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Table 1 Definition of terminology used for this study

From: Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol

Term Definition Conceptual characteristics
Behaviour* Observable conduct towards other people or activities that expresses a competency. Behaviours are durable, trainable and measurable Observable attribute, often applied in combination, i.e. several behaviours may contribute towards one competency
Competency* The observable ability of a person, integrating knowledge, skills, and attitudes in their performance of tasks. Competencies are durable, trainable and, through the expression of behaviours, measurable Not time limited, i.e. durable through multiple activities
Can develop/improve or erode over time
In-service training Training that is given to employees during the course of their employment to update their professional knowledge, skills and competence  
Knowledge* Understanding of, or information about a subject. The informational base of competence and skills An unobservable attribute of competence inferred through performance or determined through testing
Midwifery care providers Providers of midwifery care are competent maternal and newborn health professionals educated, trained and regulated to national and/or international standards. They provide skilled, evidence-based and compassionate care to women, newborns and families. Providers of midwifery care:  
  Promote and facilitate normal physiological, social and cultural processes throughout the childbearing continuum with a continuity of care philosophy  
  Seek to prevent and manage maternal and newborn complications  
  Consult and refer to other health services where required  
  Respect women’s individual circumstances and views, providing sensitive and dignified care  
Pre-service training A formal learning programme which takes place prior to and as a prequisite for employment in a service setting  
Skill* A specific cognitive or motor ability that is typically developed through training and practice Observable (physical) and unobservable (cognitive) attribute, often applied in combination, i.e. several skills may contribute towards one competency and/or activity
  1. *Source: Mills JA, Middleton JW, Schafer A, Fitzpatrick S, Short S, Cieza A. Proposing a re-conceptualisation of competency framework terminology for health: a scoping review. Hum Resour Health. 2020 Feb 21;18(1):15