Evidence of application of the Basic Antenatal Care principles of good care and guidelines in pregnant women’s antenatal care records

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Evidence of application of the Basic Antenatal Care principles of good care and guidelines in pregnant women’s antenatal care records
 
Creator Patience, Ngxongo T.S. Sibiya, N.M. Gwele, N.S.
 
Subject — —
Description Background: Basic Antenatal Care (BANC) is an approach that is used in the public health institutions of South Africa to provide health care services to pregnant women. The approach was introduced as a quality improvement strategy based on the belief that good quality Antenatal Care (ANC) could reduce maternal and perinatal mortalities and improve maternal health.Aim: The aim of this study was to analyse pregnant women’s ANC records for evidence suggesting that the BANC principles of good care and guidelines were being applied.Setting: The study was conducted in the 12 primary health care clinics that were providing ANC services using the BANC approach in eThekwini district, KwaZulu-Natal.Methods: A cross-sectional quantitative design was used to conduct the study. Data were collected through retrospective record review of 1200 maternity case records of the pregnant women who had attended for ANC services three or more times and was analysed using Statistical Package for Social Sciences (SPSS) version 21.0.Results: The majority of the processes detailed in the guidelines and principles of good care were evident in the records. However, several were missing or recorded in few reviews. These included the ANC plan, delivery plan, midwives’ counter signatures on the cards, assessment for foetal congenital abnormalities, and consent for HIV testing.Conclusion: The study identified evidence of incomplete application of the BANC principles of good care and guidelines in pregnant women’s antenatal care records which indicated that the BANC approach was not being successfully implemented. Recommendations were made with regards to policy development, institutional management and practise, nursing education, and further research to assist in successful implementation of the BANC approach in line with the guidelines and principles of good care.Keywords: antenatal care, antenatal visit, basic antenatal care, consultation, maternity case record.
 
Publisher AOSIS
 
Contributor
Date 2016-05-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/phcfm.v8i2.1016
 
Source African Journal of Primary Health Care & Family Medicine; Vol 8, No 2 (2016); 6 pages 2071-2936 2071-2928
 
Language eng
 
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https://phcfm.org/index.php/phcfm/article/view/1016/1654 https://phcfm.org/index.php/phcfm/article/view/1016/1655 https://phcfm.org/index.php/phcfm/article/view/1016/1656 https://phcfm.org/index.php/phcfm/article/view/1016/1610
 
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Rights Copyright (c) 2016 Ngxongo T.S. Patience, N.M. Sibiya, N.S. Gwele https://creativecommons.org/licenses/by/4.0
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