Feasibility of the eight or more contacts of the WHO new antenatal care model in Cote d’Ivoire: an antenatal care providers’ perspective

Kadidiatou Raïssa Kourouma, Marie Laurette Agbre-Yacé, Daouda Doukouré, Akoua Tano-Kamelan, Aminata Soltié Coulibaly-Koné, Anon Félix N’dia, Syntiche Bayo, Odile Aké, Julie Sackou-Kouakou, Joseph Aka

Abstract

This paper examines the feasibility of the eight or more ANC contacts in Cote d’Ivoire through a qualitative study among twenty antenatal care providers through individual interviews. The eight or more ANC contacts were found useful as they will allow a better follow up of the pregnancy. Main barriers were: the lack of training on the 2016 WHO ANC model, the late initiation of ANC and the fear of increased workload. Drivers identified were: availability of supplies, adoption and dissemination of the new guidelines, assignment of antenatal care providers in underserved area, digitization of the mother and child health handbook, pregnant women and community engagement, intensification of communication for behavior change and a good relationship provider-pregnant woman-community. To ensure appropriate design and effective delivery of the eight or more ANC contacts, attention should be paid to barriers and facilitators identified. (Afr J Reprod Health 2021; 25[5]: 150-160).

Full Text:

PDF

References

World HealthOrganization WHO. Towards a Global Action Plan for Healthy Lives and Well-being for all African to accelerate progress towards the health related SDGs. World Health Organization. 2018; 31[Internet]. [Cited 28 July 2021]. Available on https://apps.who.int/iris/handle/1066.

World Health Organization.WHO_MPS_07.05_eng.pdf [Internet]. [Cited 5 March 2020]. Available on:https://apps.who.int/iris/bitstream/handle/10665/69509/WHO_MPS_07.05_eng.pdf;jsessionid=1D0F097C3122A9DD58069726A4325DF6?sequence=1.

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016. 152 p. [Internet]. [Cited 5 March 2020]. Available on: https://www.who.int/publications/i/item/9789241549912

Vogel JP, Habib NA, Souza JP, Gülmezoglu AM, Dowswell T, Carroli G, Baaqeel HS, Lumbiganon P, Piaggio G and Oladapo OT. Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO Antenatal Care Trial. Reprod Health.2013; 10(1):19.

Thaddeus S and Maine D. Too far to walk: maternal mortality in context. Soc Sci Med.1994; 38(8):1091–110.

Federal Ministry of Health Nigeria. Antenatal Care: An Orientation Package for Health Care Providers. 2017

Rapport REVU-SRMNEA-N.pdf. [Internet]. [Cited 28 July 2021]. Available on https://www.aliveandthrive.org/sites/default/files/attachments/RAPPORTREVU-SRMNEA-N.pdf.

Ekholuenetale M, Nzoputam CI and Barrow A. Prevalence and Socioeconomic Inequalities in Eight or More Antenatal Care Contacts in Ghana: Findings from 2019 Population-Based Data. Int J Womens Health 2021; 13: 349–360.

Barreix M, Lawrie TA, Kidula N, Tall F, Bucagu M, Chahar R and Tunçalp Ö Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries. Health Res Policy Syst 2020; 18: 70.

Singh K, Story WT and Moran AC. Assessing the Continuum of Care Pathway for Maternal Health in South Asia and Sub-Saharan Africa. Matern Child Health J. 2016; 20(2):281‑9.

Gupta S, Yamada G, Mpembeni R, Frumence G, Callaghan-Koru JA, Stevenson R, Brandes N and Baqui AH. Factors associated with four or more antenatal care visits and its decline among pregnant women in Tanzania between 1999 and 2010. PLoS ONE. 2014; 9(7):e101893

United Nations Children’s Fund antenatal.pdf [Internet]. [Cited 14 May 2020]. Available on https://www.unicef.org/media/files/antenatal.pdf

Jiwani SS, Amouzou-Aguirre A, Carvajal L, Chou D, Keita Y, Moran AC, Requejo J, Yaya S, Vaz LM and Boerma T. Timing and number of antenatal care contacts in low and middle-income countries: Analysis in the Countdown to 2030 priority countries. Journal of global health. 2020; 10(1):010502.

Ekholuenetale M, Benebo FO and Idebolo AF. Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey. PLOS ONE. 2020; 15: e0239855.

Fagbamigbe AF, Olaseinde O and Setlhare V. Sub-national analysis and determinants of numbers of antenatal care contacts in Nigeria: assessing the compliance with the WHO recommended standard guidelines. BMC Pregnancy Childbirth. 2021; 21: 402.

Ekholuenetale M, Nzoputam CI, Barrow A and Onikan A. Women’s enlightenment and early antenatal care initiation are determining factors for the use of eight or more antenatal visits in Benin: further analysis of the Demographic and Health Survey. J Egypt Public Health Assoc. 2020; 95: 13.

Institut National de Statistique Côte d’Ivoire. Enquête Démographique et de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011-2012. [Internet]. [Cited 5 March 2020]. Available on http://www.ins.ci/n/templates/Pub/EDS-MICS%202011-2012.pdf

Denise KDO, Marie-Dorothée KM, Marie-Laurette AY,

Akoua T, Laure E.EM, Williams Y and Dinard K. Factors associated with maternal health service utilization in Cote d’Ivoire: analysis of the 2011 Ivorian Demographic and Health Survey. Sci J Public Health. 2019; 7(4), 115-22.

