Factors that influence the accessibility of antenatal care clinics in the Northern (Limpopo) Province
- Authors: Tladi, Florah Maletsema
- Date: 2008-11-14T14:18:31Z
- Subjects: Prenatal care , Community health services
- Type: Thesis
- Identifier: uj:14689 , http://hdl.handle.net/10210/1682
- Description: D.Cur , One of the most important factors relating to antenatal care provisions as One of the most important componentscomponents of P rimary Health Carecomponents of Prima ry Health C are (PHC ) is that the provisio forfor all pregnant women for whom these provisions afor all pregnant women for whom these provisions related to the a vailability, afforda bility, accepta bility, effectiveness, efficiency , equityrelated to the availability, utilization of the antenatal care clinics by pregnant women. TheThe White Paper on the Trans foThe White Paper on the Trans formation of The White Paper on services be madeservices be ma de accessib le for all the po pulation grou ps in South A frica. Thisservices thethe health services should be equally accessible in thethe health services should be equally accessible in WhiteWhite Paper states tha t all citizens shou ld have equ al access toWhite Paper states that all citizens should entitled. The right of access to health care means that: " Health professionals are obliged to facilitate access. The following constitute access to health care: " Functional services, of sufficient quality; " Physical, economic and information access; " Respect for ethics and culture, including language; " Scientifically appropriated and high quality care; and " Recognition of the needs of vulnerable groups. IfIf the curriculum for the training ofIf the curriculum for the training of primary health careIf the curriculum itit should reflect community needs more accura tely and the teaching sho uldit should reflect community moremore emphasis on community and oumore emphasis on community and outcome-bmore emphasis undertundertaundertakenundertaken to explore and describe the factors that influence the accessibility of carecare services in the then Central Region of the then Northern Prcare services in the then Central strategies to address such factors. TheThe aim of this study was to expThe aim of this study was to explore and desThe aim of this accessibilityaccessibility of antenatalaccessibility of antenatal care clinics in the rural areas. The researcher descrip tivedescriptive and contextualdescriptive and contextual design to approachdescriptive and contextual obtained th rough interview s withobtained through interviews with postpartum women, clinic and hospitalobtained withwith nurses fromwith nurses from thewith nurses from the Maternal and Child Health (MCH) Office in ofof Heaof Healof Health and Welfare. The second phase entailed the development of strategies addressingaddressing thoaddressing those factors addressing those factors that influence the accessibility data obtained in phase one of this study as well as from the literature. TheThe results of this research show that several personal anThe results of this research show that several byby both health care us ers and health care providersby both health c are users and h ealth care provid ers haveby thethe antenatal care clinics. The principal factors are: adolescent pregnancy,the antenatal care clinics. humanhuman and materialhuman and material resources, thehuman and material resources, the considerable thethe long waiting hours, paucity of community ithe long waiting hours, paucity of community involvemethe relatingrelating to the organization of health care activities at the clinic, andrelating to the organization of and safety at the clinics. RecommRecommendationsRecommendations evolving from this study are that the Health Department should moremore nurse s and mater ial resources, the clinicmore nurses and material resources, the clinic should be organised nnursesnurses shounurses should be given in-service education in primary health care (PHC), including antenatalantenatal care services, on a regular basis in order to equip themantenatal care services, on a clinics.clinics. Security of the clinic en vironment should be imp roved to ensu re the safety o f both personnel and patients on a twenty-four hourpersonnel and patients on a twenty-four hour basis. Antenatal more accessible to all the communities.
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The reasons for choosing a private practising midwife as birth attendant
- Authors: De Maayer, Ivy Lucy
- Date: 2011-11-24
- Subjects: Midwives , Midwifery , Prenatal care , Postnatal care , Childbirth at home
- Type: Thesis
- Identifier: uj:1740 , http://hdl.handle.net/10210/4089
- Description: M.Cur. , Few South African studies have been done with regard to private midwives and their clients. The practices of these midwives are overloaded, indicating a growing need for their services. An exploratory, contextual and descriptive study was undertaken to investigate some of the issues relating to the practice of the private midwife. This was done from the perspective ofthe women attending these practices. The aims of this study were to explore and describe how women experience the care they receive from their private midwives in Gauteng during antenatal visits, labour and postnatal contacts; to explore and describe the reasons for clients of private midwives in Gauteng to choose an independent midwife as birth attendant and to explore how these clients get to hear about their midwives. Eight women, attending a total of two different midwifery practices, were interviewed. The main categories that emerged from analysing the women's experience of private midwifery care were that the midwives were caring, family orientated, informative, knowledgeable, guiding and unintrusive. Time was both respected and given by the midwives. The midwives saw childbirth as a normal and natural process. The midwives empowered the women and left them in control oftheir childbirth. A mutual, intimate relationship was formed between the women and their midwives, which was based on trust and continuity of care. The women felt they were treated as unique individuals. One woman related some negative aspects ofthe care she received. A variety of reasons were given for choosing a private midwife as birth attendant. Some had specific wishes for their birth, such as a homebirth and knew that private midwives would grant them Other reasons included cost effectiveness, control over childbirth, one on one care, shorter waiting periods, longer consulting times and wanting an experienced birth attendant. Previous negative experience with staff at government hospitals and private gynaecologists; and hearing about positive experiences with private midwives also contributed to women opting for independent midwives. The women got to hear about their private midwives through their general practitioner, obstetrician, antenatal class instructor, friends, family members or health professional that delivered a previous baby. These research findings were supported by existing literature and recommendations were made to midwifery practice, education and research.
