ArticleCurationis2020
Managers' support on implementation of maternal guidelines, Limpopo province, South Africa.
Article in Curationis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
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Who cites it
6 citing papers in PubMed.
- Healthcare Workers' Perspectives on the E-MOTIVE Postpartum Haemorrhage Bundle in Tanzania: A Qualitative Study of Implementation Facilitators and Challenges.International journal of women's health · 2026Article
- Protocol to Assess the Knowledge, Attitude, and Practices of Midwives in the Implementation of Maternal Healthcare Guidelines in a Selected District, Limpopo Province, South Africa.Nursing reports (Pavia, Italy) · 2025Article
- Midwifery manager's experiences of knowledge and skills utilization by midwife specialists in the public health sector of South Africa.BMC nursing · 2025Article
- Barriers and facilitators influencing midwives' implementation of South Africa's maternal care guidelines in postnatal health: a scoping review.Primary health care research & development · 2025Article
- Development of strategies to enhance recordkeeping during intrapartum care in Limpopo province: A Delphi technique.Health SA = SA Gesondheid · 2024Article
- Developing and prioritising strategies to improve the implementation of maternal healthcare guidelines in South Africa: The nominal group technique.African journal of primary health care & family medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe report of Saving Mothers indicated a decline of maternal mortality from 12.8% to 12.5% last triennium of 2017. This shows that regardless of availability of national maternal health guidelines, midwives and managers, 25% of maternal deaths were caused by preventable and avoidable factors. As such, support provided by managers is vital in promoting the utilisation of maternal guidelines.
objectivesThe objective was to determine the support offered by managers to midwives during the implementation of maternal health guidelines.
methodThe study design was cross-sectional descriptive in a quantitative domain. Simple random sampling was used to select 58 operational managers and two maternal managers. Data were collected using self-administered questionnaires and analysed using Statistical Package for Social Sciences version 23. Descriptive statistics provided by Microsoft Excel in the form of charts was used to describe data. Pearson's correlation test was used to describe relationships amongst variables.
resultsThe results revealed that 83.3% respondents indicated a shortage of staff to attend pregnant women. Fifty-six per cent of managers indicated that shortage of material resources contributed to substandard implementation of maternal guidelines. Supervision and monitoring of implementation of maternal guidelines was difficult as indicated by 53.3%, and 63.3% indicated lack of supervision.
conclusionLimited support in terms of monitoring and supervision by managers was strongly indicated as having a negative effect on implementation of maternal guidelines. Capacity building was offered; however, shortage of resources led to poor implementation of maternal guidelines by midwives.
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