Quality assurance of antenatal care in primary health care settings

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Date
2002-11
Authors
Fransman, Violet
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Publisher
University of the Free State
Abstract
English: The health of a nation depends on the health of the mother. child and family thus antenatal care for pregnant women is of utmost importance. Antenatal care for pregnant women shouldtherefore be providedholistically and be of the highest quality. The purpose of this study was to assess the quality of antenatal care rendered to pregnant women in primary health care settings. The design was non-experimentalof an exploratory and descriptive nature and the survey method was used to collect the data. The results of this study showed that the pregnant women were not satisfied with aspects such as the attitude of personnel and the antenatal care rendered by health care practitioners. The pregnant women also indicatedthat health educationwas not on par and that too many pregnant women attended the clinics at the same time and that they have to come very early [03:00 in the morning] to ensure that they will be attended to before the end of the day. This problem was complicated by the fact that a staff shortage existed. The health care practitioners indicated that their morale was very low and that they had to work under difficult circumstances such as a shortage of staff insufficient stock and equipment as well as a high turnover of pregnant women which makes it difficult to render care holisticallyand of a highquality. Based on the above. recommendations are made that quality assurance programmes should be developed and implemented for antenatal care services in primary health care settings
Afrikaans: Die gesondheid van 'n nasie berus op van die gesondheid van moeder. kind en gesin: daarom is die voorgeboortelike sorg van swanger vroue van die uiterste belang. Die voorgeboortelike sorg aan swanger vroue moet daarom holisties voorsien word en van die hoogste kwaliteit wees. Die doel van die studie was om die kwaliteit van die voorgeboortelike sorg wat aan swanger vroue in primêre gesondheidsorg instellings verleen word, te bepaal. Die ontwerp was nie-eksperimenteel van 'n beskrywende en eksplorerende aard terwyl die opname metode gebruik was om die inligting te versamel. Die resultate van die studie toon dat swanger vroue nie tevrede is nie met die houding van personeel en die voorgeboortelike sorg wat deur gesondheidsorgpraktisyns verleen word. Die swanger vroue het ook aangetoon dat gesondheidsorgonderrig nie na wense is nie en dat te veel swanger vroue die klinieke bywoon op dieselfde tyd en dat hulle baie vroeg [03: 00 in die oggend) moet opdaag om te verseker dat hulle voor die einde van die dag sorg sal verkry. Hierdie probleme word verder deur die feit dat daar ook 'n personeeltekort is. gekompliseerd. Die gesondheidsorgpraktisyns het ook aangedui dat hulle moraal laag is en dat hulle onder moeilike omstandighede werk soos personeeltekorte. onvoldoende voorraad en toerusting en dat die hoë omset van swanger vroue die lewering van holistiese en hoë kwaliteitsorg bemoeilik. Gebaseer op bogenoemde word aanbeveel dat kwaliteitversekeringsprogramme vir voorgeboortelike sorgdienste by primêre gesondheidsorginstellings ontwikkel en geïmplementeer word.
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Primary health care -- South Africa, Community health services -- South Africa, Dissertation (M.Soc.Sc. (Nursing))--University of the Free State, 2002
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