ArticleBulletin of the World Health Organization2021
Implementing antenatal care recommendations, South Africa.
Article in Bulletin of the World Health Organization, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- A retrospective review of screening for HIV, syphilis and anaemia on first antenatal care visits at a midwife-run obstetric unit in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Exploration of facilitators and barriers to the implementation of the eight-contact antenatal care model in healthcare facilities in Nigeria.Maternal health, neonatology and perinatology · 2026Article
- The triage performance of emergency medical dispatch prioritisation compared to prehospital on-scene triage in the Western Cape Province of South Africa.BMC emergency medicine · 2025Article
- Factors affecting antenatal care attendance in Soweto, Johannesburg: The three-delay model.African journal of primary health care & family medicine · 2024Article
- A cost-effectiveness analysis of a South African pregnancy support grant.PLOS global public health · 2024Article
- Informational continuity by skilled birth attendants during antenatal care in Lesotho.Health SA = SA Gesondheid · 2024Article
- Article
- Factors Related to the Implementation of Preconception Care Recommendations in Selected Districts of Limpopo Province: A Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province.Nursing reports (Pavia, Italy) · 2023Article
- Antenatal care utilization and its associated factors in Somalia: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- Implementation of continuous-wave Doppler ultrasound to detect the high-risk foetus in the low-risk mother: lessons from South Africa.BMC pregnancy and childbirth · 2023Article
- 'Being a mother is not child's play': The capabilities of mothers in a low-resource setting in South Africa.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Preventing antenatal stillbirths: An innovative approach for primary health care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Identifying the High-Risk Fetus in the Low-Risk Mother Using Fetal Doppler Screening.Global health, science and practice · 2022Article
- The prevalence of abnormal Doppler's of the umbilical artery in a low-risk pregnant population in South Africa.EClinicalMedicine · 2021Article
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Authors and funding
7 authors.
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Abstract
Despite progress in reduction in maternal deaths in South Africa, deaths due to complications of hypertension in pregnancy remain high at 26 deaths per 100 000 live births in 2016. The South African health ministry modified its existing four-visit antenatal care model to align with the World Health Organization's (WHO) 2016 recommendations for the number and content of antenatal care contacts. Implementation of the eight-contact antenatal care recommendations began in April 2017, after adaptation to the national context and nationwide trainings. In this article, we describe the stages of implementation and the monitoring of key indicators. We share lessons, particularly from the important early stages of nationwide scale-up and an analysis of the early results. We analysed samples of maternity case records in four catchment areas in the first year of the updated care model. The mean number of antenatal care contacts among five monthly samples of 200 women increased steadily from 4.76 (standard deviation, SD: 2.0) in March 2017 to 5.90 (SD: 2.3) in February 2018. The proportion of women with hypertension detected who received appropriate action (provision of medical treatment or referral) also increased from 83.3% (20/24) to 100.0% (35/35) over the same period. South Africa's experiences with implementation of the updated antenatal care package shows that commitment from all stakeholders is essential for success. Training and readiness are key to identifying and managing women with complications and developing an efficient antenatal care system accessible to all women.
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