2023-09-28 14:46:10 +00:00
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abstract: 'Background: High-quality antenatal care (ANC) provides a lifesaving
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opportunity for women and their newborns through providing health
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promotion, disease prevention, and early diagnosis and treatment of
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pregnancy-related health issues. However, systematically synthesised
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evidence on factors influencing the quality of ANC services is lacking.
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This scoping review aims to systematically synthesize the factors
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influencing in provision and utilisation of quality ANC services.
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Methods: We conducted a scoping review of published evidence on the
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quality of ANC services. We searched records on four databases (PubMed,
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Scopus, Embase, and Google scholar) and grey literature from 1 to 2011
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to 30 August 2021. We analysed data using Braun and Clarke''s thematic
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analysis approach. We followed Preferred Reporting Items for Systematic
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Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR)
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guideline for the review. We explained themes using the Donabedian
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healthcare quality assessment model (input-process-output). Results:
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Several inputs- and process-related factors contributed to suboptimal
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quality of ANC in many low and lower- or middle-income countries. Input
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factors included facility readiness (e.g., lack of infrastructure,
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provision of commodities and supplies, health workforce, structural and
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intermediary characteristics of pregnant women, and service delivery
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approaches). Processes-related factors included technical quality of
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care (e.g., lack of skilled adequate and timely care, and poor adherence
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to the guidelines) and social quality (lack of effective communication
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and poor client satisfaction). These input and process factors have also
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contributed to equity gaps in utilisation of quality ANC services.
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Conclusion: Several input and process factors influenced the provision
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and utilization of optimum quality ANC services. Better health system
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inputs (e.g., availability of trained workforces, commodities,
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guidelines, context-specific programs) are essential to creating
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enabling facility environment for quality ANC services. Care processes
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can be improved by ensuring capacity-building activities for workforces
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(training, technical support visits), and mentoring staff working at
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peripheral facilities. Identifying coverage of quality ANC services
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among disadvantaged groups could be the initial step in designing and
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implementing targeted program approaches.'
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affiliation: 'Khatri, RB (Corresponding Author), Univ Queensland, Sch Publ Hlth, Brisbane,
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Australia.
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Khatri, RB (Corresponding Author), Hlth Social Sci \& Dev Res Inst, Kathmandu, Nepal.
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Khatri, Resham B.; Mengistu, Tesfaye S.; Assefa, Yibeltal, Univ Queensland, Sch
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Publ Hlth, Brisbane, Australia.
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Khatri, Resham B., Hlth Social Sci \& Dev Res Inst, Kathmandu, Nepal.
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Mengistu, Tesfaye S., Bahir Dar Univ, Coll Med \& Hlth Sci, Sch Publ Hlth, Bahir
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Dar, Ethiopia.'
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article-number: '977'
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author: Khatri, Resham B. and Mengistu, Tesfaye S. and Assefa, Yibeltal
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author-email: rkchettri@gmail.com
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author_list:
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- family: Khatri
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given: Resham B.
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- family: Mengistu
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given: Tesfaye S.
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- family: Assefa
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given: Yibeltal
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da: '2023-09-28'
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doi: 10.1186/s12884-022-05331-5
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eissn: 1471-2393
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files: []
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journal: BMC PREGNANCY AND CHILDBIRTH
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keywords: Antenatal care; Quality; Health systems; Inputs; Processes; Outputs
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keywords-plus: 'PRENATAL-CARE; HEALTH-CARE; UNIVERSAL COVERAGE; PREGNANT-WOMEN;
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DETERMINANTS; DISPARITIES; INTERVENTIONS; SATISFACTION; COUNTRIES;
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DISTRICT'
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language: English
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month: DEC 28
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number: '1'
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number-of-cited-references: '126'
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orcid-numbers: 'Khatri, Resham B/0000-0001-5216-606X
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Mengistu, Tesfaye S./0000-0001-8276-5143
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'
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papis_id: 33339de6577b8d432e180cf27f3e70d7
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ref: Khatri2022inputprocess
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researcherid-numbers: 'Khatri, Resham B/R-1532-2016
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Mengistu, Tesfaye S./AAI-4027-2021
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Mengistu, Tesfaye Setegn/AFQ-0237-2022'
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tags:
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- review
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times-cited: '1'
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title: 'Input, process, and output factors contributing to quality of antenatal care
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services: a scoping review of evidence'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000905632200005
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usage-count-last-180-days: '2'
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usage-count-since-2013: '4'
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volume: '22'
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web-of-science-categories: Obstetrics \& Gynecology
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year: '2022'
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