Obstetric skills at district and sub-district hospitals

A new policy for emergency obstetric care (EOC) which should be provided at district and sub-district hospitals has been adopted in Bangladesh. Therefore a survey of the obstetric skills of doctors at these institutions was performed. The current skills of the doctors was compared with their self-perceived skills when they left their medical college hospitals. Although in many cases self learning had occurred it was shown that, unless a doctor had been competent to perform a skill under indirect supervision, competency was often not reached.