Compliance with focused antenatal care services: do health workers in rural Burkina Faso, Uganda and Tanzania perform all ANC procedures?

Abstract This study examined the effect of the Safe Adolescent Transition and Health Initiative (SATHI) programme on the use of maternal care services among rural, pregnant adolescents in India. This was an intensive community-based, multi-site intervention project conducted in Maharashtra state between 2008 and 2011. Its aims were to improve the reproductive health of married adolescent girls and avert the adverse consequences of early motherhood. It had a quasi-experimental, case-control, pre-post design to enable rigorous evaluation. This study used cross-sectional data from 644 married girls aged under 19 years at baseline and 802 at endline to assess the maternal care outcomes of antenatal care, delivery and postnatal services and nutrition during pregnancy. Difference-in-differences analysis showed that all outcomes improved significantly in the study sites between baseline and endline, and the improvement in study sites was significantly larger than in the control sites. Multivariate analysis showed a statistically significant dose–response effect of intervention participation for antenatal care, pregnancy nutrition and postnatal care. Study participation was not statistically significantly associated with higher rates of safe or institutional delivery. The analysis suggests that training and supporting community health workers to work with married adolescent girls using interpersonal communication and interacting frequently with them and their families and communities can significantly improve the use of maternal care services among this population. With almost a million community health workers and 200,000 auxiliary nurse midwives at the community level providing primary level care in India, this intervention offers a proven strategy to replicate and scale-up to reach large numbers of married adolescent girls who do not currently use maternal care services.

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Improving Access and Utilization of Maternal Healthcare Services through Focused Antenatal Care in Rural Ghana: A Qualitative Study

Advances in Public Health ◽

10.1155/2019/9181758 ◽

2019 ◽

Vol 2019 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Umar Haruna ◽

Gordon Dandeebo ◽

Sylvester Z. Galaa

Keyword(s):

Maternal Health ◽

Antenatal Care ◽

Health Outcomes ◽

Health Workers ◽

Healthcare Delivery ◽

Healthcare Services ◽

Transportation Systems ◽

Successful Implementation ◽

Maternal Healthcare ◽

Focused Antenatal Care

Improved access to and utilization of various maternal healthcare services have been seen as the panacea to poor maternal and child health outcomes characterizing many developing countries. Focused Antenatal Care (FANC) replaced the regular antenatal care model about a decade and a half ago. This study sought to document empirical outcomes of how the FANC approach translates access and utilization of maternal health services into positive maternal health outcomes. We utilized a descriptive qualitative design and analysis. We applied key informant interviewing to collect data from 206 respondents consisting of 140 women in their fertility age and 66 health workers across 14 communities in the study district. We found that FANC has been widely implemented across the district with most of the required services integrated into the existing healthcare delivery system. Overall, there has been successful implementation of FANC in the district, resulting in several benefits including the increased utilization of maternal healthcare services, acceptance of family planning, increased skilled delivery, and utilization of postnatal care (PNC) services. This notwithstanding, a number of issues need to be addressed to improve FANC services. These include provision of adequate infrastructure, essential supplies, communication and transportation systems, and manpower and adoption of positive sociocultural practices. No effort should be spared in providing these to sustain the successes and ensure sustainability of FANC.

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Examining the impact of WHO’s Focused Antenatal Care policy on early access, underutilisation and quality of antenatal care services in Malawi: a retrospective study

BMC Health Services Research ◽

10.1186/s12913-019-4130-1 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Martina Mchenga ◽

Ronelle Burger ◽

Dieter von Fintel

Keyword(s):

Retrospective Study ◽

Antenatal Care ◽

Care Policy ◽

Early Access ◽

Care Services ◽

Focused Antenatal Care ◽

The Impact

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Analysis Risk Factors of Asphyxia Neonatorum

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v3i3.2015.265-276 ◽

2015 ◽

Vol 3 (3) ◽

pp. 265

Author(s):

Agustin Dwi Syalfina ◽

Shrimarti Rukmini Devy

Keyword(s):

Antenatal Care ◽

Health Workers ◽

Case Control ◽

Asphyxia Neonatorum ◽

The Public ◽

Pregnancy And Childbirth ◽

Care Services ◽

Prediction And Prevention ◽

Confounding Variables

ABSTRACTAntenatal care is designed to promote, protect, and maintain the health during pregnancy and reduce maternal and neonatal mortality. The scope of antenatal care also includes the detection and special care for high risk cases as well as the prediction and prevention of complications during pregnancy and childbirth. Complications of pregnancy and childbirth causes of neonatorum asphyxia. Neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Neonatorum asphyxia cases in Mojokerto district has 46.9% in 2010 and 39.7% in 2014. This aim of this study was to analyze the effect of the quality of antenatal care to neonatorum asphyxia in Mojokerto. The type of this study was observational analytic with case control design with a sample of cases and controls amounted to 80 babies. Data was analyzed using univariate, bivariate and multivariate analysis with logistic regression. The results of this study showed that the quality of antenatal care was significant with neonatorum asphyxia (OR = 8,556; 95% CI:2,777–26,358). Confounding variables associated with neonatorum asphyxia were maternal occupation (OR = 4,558;95% CI:1,391– 14,298), primary education (OR = 21,620; 95% CI: 1,932–241,886), secondary education (OR = 20,977; 95%CI: 1,819–241,872). The conclusion quality of antenatal care has effect of nenatorum asphyxia. Suggestions can be drawn based on the results of this study are for health workers are expected to do health education to the public and families about the importance of antenatal care and antenatal care services that should be obtained from health workers.Keywords: quality of antenatal care, neonatorum asphyxia, case control

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Utilization of Antenatal Care (ANC) Services by Pregnant Women in Binjai City and Factors Affecting

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v15i3.20613 ◽

2020 ◽

Vol 15 (3) ◽

pp. 390-398

Author(s):

Herbert Wau ◽

Nidya Razella

Keyword(s):

Antenatal Care ◽

Family Support ◽

Health Workers ◽

Care Service ◽

Sampling Technique ◽

P Value ◽

Health Staff ◽

Cross Sectional ◽

Staff Support ◽

Care Services

Antenatal care services have an influence on fetal growth or during pregnancy, one effort to reduce maternal mortality due to complications is through the use of antenatal care. Based on data from the Health Profile of Kebun Lada Public Health Center, it is known that the scope of ANC services (K1 and K4) in 2017 is K1 96% AND K4 84%. In 2018 that is K1 82.7% and K4 81%. Where there is a difference in the percentage of coverage of K1 and K4 visits. The research was an analytical survey using Cross Sectional with a sample of 76 people. This research uses chi-square data analysis method with accidental sampling technique to find out the significant influence between, Knowledge, Attitude, ANC Service Facilities, Husband / Family Support and Health Staff Support. This research shows there is influence of Knowledge (p = 0,000), Attitude (p = 0,000), Service Facilities (p = 0,000), Husband / family Support (p = 0,000), Officer Support with (p = 0,001) with Utilization of Antenatal Care Services where p-value <0.05. This study, showed that all factors affect the Antenatal Care service. Health workers, especially midwives, are expected to maintain health education and promotion and motivation on a regular basis about the importance of regular antenatal care.

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