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Table 6 Skilled birth attendants’ (SBA) perception on enabling environment

From: Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

SBAs’ perception on factor for improving their work environment number (%)

SHa/RHb/PHc (n = 333)

High Volume DHd (5 or more deliveries per day) (n = 228)

Low Volume DHd and CHCe (0–4 deliveries per day) (n = 69)

BHCf, SHCg, FHHh (n = 104)

p-value

All public sector (n = 734)

Private hospitals (n = 64)

SBAs who thought that their supervisors treat them respectfully

218 (65.5%)

144 (63.2%)

51 (73.9%)

84 (80.8%)

0.014

497 (67.7%)

45 (70.3%)

SBAs identifying the most important factors for improving their work environment to provide good quality health care services

 More knowledge/updates/training

197 (59.2%)

108 (47.4%)

50 (72.5%)

79 (76.0%)

< 0.001

434 (59.1%)

47 (73.4%)

 Good quality equipment/supplies

94 (28.2%)

68 (29.8%)

32 (46.4%)

33 (31.7%)

0.158

227 (30.9%)

11 (17.2%)

 Good security situation

100 (30.0%)

97 (42.5%)

23 (33.3%)

29 (27.9%)

0.009

249 (33.9%)

10 (15.6%)

 More support from supervisor

100 (30.0%)

84 (36.8%)

23 (33.3%)

34 (32.7%)

0.414

241 (32.8%)

18 (28.1%)

SBAs noting aspects of life outside work that would affect their ability to perform their jobs

 Childcare responsibilities

79 (23.7%)

43 (18.9%)

8 (11.6%)

17 (16.4%)

0.073

147 (20.0%)

2 (3.1%)

 Household responsibilities

78 (23.4%)

56 (24.6%)

6 (8.7%)

10 (9.6%)

0.001

150 (20.4%)

5 (7.8%)

 Safety in getting to/from work

63 (18.9%)

60 (26.3%)

16 (23.2%)

29 (27.9%)

0.113

168 (22.9%)

9 (14.1%)

 Lack of transport

59 (17.7%)

45 (19.7%)

17 (24.6%)

31 (29.8%)

0.049

152 (20.7%)

10 (15.6%)

  1. aSpecialty Hospital; bRegional Hospital; cProvincial Hospital; dDistrict Hospital; eComprehensive Health Center; fBasic Health Center; gSub-Health Center; hFamily Health House