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Expectations of pregnant women regarding antenatal care
- Authors: Baloyi, Johanna Mmabojalwa
- Date: 2012-02-27
- Subjects: Prenatal care , Pregnancy , Midwives , Childbirth
- Type: Mini-Dissertation
- Identifier: uj:2077 , http://hdl.handle.net/10210/4424
- Description: M.Cur. , The study aims at exploring and describing the expectations that pregnant women have of an antenatal care clinic service and the formulation of guidelines for the implementation of an effective antenatal care service by the midwife practitioner. In-depth interviews were conducted with a sample of eighteen pregnant women in this study. Methods of data analysis according to Tesch (1990) were applied. Guba and Lincoln's method of ensuring trustworthiness was adopted. Literature control was undertaken to compare the findings of this study with those of other previous studies. Women displayed several common expectations that led to the saturation of data. The conclusions that were reached led to the notation of limitations, recommendations for nursing practice, education, research and the formulation of guidelines for the midwife practitioner for the implementation of effective antenatal care, based on the identified expectations.
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Standaarde vir voorgeboortesorg
- Authors: Van der Westhuizen, Sara Janetta Christina
- Date: 2012-09-05
- Subjects: Prenatal care , Prenatal care - Standards - Research - South Africa , Midwives - Standards - South Africa , Maternal health care - Standards - South Africa
- Type: Thesis
- Identifier: uj:9583 , http://hdl.handle.net/10210/7006
- Description: D.Cur. , Every woman and unborn child has the right to quality antenatal care. Concern is expressed regarding the quality_ of antenatal care currently delivered in South Africa, but due to a lack of formal written standards for antenatal care, this concern cannot be addressed. In view of this, the aim of this study was to generate valid standards for antenatal care. A contextual, exploratory and descriptive research design had been used to complete the research in two phases. An extensive literature exploration was done during the first phase (Development phases 1 and 2) in order to describe a conceptual framework for antenatal care. Concept standards were formulated within this framework and refined with the assistance of a small group of experts. Following changes made to it, it was prepared for validation. The content validity of the standards was tested at national level (validation phase). The concept standards were sent to a group of domain experts in the form of a questionnaire. A purposive, non-randomised and stratified sample had been drawn. The participants were expected to evaluate the content validity of the standards and accompanying criteria and to propose amendments should they deem it to be necessary. A content validity index was calculated for each standard and criterion. A mean of 3,5 and a standard deviation of. 1,0 were regarded as sufficient proof of the content validity of each item. Thereafter, the standards were tested in the clinical practice on the basis of three case studies. Following the necessary adjustment and reformulation, the final standards were formulated. This research does not only make a valuable contribution towards the midwife's practice in the-form of valid standards for antenatal care, but also contributes towards extension of the theoretical basis of the subject discipline by means of the comprehensive description of a conceptual framework for antenatal care by the midwife.
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The antenatal education needs of clients who have received basic antenatal care in the public health setting in Tshwane
- Authors: Janse Van Rensburg, Ilona
- Date: 2013-11-21
- Subjects: Prenatal care , Childbirth - Study and teaching , Maternity nursing , Patient education
- Type: Thesis
- Identifier: uj:7782 , http://hdl.handle.net/10210/8677
- Description: M.Cur. (Advanced Midwifery and Neonatal Nursing Science) , The aim of this study was to explore and describe antenatal education needs of low-risk pregnant clients receiving basic antenatal care in the public health setting, in a health care facility in Tshwane. Very little antenatal education is being given to pregnant clients receiving basic antenatal care in the public health setting, in contrast to antenatal education provided to women who make use of private health care facilities during their pregnancy and attend private antenatal classes. The need for antenatal education of clients receiving care in the public health setting may well be intensified due to the often marginalised circumstances from which these clients originate and a lack of informal learning opportunities on childbirth, coupled with the possibly aggravating influence of cultural practices which may be harmful to both mother and child. Not having access to this education may negatively affect the pregnancy, birth, and postnatal period. The lack of antenatal education often causes woman to unnecessarily seek medical help at already overloaded clinics, which could be prevented if the women received proper antenatal education. The opposite is also true: many women do not seek medical help in time because of a lack of antenatal education. Through a qualitative study, antenatal educational needs of clients receiving basic antenatal care in a community health setting in Tshwane within the public health setting, were explored and described. The specific needs which should be addressed were identified by the clients through individual interviews, as well as by the health care workers caring for them, through focus group interviews. Both the interviews and focus groups were audio-taped, transcribed and analysed using Tesch’s steps to qualitative data analysis. An independent coder was used to ensure trustworthiness. This analysed data was compared to the relevant available literature and was found to be corresponding. The identified needs were then utilised to make recommendations for midwifery practice to meet the antenatal educational needs, including a proposed programme to be presented in the public health setting in Tshwane to clients receiving basic antenatal care. The programme suggests three education classes which can be presented, addressing all the needs identified through the study. Recommendations for midwifery education and further research were additionally presented.
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