Abstract
BackgroundIn Ethiopia, health care providers’ level of adherence to the national Antenatal Care (ANC) guideline is relatively low. The reasons why they do not follow the guidelines are not well known. Therefore, this study aimed to explore the provider-perceived benefits and constraints associated with using the guideline for ANC in public health facilities in Gondar town.MethodsA qualitative study was conducted using a semi-structured interview guide. The interview was conducted among a purposive sample of nine health care providers working in four public health facilities in Gondar town. After the interviews were transcribed and coded, a content analysis was done using Atlas ti version 7.5 software packages.ResultDecreasing provider’s workload and maximizing performance, improving safe motherhood, and improving the process of service delivery were reported as the perceived benefits of following ANC guideline. Organizational problems, care providers’ existing knowledge, attitude, and skills and availability of training and mentorship were the three main identified groups of factors that hinder complete providers’ adherence to ANC guideline.ConclusionAlthough providers acknowledged the benefits of following ANC guideline, the guideline is not fully implemented. Refresher training should be given at the start of the updated eight-contact ANC guideline and continuing education and supervision throughout the implementation process. Health care providers call for profound and urgent revisions of the supply chain system for supplies and equipment.
Highlights
We found that the perceived benefits of following the Antenatal Care (ANC) guideline could be divided into three categories: I) Providers’ workload and performance; II) Improves perinatal outcomes and III) Improve service delivery (Table 1)
Participants acknowledged the benefits of using ANC guidelines during clinical practice, they themselves have not completely adhered to the existing Ethiopian ANC guideline
Organizational and training and mentorship related groups of factors for the reasons why providers are not following ANC guideline during clinical practice
Summary
This study aimed to explore the provider-perceived benefits and constraints associated with using the guideline for ANC in public health facilities in Gondar town. This study aimed to explore the provider-perceived benefits and constraints associated with complete adherence to ANC guideline among public health facilities in public health facilities in Gondar town
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