Research Article

A Qualitative Study on the Pathways to Evidence-Based Antenatal Care in Periurban Ghana

Table 1

Global theme: pathways to evidence-based antenatal care.

CodesBasic themesOrganising themes

Distribution of health staffImproved health servicesImproved ANC services
Routine monitoring of facilitiesImproved ANC awareness
Health supervision
Health education and other servicesEmpowerment of mothers

Protocol to work withIncreased ANC turnoutFocused ANC
Client-friendly antenatal care
Daily ANCImproved ANC reliance
Intensive ANC
Confidence and trust
Relief for mothers
Privacy of service rendered

Geographical constraintsInadequate logisticsANC services are constrained
Delays in paying claims
Financial barriers
Inadequate nurses and doctorsInadequate health staff
Religious beliefs of clients
Misconception on free health careFree care is strictly by insurance

Poor attitude of some caregiversAttitude is deterrent to ANCAttitude of health staff is vital
Insensitive of health staff
Lack of respect for mothers
Respect for mothersAttitude of health staff
Lateness of health staff

Scientific proofRich sources of informationEvidence is crucial
Credibility of indication
Evidence-based planningEvidence is integrated
Something proven to work
Standardised protocol and proceduresThings we hear and testify
Trust in evidence

Source: the authors’ construct (2016).