ArticlePloS one2016
Client Factors Affect Provider Adherence to Clinical Guidelines during First Antenatal Care.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Can an mhealth clinical decision-making support system improve adherence to neonatal healthcare protocols in a low-resource setting?BMC pediatrics · 2020Trial
- Service providers' adherence to methadone maintenance treatment protocol in China.The International journal on drug policy · 2018Trial
- Experiences of Health Professionals Regarding Existing Guidelines Used to Manage Obstetric Emergencies in a Rural Area of South Africa: A Qualitative Explorative Study.International journal of environmental research and public health · 2026Article
- Quality of maternal and child health services in Tanzanian primary healthcare: a 2021-2022 star rating review.Reproductive health · 2025Article
- Article
- Self-reported continuity and coordination of antenatal care and its association with obstetric near miss in Uasin Gishu county, Kenya.African journal of primary health care & family medicine · 2023Article
- Observational
- Article
- Extent of Received Antenatal Care Components in Ethiopia: A Community-Based Panel Study.International journal of women's health · 2021Article
- Article
- Client Factors Affect Provider Adherence to Guidelines during First Antenatal Care in Public Health Facilities, Ethiopia: A Multi-Center Cross-Sectional Study.Ethiopian journal of health sciences · 2020Article
- Determinants of Low Birth Weight in Ghana: Does Quality of Antenatal Care Matter?Maternal and child health journal · 2020Article
- Factors influencing implementation of an insulin patient decision aid at public health clinics in Malaysia: A qualitative study.PloS one · 2020Article
- Article
- Antenatal care for alcohol consumption during pregnancy: pregnant women's reported receipt of care and associated characteristics.BMC pregnancy and childbirth · 2019Article
- Adherence to the recommended timing of focused antenatal care in the Accra Metropolitan Area, Ghana.The Pan African medical journal · 2019Article
- Article
- Does body mass index early in pregnancy influence the risk of maternal anaemia? An observational study in Indonesian and Ghanaian women.BMC public health · 2018Observational
- Provider adherence to first antenatal care guidelines and risk of pregnancy complications in public sector facilities: a Ghanaian cohort study.BMC pregnancy and childbirth · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe first antenatal clinic (ANC) visit helps to distinguish pregnant women who require standard care, from those with specific problems and so require special attention. There are protocols to guide care providers to provide optimal care to women during ANC. Our objectives were to determine the level of provider adherence to first antenatal visit guidelines in the Safe Motherhood Protocol (SMP), and assess patient factors that determine complete provider adherence.
methodsThis cross-sectional study is part of a cohort study that recruited women who delivered in eleven health facilities and who had utilized antenatal care services during their pregnancy in the Greater Accra region of Ghana. A record review of the first antenatal visit of participants was carried out to assess the level of adherence to the SMP, using a thirteen-point checklist. Information on their socio-demographic characteristics and previous pregnancy history was collected using a questionnaire. Percentages of adherence levels and baseline characteristics were estimated and cluster-adjusted odds ratios (OR) calculated to identify determinants.
resultsA total of 948 women who had delivered in eleven public facilities were recruited with a mean age (SD) of 28.2 (5.4) years. Overall, complete adherence to guidelines pertained to only 48.1% of pregnant women. Providers were significantly more likely to completely adhere to guidelines when caring for multiparous women [OR = 5.43 (1.69-17.44), p<0.01] but less likely to do so when attending to women with history of previous pregnancy complications [OR = 0.50 (0.33-0.75), p<0.01].
conclusionComplete provider adherence to first antenatal visit guidelines is low across different facility types in the Greater Accra region of Ghana and is determined by parity and history of previous pregnancy complication. Providers should be trained and supported to adhere to the guidelines during provision of care to all pregnant women.
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