Active Management of the Third Stage of Labour: Knowledge and Challenges of Obstetric Caregivers in Selected Health Facilities in Fako Division, Cameroon

Background: In Cameroon, the decrease in MMR (Maternal Mortality Ratio) from PPH (Postpartum Haemorrhage) despite the reported use of the Active Management of the Third Stage of Labour (AMTSL) is slower than what is required to achieve the Third Sustainable Development Goal (SDG3) hence the need to question obstetric caregivers’ competence in AMTSL, as well as the factors hindering its proper use. We therefore aimed to assess obstetric caregivers’ knowledge about AMTSL, as well as the determinants and barriers of AMTSL in selected hospitals in Fako Division, Cameroon. Methods: This was a hospital-based cross-sectional study of 150 participants recruited in 27 health facilities in Buea, Limbe and Tiko health districts from January 15, 2020, to March 31, 2020. Participants’ socio-demographic and qualification characteristics, knowledge and challenges, and the references guiding their practice of AMTSL were collected using a structured questionnaire. AMTSL knowledge was categorized as poor or good and the determinants of good AMTSL knowledge were evaluated. The data was analyzed in SPSS version 25.0. Results: Of the 150 caregivers interviewed, only 48.7% had good knowledge of AMTSL. In logistic models, participants’ use of AMTSL increased Good knowledge of AMTSL (AOR: 12.96, CI: 1.12 - 150.3, p = 0.04). Unavailability of drugs and/or equipment, insufficient staff coverage and lack of knowledge and training of the staff were the major challenges reported. Conclusion: Obstetric caregivers in Fako division have knowledge gaps and face numerous challenges in AMTSL use, which could account for the consistently high MMR from PPH. Filling this knowledge gap and mitigating the challenges of these caregivers would certainly accelerate progress towards the achievement of SDG3.

Sustainability Takes Centre Stage in Events Management

ISO International Standards constitute a toolbox not only for the environmental integrity of the planet,but also for economic growthand social equity-in other words,for all three dimensions ofsustainable development.

Measures to strengthen engineering quality supervision in construction management

With the continuous advancement of China's urbanization process,the demand for construction projects is increasing,which is both an opportunity and a challenge for construction companies.If the enterprises themselves can grasp the background and policy conditions to maintain a high level of construction engineering,then its enterprise benefits and future development prospects will be excellent.However,there are also many companies whose own reputation and actual benefits have been affected for poor engineering quality caused by poor construction management.This is exactly what we must pay attention to.This article will analyse and explore the relevant work to improve the engineering quality of different phases of engineering construction and to guide the management of the construction unit in the future from the perspective of the construction unit to strengthen the project quality supervision.