Mostrar el registro sencillo del ítem
dc.contributor.author
Biza, Adriano
dc.contributor.author
Jille Traas, Ingeborg
dc.contributor.author
Colomar, Mercedes
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.contributor.author
Belizan, Maria
dc.contributor.author
Requejo Harris, Jennifer
dc.contributor.author
Crahay, Beatrice
dc.contributor.author
Merialdi, Mario
dc.contributor.author
Nguyen, My Huong
dc.contributor.author
Althabe, Fernando
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.contributor.author
Alemán, Alicia
dc.contributor.author
Bergel, Eduardo
dc.contributor.author
Carbonell, Alicia
dc.contributor.author
Chavane, Leonardo
dc.contributor.author
Delvaux, Therese
dc.contributor.author
Geelhoed, Diederike
dc.contributor.author
Gülmezoglu, Metin
dc.contributor.author
Malapende, Celsa Regina
dc.contributor.author
Melo, Armando
dc.contributor.author
Osman, Nafissa Bique
dc.contributor.author
Widmer, Mariana
dc.contributor.author
Temmerman, Marleen
dc.contributor.author
Betrán, Ana Pilar
dc.date.available
2020-09-07T19:12:28Z
dc.date.issued
2015-09
dc.identifier.citation
Biza, Adriano; Jille Traas, Ingeborg; Colomar, Mercedes; Belizan, Maria; Requejo Harris, Jennifer; et al.; Challenges and opportunities for implementing evidence-based antenatal care in Mozambique: A qualitative study; BioMed Central; BMC Pregnancy and Childbirth; 15; 1; 9-2015; 1-10
dc.identifier.issn
1741-7015
dc.identifier.uri
http://hdl.handle.net/11336/113384
dc.description.abstract
Background: Maternal mortality remains a daunting problem in Mozambique and many other low-resource countries. High quality antenatal care (ANC) services can improve maternal and newborn health outcomes and increase the likelihood that women will seek skilled delivery care. This study explores the factors influencing provider uptake of the recommended package of ANC interventions in Mozambique. Methods: This study used qualitative research methods including key informant interviews with stakeholders from the health sector and a total of five focus group discussions with women with experience with ANC or women from the community. Study participants were selected from three health centers located in Maputo city, Tete, and Cabo Delgado provinces in Mozambique. Staff responsible for the medicines/supply chain at national, provincial and district level were interviewed. A check list was implemented to confirm the availability of the supplies required for ANC. Deductive content analysis was conducted. Results: Three main groups of factors were identified that hinder the implementation of the ANC package in the study setting: a) system or organizational: include chronic supply chain deficiencies, failures in the continuing education system, lack of regular audits and supervision, absence of an efficient patient record system and poor environmental conditions at the health center; b) health care provider factors: such as limited awareness of current clinical guidelines and a resistant attitude to adopting new recommendations; and c) Users: challenges with accessing ANC, poor recognition amongst women about the purpose and importance of the specific interventions provided through ANC, and widespread perception of an unfriendly environment at the health center. Conclusions: The ANC package in Mozambique is not being fully implemented in the three study facilities, and a major barrier is poor functioning of the supply chain system. Recommendations for improving the implementation of antenatal interventions include ensuring clinical protocols based on the ANC model. Increasing the community understanding of the importance of ANC would improve demand for high quality ANC services. The supply chain functioning could be strengthened through the introduction of a kit system with all the necessary supplies for ANC and a simple monitoring system to track the stock levels is recommended.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
antenatal care
dc.subject.classification
Obstetricia y Ginecología
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.subject.classification
Medicina Clínica
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.title
Challenges and opportunities for implementing evidence-based antenatal care in Mozambique: A qualitative study
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2020-09-02T18:34:17Z
dc.identifier.eissn
1471-2393
dc.journal.volume
15
dc.journal.number
1
dc.journal.pagination
1-10
dc.journal.pais
Reino Unido
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.journal.ciudad
Londres
dc.description.fil
Fil: Biza, Adriano. No especifíca;
dc.description.fil
Fil: Jille Traas, Ingeborg. No especifíca;
dc.description.fil
Fil: Colomar, Mercedes. No especifíca;
dc.description.fil
Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Requejo Harris, Jennifer. Johns Hopkins Bloomberg School of Public Health; Estados Unidos
dc.description.fil
Fil: Crahay, Beatrice. No especifíca;
dc.description.fil
Fil: Merialdi, Mario. No especifíca;
dc.description.fil
Fil: Nguyen, My Huong. No especifíca;
dc.description.fil
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Alemán, Alicia. No especifíca;
dc.description.fil
Fil: Bergel, Eduardo. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Carbonell, Alicia. No especifíca;
dc.description.fil
Fil: Chavane, Leonardo. No especifíca;
dc.description.fil
Fil: Delvaux, Therese. Institute of Tropical Medicine Antwerp; Bélgica
dc.description.fil
Fil: Geelhoed, Diederike. No especifíca;
dc.description.fil
Fil: Gülmezoglu, Metin. No especifíca;
dc.description.fil
Fil: Malapende, Celsa Regina. No especifíca;
dc.description.fil
Fil: Melo, Armando. No especifíca;
dc.description.fil
Fil: Osman, Nafissa Bique. No especifíca;
dc.description.fil
Fil: Widmer, Mariana. No especifíca;
dc.description.fil
Fil: Temmerman, Marleen. No especifíca;
dc.description.fil
Fil: Betrán, Ana Pilar. No especifíca;
dc.journal.title
BMC Pregnancy and Childbirth
![Se ha confirmado la validez de este valor de autoridad por un usuario](/themes/CONICETDigital/images/authority_control/invisible.gif)
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0625-x
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12884-015-0625-x
Archivos asociados