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