- Title
- Midwives’ knowledge of the basic antenatal care (BANC) approach in healthcare facilities in the Central Karoo District
- Creator
- Jonkers, Roselien
- Subject
- Pregnant women -- Health and hygiene
- Subject
- Hospitals -- Maternity services -- South Africa Maternal health services Midwifery -- South Africa Primary health care -- South Africa
- Date Issued
- 2018
- Date
- 2018
- Type
- Thesis
- Type
- Masters
- Type
- MA
- Identifier
- http://hdl.handle.net/10948/30562
- Identifier
- vital:30961
- Description
- In South Africa, the main causes of maternal and neonatal deaths are related to challenges of the healthcare system. Quality antenatal care is an essential component in the fight against maternal and neonatal deaths. Hence, South Africa introduced the basic antenatal care (BANC) approach to augment the existing antenatal care system. However, BANC does not appear to be operating optimally throughout the country. Healthcare facilities in the Central Karoo District do not appear to be utilising it effectively. The aim of the study was to explore and describe the knowledge of midwives of the BANC approach in healthcare facilities of the Central Karoo District. A quantitative, explorative, descriptive, and contextual design was used to explore and describe midwives’ knowledge of the BANC approach in healthcare facilities in the Central Karoo District. For the purposes of this study the researcher used a census approach (all-inclusive sampling) since the population was small. All midwives working in Central Karoo District healthcare facilities, who met the inclusion criteria, were asked to participate in the study. There were a total of 71 midwives, and 16 healthcare facilities in the Central Karoo District. The sample was drawn from 10 healthcare facilities and four hospitals that were implementing BANC services. Altogether 54 midwives participated in the study. The midwives’ knowledge of the BANC approach was tested through a questionnaire. To enhance reliability, the researcher made use of a pilot study to eliminate unclear items, and to moderate the degree of difficulty of the questionnaire. The questionnaire was piloted on seven midwives in order to ensure that the data collection instrument was reliable and valid. The following ethical considerations, based on the Belmont Report, were followed throughout the research process: beneficence, justice and respect for persons. The majority of antenatal care is delivered by midwives at the primary healthcare facilities. It is thus critical that midwives have the required knowledge to function independently without the support of a doctor, and are able to refer to the next level iii of care when required. Such knowledge may lead to an early detection of abnormal clinical signs which could in turn improve the pregnancy outcome of pregnant women. This study suggests that the provision of BANC services to pregnant women may not be correctly implemented because many midwives’ appear to lack knowledge of certain aspects of the BANC approach. Based on the study’s results it was evident that there is a need for BANC training to be conducted and monitored at the health facilities in the Central Karoo.
- Format
- xiv, 105 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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NMU School of Clinical Care Sciences
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Roselien Jonkers.pdf | 2 MB | Adobe Acrobat PDF | View Details Download |