دورية أكاديمية
Developing and prioritising strategies to improve the implementation of maternal healthcare guidelines in South Africa: The nominal group technique.
| العنوان: | Developing and prioritising strategies to improve the implementation of maternal healthcare guidelines in South Africa: The nominal group technique. |
|---|---|
| المؤلفون: | Ramavhoya TI; Department of Advanced Nursing Science, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa; and, Department of Nursing Sciences, Faculty of Health Sciences, University of Pretoria, Pretoria. ramavhoya.i@gmail.com., Maputle MS, Lebese TR |
| المصدر: | African journal of primary health care & family medicine [Afr J Prim Health Care Fam Med] 2022 Aug 04; Vol. 14 (1), pp. e1-e8. Date of Electronic Publication: 2022 Aug 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: OpenJournals Pub Country of Publication: South Africa NLM ID: 101520860 Publication Model: Electronic Cited Medium: Internet ISSN: 2071-2936 (Electronic) Linking ISSN: 20712928 NLM ISO Abbreviation: Afr J Prim Health Care Fam Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Tygervalley, South Africa : OpenJournals Pub. |
| مواضيع طبية MeSH: | Maternal Health Services* , Midwifery*, Delivery of Health Care ; Female ; Humans ; Maternal Mortality ; Pregnancy ; South Africa |
| مستخلص: | Background: In 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. Aim: This study aimed to develop and prioritise strategies to improve the implementation of maternal healthcare guidelines at PHC facilities of Limpopo province, South Africa. Method: Strengths, 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. Results: Strategies 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. Conclusion: Researchers 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. |
| References: | Afr J Reprod Health. 2020 Jun;24(2):152-163. (PMID: 34077101) BMC Public Health. 2015 Sep 08;15:870. (PMID: 26350731) Acad Med. 2017 Oct;92(10):1491-1498. (PMID: 28678098) Reprod Health. 2017 Aug 29;14(1):105. (PMID: 28851383) Aust N Z J Obstet Gynaecol. 2015 Oct;55(5):e1-29. (PMID: 26412014) Nurs Manag (Harrow). 2007 May;14(2):25. (PMID: 17539398) BJOG. 2015 Jan;122(2):202-10. (PMID: 25289730) Int J Gynaecol Obstet. 2016 Jan;132(1):89-93. (PMID: 26475077) Adv Skin Wound Care. 2010 Apr;23(4):161-8. (PMID: 20299842) Curationis. 2020 Oct 21;43(1):e1-e9. (PMID: 33179945) Obstet Gynecol. 2013 Nov;122(5):1122-1131. (PMID: 24150027) Hypertens Pregnancy. 2019 Nov;38(4):230-236. (PMID: 31550945) Afr Health Sci. 2021 Mar;21(1):311-319. (PMID: 34394312) Glob Health Action. 2016 May 10;9:31408. (PMID: 27171766) Reprod Health. 2018 Nov 15;15(1):189. (PMID: 30442150) Health Care Women Int. 2014;35(7-9):828-44. (PMID: 24911182) |
| فهرسة مساهمة: | Keywords: BOEM; improve; maternal guidelines; provision; strategies |
| تواريخ الأحداث: | Date Created: 20220908 Date Completed: 20220909 Latest Revision: 20220911 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9453127 |
| DOI: | 10.4102/phcfm.v14i1.3184 |
| PMID: | 36073129 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2071-2936 |
|---|---|
| DOI: | 10.4102/phcfm.v14i1.3184 |