ArticleAfrican journal of primary health care & family medicine2022
Developing and prioritising strategies to improve the implementation of maternal healthcare guidelines in South Africa: The nominal group technique.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- "Reimaging a triage system with midwives, for midwives": exploring preferences for a midwife-Led triage system in South Africa through a user-centered approach.Frontiers in digital health · 2026Article
- 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
- A silent crisis: two decades of anaemia trends among women in the Eastern Mediterranean Region (2000-2019).Archives of medical science : AMS · 2025Article
- Women's Experiences Regarding Maternity Care in a Selected Hospital in Vhembe District, Limpopo Province: A Qualitative Approach.Healthcare (Basel, Switzerland) · 2024Article
- 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
- Empowering Zimbabwe's Nurses: Making Research a Core Pillar of Practice and Policy.SAGE open nursingArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn South Africa, maternal healthcare guidelines are distributed to primary health care (PHC) facility for midwives to refer and implement during maternal healthcare services. Different training was offered for the use of maternal care guidelines. However, poor adherence and poor implementation of guidelines were discovered.
aimThis study aimed to develop and prioritise strategies to improve the implementation of maternal healthcare guidelines at PHC facilities of Limpopo province, South Africa.
methodStrengths, weaknesses, opportunities and threats analysis and its matrix together with the nominal group technique were used to develop the current strategy. Midwives, maternal, assistant and operational managers from PHC facilities of the two selected district of the Limpopo province were selected. Criterion-based purposive sampling was used to select participants. Data collection and analysis involved the four steps used in the nominal group technique.
resultsStrategies related to strengths and weaknesses such as human resources, maternal health services and knowledge deficit were identified. Opportunities and threats such as availability of guidelines, community involvement and quality assurance as factors that influenced the provision of maternal healthcare services were identified.
conclusionResearchers formulated actions that could build on identified strengths, overcome weaknesses such as human resources, explore opportunities and mitigate the threats such as quality assurance. Implementation of the developed strategies might lead to the reduction of the maternal mortality rate.
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