Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal
Aim The aim of the study was to investigate the challenges experienced by midwives during the implementation of the Basic Antenatal Care programme. Background The National Department of Health recommended that all primary health care facilities in South Africa start to implement the Basic Antenatal...
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| Veröffentlicht in: | Journal of nursing management 2014-10, Vol.22 (7), p.906-913 |
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| container_title | Journal of nursing management |
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| creator | Ngxongo, Thembelihle Sylvia Patience Sibiya, Maureen Nokuthula |
| description | Aim
The aim of the study was to investigate the challenges experienced by midwives during the implementation of the Basic Antenatal Care programme.
Background
The National Department of Health recommended that all primary health care facilities in South Africa start to implement the Basic Antenatal Care programme by the end of 2008. In her work as coordinator of the Maternal Child and Women's Health programme for the eThekwini Municipality, the researcher observed the slow progress in implementation of the programme in the eThekwini district.
Method
A descriptive qualitative design using questionnaires was used to assess the challenges being experienced by midwives during the implementation of the programme.
Results
The challenges identified included: shortage of staff, lack of cooperation from referral hospitals, lack of in‐service training, problems with transportation of specimens to laboratories, lack of material resources, unavailability of Basic Antenatal Care programme guidelines and lack of management support.
Conclusion
The challenges were the possible cause of the slow progress in the implementation of the programme.
Implications for nursing management
The successful implementation of the new programme is dependent on support and guidance offered by the nurse manager to the staff at operational level. The manager should monitor and develop strategies to address and overcome challenges that hinder implementation of the Basic Antenatal Care programme. |
| doi_str_mv | 10.1111/jonm.12036 |
| format | Article |
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The aim of the study was to investigate the challenges experienced by midwives during the implementation of the Basic Antenatal Care programme.
Background
The National Department of Health recommended that all primary health care facilities in South Africa start to implement the Basic Antenatal Care programme by the end of 2008. In her work as coordinator of the Maternal Child and Women's Health programme for the eThekwini Municipality, the researcher observed the slow progress in implementation of the programme in the eThekwini district.
Method
A descriptive qualitative design using questionnaires was used to assess the challenges being experienced by midwives during the implementation of the programme.
Results
The challenges identified included: shortage of staff, lack of cooperation from referral hospitals, lack of in‐service training, problems with transportation of specimens to laboratories, lack of material resources, unavailability of Basic Antenatal Care programme guidelines and lack of management support.
Conclusion
The challenges were the possible cause of the slow progress in the implementation of the programme.
Implications for nursing management
The successful implementation of the new programme is dependent on support and guidance offered by the nurse manager to the staff at operational level. The manager should monitor and develop strategies to address and overcome challenges that hinder implementation of the Basic Antenatal Care programme.</description><identifier>ISSN: 0966-0429</identifier><identifier>EISSN: 1365-2834</identifier><identifier>DOI: 10.1111/jonm.12036</identifier><identifier>PMID: 25298050</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>antenatal care ; Basic Antenatal Care programme ; challenges ; Female ; Guideline Adherence ; Health Promotion - methods ; Health Resources - supply & distribution ; Humans ; midwife ; Midwifery - methods ; Nursing ; Pregnancy ; Prenatal Care - methods ; Primary Health Care - methods ; Qualitative Research ; Retrospective Studies ; Rural Health Services - standards ; Rural Health Services - supply & distribution ; South Africa</subject><ispartof>Journal of nursing management, 2014-10, Vol.22 (7), p.906-913</ispartof><rights>2013 John Wiley & Sons Ltd</rights><rights>2013 John Wiley & Sons Ltd.</rights><rights>Copyright © 2014 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4286-ec1337d5d6c54b9798aeb32d24fd128375dfbdb68705e31e9c7148730734929a3</citedby><cites>FETCH-LOGICAL-c4286-ec1337d5d6c54b9798aeb32d24fd128375dfbdb68705e31e9c7148730734929a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjonm.12036$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjonm.12036$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25298050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ngxongo, Thembelihle Sylvia Patience</creatorcontrib><creatorcontrib>Sibiya, Maureen Nokuthula</creatorcontrib><title>Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal</title><title>Journal of nursing management</title><addtitle>J Nurs Manag</addtitle><description>Aim
The aim of the study was to investigate the challenges experienced by midwives during the implementation of the Basic Antenatal Care programme.
Background
The National Department of Health recommended that all primary health care facilities in South Africa start to implement the Basic Antenatal Care programme by the end of 2008. In her work as coordinator of the Maternal Child and Women's Health programme for the eThekwini Municipality, the researcher observed the slow progress in implementation of the programme in the eThekwini district.
Method
A descriptive qualitative design using questionnaires was used to assess the challenges being experienced by midwives during the implementation of the programme.
Results
The challenges identified included: shortage of staff, lack of cooperation from referral hospitals, lack of in‐service training, problems with transportation of specimens to laboratories, lack of material resources, unavailability of Basic Antenatal Care programme guidelines and lack of management support.
Conclusion
The challenges were the possible cause of the slow progress in the implementation of the programme.
