The main objective of this study, undertaken by Noguchi Memorial Institute for Medical Research in collaboration with the Ghana Health Service and FRONTIERS, with USAID funding, was to examine the extent to which adaptation of the WHO focused antenatal care (ANC) package influenced quality of care received by pregnant women and its acceptability to both providers and clients. The results indicate that national-level support for focused ANC is high. The package appears to have been well accepted by both clients and providers because of its comprehensiveness and the individualized care. The process of stimulating changes in focused ANC service delivery will need further consultation of key stakeholders (e.g., pre-service training institutions and professional bodies) to ensure its institutionalization. Community-level education is also required to create awareness about the timing of ANC visits, individual birth planning, advice on danger signs and self-care in pregnancy, complication preparedness, and the need to involve other family members in birth planning.
Birungi, Harriet, Philomena Nyarko, Margaret Armar-Klemesu, Daniel Arhinful, Sylvia Deganus, Henrietta Odoi-Agyarko, and Gladys Brew. 2006. "Acceptability and feasibility of introducing the WHO focused antenatal care package in Ghana," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health