Kourouma Kadidiatou Raissa, Agbre-Yace Marie Laurette, Doukour Daouda, Tano-Kamelan Akoua, Coulibaly-Kone Aminata Soltie, N'dia Anon Felix, Bayo Syntiche, Ake Odile, Sackou-Kouakou Julie, Aka Joseph
Institut National de Sant Publique, Cote d'Ivoire.
Cellule de Recherche en Sant de la Reproduction, Cote d'Ivoire.
Afr J Reprod Health. 2021 Oct;25(5):150-160. doi: 10.29063/ajrh2021/v25i5.16.
This paper examines the feasibility of the eight or more ANC contacts in Cote d'Ivoire through a qualitative study among twenty antenatal care providers through individual interviews. The eight or more ANC contacts were found useful as they will allow a better follow up of the pregnancy. Main barriers were: the lack of training on the 2016 WHO ANC model, the late initiation of ANC and the fear of increased workload. Drivers identified were: availability of supplies, adoption and dissemination of the new guidelines, assignment of antenatal care providers in underserved area, digitization of the mother and child health handbook, pregnant women and community engagement, intensification of communication for behavior change and a good relationship provider-pregnant woman-community. To ensure appropriate design and effective delivery of the eight or more ANC contacts, attention should be paid to barriers and facilitators identified.
本文通过对20名产前护理提供者进行个人访谈的定性研究，探讨了在科特迪瓦进行八次或更多次产前护理接触的可行性。研究发现，八次或更多次产前护理接触是有用的，因为这将有助于更好地跟踪孕期情况。主要障碍包括：缺乏关于2016年世界卫生组织产前护理模式的培训、产前护理开始时间较晚以及担心工作量增加。确定的推动因素有：物资供应、新指南的采用和传播、在服务不足地区分配产前护理提供者、母婴健康手册的数字化、孕妇和社区的参与、加强行为改变方面的沟通以及提供者-孕妇-社区之间的良好关系。为确保八次或更多次产前护理接触的合理设计和有效实施，应关注已确定的障碍和促进因素。
