers and their newborns during childbirth. This study aimed to assess the knowledge and skills of HCPs on active management of third stage of labor (AMTSL) for prevention of PPH in Lake Zone Tanzania.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A cross-sectional analytical hospital-based study which included 340 HCPs who were randomly selected, the study was conducted from March to May 2019 in lake zone, Tanzania. Data were collected using standardized questionnaire and observational checklist. Predictors of knowledge and skills on AMTSL were determined using binary logistic regression under multivariable analysis using SPSS version 23.0. p-value less than 0.05 was considered significant.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Most 200 (58.8%) of the participants were aged between 25 and 34\u00a0years with mean age 31.4\u2009\u00b1\u20096.26\u00a0years. Majority 240 (67.6%) were females. Of all HCPs, 171 (50.3%) had adequate knowledge whereas 153 (45.0%) had adequate skills on AMTSL. Males (AOR\u2009=\u20091.96, 95% CI 1.18\u20133.26), HCPs with University education (AOR\u2009=\u20093.29, 95% CI 1.19\u20139.13) and previous BEmONC training (AOR\u2009=\u20092.20, 95% CI 1.24\u20133.91) were found to be the predictors of adequate knowledge on AMTSL. HCPs aged\u2009\u2265\u200945\u00a0years (AOR\u2009=\u20099.35, 95% CI 1.74\u201310.28) and HCPs working at a hospital (AOR\u2009=\u20091.78, 95% CI 1.12\u20132.82) were associated with having adequate skills on AMTSL.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>HCPs included in this study demonstrated low skills on AMTSL as compared to knowledge which needs immediate attention. We recommend continuous in-service training and supportive supervision among HCPs working in labour wards for improving their knowledge and skills on AMTSL. This will help to reduce maternal morbidity and mortality related to PPH.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12905-022-01616-1","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T07:02:42Z","timestamp":1644562962000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Knowledge and skills on active management of third stage of labor for prevention of post-partum haemorrhage among health care providers in Lake Zone, Tanzania: a cross sectional study"],"prefix":"10.1186","volume":"22","author":[{"given":"Daniel Lugwesa","family":"Muyanga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0142-6081","authenticated-orcid":false,"given":"Angelina A.","family":"Joho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"issue":"10","key":"1616_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0222843","volume":"14","author":"D Adane","year":"2019","unstructured":"Adane D, Belay G, Arega A, Wassihun B, Gedefaw G, Gebayehu K. Practice and factors associated with active management of third stage of labor among obstetric care providers in Amhara region referral hospitals, North Ethiopia, 2018: a cross sectional study. PLoS ONE. 2019;14(10):1\u201311. https:\/\/doi.org\/10.1371\/journal.pone.0222843.","journal-title":"PLoS ONE"},{"key":"1616_CR2","unstructured":"WHO. Trends in maternal mortality: 1990 to 2015. World Health Organization, 199. ISBN 978 92 4 150363 1; 2015"},{"key":"1616_CR3","volume-title":"WHO recommendations Uterotonics for the prevention of postpartum haemorrhage","author":"WHO","year":"2018","unstructured":"WHO. In: Voge O, Joshuaoladapo L, editors. WHO recommendations Uterotonics for the prevention of postpartum haemorrhage. Geneva: World Health Organization; 2018."},{"issue":"4","key":"1616_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.12968\/ajmw.2018.0018","volume":"13","author":"JA Angelina","year":"2019","unstructured":"Angelina JA, Kibusi SM, Mwampagatwa I. Factors influencing nurses\u2019 knowledge and skills in the prevention and management of postpartum haemorrhage. Afr J Midwif Women\u2019s Health. 2019;13(4):1\u201312. https:\/\/doi.org\/10.12968\/ajmw.2018.0018.","journal-title":"Afr J Midwif Women\u2019s Health"},{"key":"1616_CR5","unstructured":"TDHS. Tanzania Demographic and Health survey 2015\/2016; 2015"},{"key":"1616_CR6","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007412.pub3.Active","author":"CM Begley","year":"2014","unstructured":"Begley CM, Gyte GML, Devane D, Mcguire W. Europe PMC Funders Group Active versus expectant management for women in the third stage of labour. 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Facility factors influencing utilization of active management of third stage of labour among skilled birth attendants in Kiambu county, Kenya. Pan Afr Med J. 2016;25(Supp 2):11. https:\/\/doi.org\/10.11604\/pamj.supp.2016.25.2.9705.","journal-title":"Pan Afr Med J"},{"issue":"3","key":"1616_CR9","doi-asserted-by":"publisher","first-page":"207","DOI":"10.2471\/BLT.08.052597","volume":"87","author":"C Stanton","year":"2009","unstructured":"Stanton C, Armbruster D, Knight R, Ariawan I, Gbangbade S, Getachew A, Sintasath D. Use of active management of the third stage of labour in seven developing countries. Bull World Health Organ. 2009;87(3):207\u201315. https:\/\/doi.org\/10.2471\/BLT.08.052597.","journal-title":"Bull World Health Organ"},{"key":"1616_CR10","volume-title":"The National Road Map Strategic PlanTo Accelerate Reduction of Maternal, Newbornand Child Deaths in Tanzania 2008\u20132015","author":"MOHSW","year":"2008","unstructured":"MOHSW. 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The permission to conduct the study was obtained from the Regional Medical Officers and District Medical Officers from the respective districts. Strict ethical standards and procedures were adhered to, the anonymity of the participants was ensured by not having any identification of the data collection tool, so that information would not be traced back to individuals. Written informed consent was obtained from all adults\u2019 participants and for minors who included in this study their written informed consent was signed by parents\/guardians. The copies of informed consent have been kept by the corresponding author. Participants were free to withdraw from the research at any stage without incurring any cost.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publication"}},{"value":"No competing interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"36"}}