ArticleBMC health services research2016
Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Facilitators of, barriers to and strategies for health-system guidance implementation: a critical interpretive synthesis.npj health systems · 2026Review
- Level and factors associated with compliance to iron-folic acid supplementation among pregnant women in rural Soro district, Hadiya Zone, Ethiopia: cross-sectional study.BMC nutrition · 2023Article
- Challenges to diagnosing and managing preeclampsia in a low-resource setting: A qualitative study of obstetric provider perspectives from Ghana.PLOS global public health · 2023Article
- Article
- Factors associated with health facility deliveries among mothers living in hospital catchment areas in Rukungiri and Kanungu districts, Uganda.BMC pregnancy and childbirth · 2021Article
- Time to start and adherence to iron-folate supplement for pregnant women in antenatal care follow up; Northern Ethiopia.Patient preference and adherence · 2019Article
- Pregnant women's experiences with an integrated diagnostic and decision support device for antenatal care in Ghana.BMC pregnancy and childbirth · 2018Article
- Perceptions and experiences of prenatal mental health: A qualitative study among pregnant women in Ghana.Health psychology openArticle
- Review
- Utilization of Personal Protective Equipment and Its Determinants Among Health Care Professionals in Public Hospitals in Resource-Limited Settings.SAGE open nursingArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundLack of resources has been identified as a reason for non-adherence to clinical guidelines. Our aim was to describe public health facility resource availability in relation to provider adherence to first antenatal visit guidelines.
methodsA cross-sectional analysis of the baseline data of a prospective cohort study on adherence to first antenatal care visit guidelines was carried out in 11 facilities in the Greater Accra Region of Ghana. Provider adherence was studied in relation to health facility resource availability such as antenatal workload for clinical staffs, routine antenatal drugs, laboratory testing, protocols, ambulance and equipment.
resultsEleven facilities comprising 6 hospitals (54.5 %), 4 polyclinics (36.4 %) and 1 health center were randomly sampled. Complete provider adherence to first antenatal guidelines for all the 946 participants was 48.1 % (95 % CI: 41.8-54.2 %), varying significantly amongst the types of facilities, with highest rate in the polyclinics. Average antenatal workload per month per clinical staff member was higher in polyclinics compared to the hospitals. All facility laboratories were able to conduct routine antenatal tests. Most routine antenatal drugs were available in all facilities except magnesium sulphate and sulphadoxine-pyrimethamine which were lacking in some. Antenatal service protocols and equipment were also available in all facilities.
conclusionAlthough antenatal workload varies across different facility types in the Greater Accra region, other health facility resources that support implementation of first antenatal care guidelines are equally available in all the facilities. These factors therefore do not adequately account for the low and varying proportions of complete adherence to guidelines across facility types. Providers should be continually engaged for a better understanding of the barriers to their adherence to these guidelines.
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Registered trials
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