Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal
Article first published online: 21 JAN 2013
© 2013 John Wiley & Sons Ltd
Journal of Nursing Management
Special Issue: This issue: Effectiveness and implementation of patient safety Issue editor: Elisabeth Severinsson
Volume 22, Issue 7, pages 906–913, October 2014
How to Cite
2014) Journal of Nursing Management 22, 906–913. Challenges regarding the implementation of the basic antenatal care approach in eThekwini District, Kwazulu-Natal& (
- Issue published online: 9 OCT 2014
- Article first published online: 21 JAN 2013
- Manuscript Accepted: 5 OCT 2012
- Durban University of Technology
- antenatal care;
- Basic Antenatal Care programme;
The aim of the study was to investigate the challenges experienced by midwives during the implementation of the Basic Antenatal Care programme.
The National Department of Health recommended that all primary health care facilities in South Africa start to implement the Basic Antenatal Care programme by the end of 2008. In her work as coordinator of the Maternal Child and Women's Health programme for the eThekwini Municipality, the researcher observed the slow progress in implementation of the programme in the eThekwini district.
A descriptive qualitative design using questionnaires was used to assess the challenges being experienced by midwives during the implementation of the programme.
The challenges identified included: shortage of staff, lack of cooperation from referral hospitals, lack of in-service training, problems with transportation of specimens to laboratories, lack of material resources, unavailability of Basic Antenatal Care programme guidelines and lack of management support.
The challenges were the possible cause of the slow progress in the implementation of the programme.
Implications for nursing management
The successful implementation of the new programme is dependent on support and guidance offered by the nurse manager to the staff at operational level. The manager should monitor and develop strategies to address and overcome challenges that hinder implementation of the Basic Antenatal Care programme.