An Investigation into Engagement Processes between Antenatal Providers and Users in Lundazi District – Zambia
Abstract:
Background: Strategies to engage pregnant women in their prenatal care, educating
them and encourage hospital deliveries are important elements to consider in efforts
aimed to improve quality Antenatal Care (ANC).
Methods: A facility based cross-sectional study employing both qualitative
and quantitative methods was conducted in Lundazi District, Zambia. Engagement processes
between ANC providers and pregnant mothers during the provision of antenatal care
were explored. Data was collected from sixty pregnant women who attended ANC clinic
in five public health facilities. It was also collected from seventy-five ANC providers.
Data were collected through focus group discussion with ANC users, observation during
consultation and self-administered questionnaire from ANC providers.
Results: This study observed that one to one individualized health education
was not reinforced despite the health and gestational age of clients. Only thirty-seven
percent of ANC providers explained their findings to the clients during physical
examination. Clients were not counselled on blurred vision, severe headache, convulsions,
fever and difficulties in breathing. This study further found that ANC providers
could not explain the reason for referral submitting that Antenatal mothers would
still not understand even if staff took the entire year explaining. However, eighty
percent of the ANC users were encouraged to deliver from the health facility.
Conclusion: Lack of engagement with ANC users indicates missed opportunities for delivering quality ANC Care. Reforcement of this component would improve the quality of care and improve maternal and fetal wellbeing.
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