Implications for nursing management
The successful implementation of the new programme is dependent on support and guidance offered by the nurse manager to the staff at operational level. The manager should monitor and develop strategies to address and overcome challenges that hinder implementation of the Basic Antenatal Care programme.</description><subject>antenatal care</subject><subject>Basic Antenatal Care programme</subject><subject>challenges</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Health Promotion - methods</subject><subject>Health Resources - supply & distribution</subject><subject>Humans</subject><subject>midwife</subject><subject>Midwifery - methods</subject><subject>Nursing</subject><subject>Pregnancy</subject><subject>Prenatal Care - methods</subject><subject>Primary Health Care - methods</subject><subject>Qualitative Research</subject><subject>Retrospective Studies</subject><subject>Rural Health Services - standards</subject><subject>Rural Health Services - supply & distribution</subject><subject>South Africa</subject><issn>0966-0429</issn><issn>1365-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU9v0zAYhy0EYqVw4QMgS1wQIsN_Yjs-QoFBN7pLEUfLcd627hKnsxOV8elx120HDmBZsmQ9v5_8-kHoJSWnNK_32z50p5QRLh-hCeVSFKzi5WM0IVrKgpRMn6BnKW0JoZxx8RSdMMF0RQSZoOvZxrYthDUkHGFtY-PDGg8bwL7btdBBGOzg-4D71e1tbZN32IYBgh1si52NgO1uF3vrNtgHDMsNXO198PiTT0P0bniHz_f299iOxeIQeY6erGyb4MXdOUU_vnxezr4WF5dn32YfLgpXskoW4CjnqhGNdKKstdKVhZqzhpWrhub5lGhWdVPLShEBnIJ2ipaV4kTxUjNt-RS9Ofbmt12PkAbT-eSgbW2AfkyGKsJkWUrB_o9KSpRQPO8pev0Xuu3HGPIgmSKacU3YgXp7pFzsU4qwMrvoOxtvDCXm4MwcnJlbZxl-dVc51h00D-i9pAzQI7D3Ldz8o8rMLxff70uLYyZLgF8PGRuvjFT588zPxZkh_PzjnM6FWfI__0ivlA</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Ngxongo, Thembelihle Sylvia Patience</creator><creator>Sibiya, Maureen Nokuthula</creator><general>Blackwell Publishing Ltd</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201410</creationdate><title>Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal</title><author>Ngxongo, Thembelihle Sylvia Patience ; Sibiya, Maureen Nokuthula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4286-ec1337d5d6c54b9798aeb32d24fd128375dfbdb68705e31e9c7148730734929a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>antenatal care</topic><topic>Basic Antenatal Care programme</topic><topic>challenges</topic><topic>Female</topic><topic>Guideline Adherence</topic><topic>Health Promotion - methods</topic><topic>Health Resources - supply & distribution</topic><topic>Humans</topic><topic>midwife</topic><topic>Midwifery - methods</topic><topic>Nursing</topic><topic>Pregnancy</topic><topic>Prenatal Care - methods</topic><topic>Primary Health Care - methods</topic><topic>Qualitative Research</topic><topic>Retrospective Studies</topic><topic>Rural Health Services - standards</topic><topic>Rural Health Services - supply & distribution</topic><topic>South Africa</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ngxongo, Thembelihle Sylvia Patience</creatorcontrib><creatorcontrib>Sibiya, Maureen Nokuthula</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ngxongo, Thembelihle Sylvia Patience</au><au>Sibiya, Maureen Nokuthula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal</atitle><jtitle>Journal of nursing management</jtitle><addtitle>J Nurs Manag</addtitle><date>2014-10</date><risdate>2014</risdate><volume>22</volume><issue>7</issue><spage>906</spage><epage>913</epage><pages>906-913</pages><issn>0966-0429</issn><eissn>1365-2834</eissn><abstract>Aim
The aim of the study was to investigate the challenges experienced by midwives during the implementation of the Basic Antenatal Care programme.
Background
The National Department of Health recommended that all primary health care facilities in South Africa start to implement the Basic Antenatal Care programme by the end of 2008. In her work as coordinator of the Maternal Child and Women's Health programme for the eThekwini Municipality, the researcher observed the slow progress in implementation of the programme in the eThekwini district.
Method
A descriptive qualitative design using questionnaires was used to assess the challenges being experienced by midwives during the implementation of the programme.
Results
The challenges identified included: shortage of staff, lack of cooperation from referral hospitals, lack of in‐service training, problems with transportation of specimens to laboratories, lack of material resources, unavailability of Basic Antenatal Care programme guidelines and lack of management support.
Conclusion
The challenges were the possible cause of the slow progress in the implementation of the programme.
Implications for nursing management
The successful implementation of the new programme is dependent on support and guidance offered by the nurse manager to the staff at operational level. The manager should monitor and develop strategies to address and overcome challenges that hinder implementation of the Basic Antenatal Care programme.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25298050</pmid><doi>10.1111/jonm.12036</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of nursing management, 2014-10, Vol.22 (7), p.906-913 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | antenatal care Basic Antenatal Care programme challenges Female Guideline Adherence Health Promotion - methods Health Resources - supply & distribution Humans midwife Midwifery - methods Nursing Pregnancy Prenatal Care - methods Primary Health Care - methods Qualitative Research Retrospective Studies Rural Health Services - standards Rural Health Services - supply & distribution South Africa |
| title | Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal |
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