Sword W. A socio‐ecological approach to understanding barriers to prenatal care for women of low income. J Adv Nurs. 1999; 29: 1170–1177.

Eldridge SM, Lancaster GA, Campbell MJ, Thabane L, Hopewell S, Coleman CL and Bond CM. Defining feasibility and pilot studies in preparation for randomised controlled trials: development of a conceptual framework. PloS one. 2016; 11(3): e0150205.

Bouaicha B. Etude de la faisabilité des huit consultations prénatales recommandées par l’OMS pour réduire la mortalité périnatale au MAROC cas de la province de SKHIRAT-TEMARA. [Cited 5 March 2020]. Available on https://bdspehesp.inist.fr/vibad/controllers/getNoticePDF.php?path=/Ensp-Maroc/Memoires/Csspms/Sfsc/2017/10089.pdf

Fischer F, Lange K, Klose K, Greiner W and Kraemer A. Barriers and Strategies in Guideline Implementation—A Scoping Review. Healthcare (Basel). 2016; 4(3):36.

Brown CE, Wickline MA, Ecoff L, and Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. J Adv Nurs. 2009; 65(2): 371–381.

Solomons NM and Spross JA. Evidence-based practice

barriers and facilitators from a continuous quality improvement perspective: an integrative review. J Nurs Manage. 2011; 19(1):109–120.

Varaei S, Salsali M and Cheraghi MA. Implementation of evidence-based nursing practice for diabetic patients: an Iranian experience. Inter J Nurs Pract. 2013; 19(3):73–80.

Ouma PO, Van eijk AM., Hamel MJ, Sikuku ES, Odhiambo FO, Munguti KM, Ayisi JG, Crawford SB, Kager AP and Slutsker L. Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide" focused antenatal care". Reprod Health. 2010; 7(1): 1-9.

Dovlo D. Using mid-level cadres as substitutes for internationally mobile health professionals in Africa. A desk review. Hum Resour Health. 2004; 2(7): 1-12.

WHO. The world health report 2006: working together for health Geneva: World Health Organisation; [Internet]. [Cited 28 July 2020]. Available on: http://www.who.int/whr/2006.

Aké-Tano SOP, Doukouré D, Dosso A, Akra KA, Badie YB, Bissouma-Ledjou T, Kouassi D and Gbary AR. Travailler en zones mal desservies en Côte d’Ivoire : motivation des étudiants et personnel de santé. Santé Publique. 2018, (HS) :127-139.

Feroz A, Perveen S and Aftab W. Role of mHealth applications for improving antenatal and postnatal care in low and middle income countries: a systematic review. BMC Health Serv Res. 2017; 17:704.

Haddad SM, Souza RT, Cecatti JG, Barreix M, Tamrat T, Footitt C, Mehl GL, Syah IF, Shankar AH and Tunçalp Ö. Building a Digital Tool for the Adoption of the World Health Organization’s Antenatal Care Recommendations: Methodological Intersection of Evidence, Clinical Logic, and Digital Technology. J Med Internet Res. 2020; 22: e16355.

Nasir S, Goto R, Kitamura A, Alafeef S, Ballout G, Hababeh M, Kiriya J, Seita A and JimbaM. Dissemination and implementation of the e-MCHHandbook, UNRWA’s newly released maternal and child health mobile application: a cross-sectional study. BMJ open. 2020; 10(3): e034885.

Downe S, Finlayson K, Tunçalp Ö and Gülmezoglu AM. Factors that influence the provision of good quality routine antenatal care services by health staff: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2019; 6(6):CD012392

Simkhada B, Teijlingen ER van, Porter M and Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Adv Nurs. 2008; 61(3):244‑60.

Pell C, Meñaca A, Were F, Afrah NA, Chatio S, Manda-Taylor L, Hamel MJ, Hodgson A, Tagbor H, Kalilani L, Ouma P and Pool R. Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi. PLoS One. 2013; 8 (1): e53747.

Ali SA, Dero AA, Ali SA and Ali GB. Factors affecting the utilization of antenatal care among pregnant women: A literature review. Journal of Pregnancy and Neonatal Medicine [Internet]. 2018; 2(2).

Roberts J, Sealy D, Marshak HH, Manda-Taylor L, Gleason P and Mataya R. The patient-provider relationship and antenatal care uptake at two referral hospitals in Malawi: A qualitative study. Malawi Med J.2015; 27(4):145–150.

Hagey J, Rulisa S and Pérez-Escamilla R. Barriers and solutions for timely initiation of antenatal care in Kigali, Rwanda: Health facility professionals' perspective. Midwifery. 2014; 30(1):96-102.

Liabsuetrakul T, Oumudee N, Armeeroh M, Nima N and Duerahing N. Improvement of Early Antenatal Care Initiation: The Effects of Training Local Health Volunteers in the Community. Health Serv Res Manag Epidemiol .2018; 5: 2333392818761483

Refbacks

  • There are currently no refbacks.