| Autor: |
Chloe A Teasdale, Amanda Geller, Siphesihle Shongwe, Arnold Mafukidze, Michelle Choy, Bhekinkhosi Magaula, Katharine Yuengling, Katherine King, Eduarda Pimentel De Gusmao, Caroline Ryan, Trong Ao, Tegan Callahan, Surbhi Modi, Elaine J Abrams |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
PLoS ONE, Vol 16, Iss 3, p e0248685 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
1932-6203 |
| DOI: |
10.1371/journal.pone.0248685 |
| Popis: |
BackgroundUptake and retention in antenatal care (ANC) is critical for preventing adverse pregnancy outcomes for both mothers and infants.MethodsWe implemented a rapid quality improvement project to improve ANC retention at seven health facilities in Eswatini (October-December 2017). All pregnant women attending ANC visits were eligible to participate in anonymous tablet-based audio assisted computer self-interview (ACASI) surveys. The 24-question survey asked about women's interactions with health facility staff (HFS) (nurses, mentor mothers, receptionists and lab workers) with a three-level symbolic response options (agree/happy, neutral, disagree/sad). Women were asked to self-report HIV status. Survey results were shared with HFS at monthly quality improvement sessions. Chi-square tests were used to assess differences in responses between months one and three, and between HIV-positive and negative women. Routine medical record data were used to compare retention among pregnant women newly enrolled in ANC two periods, January-February 2017 ('pre-period') and January-February 2018 ('post-period') at two of the participating health facilities. Proportions of women retained at 3 and 6 months were compared using Cochran-Mantel-Haenszel and Wilcoxon tests.ResultsA total of 1,483 surveys were completed by pregnant women attending ANC, of whom 508 (34.3%) self-reported to be HIV-positive. The only significant change in responses from month one to three was whether nurses listened with agreement increasing from 88.3% to 94.8% (pConclusionThe type of rapid quality improvement intervention we implemented may be useful in improving patient-provider relationships although whether it can improve retention remains unclear. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
