Audit of antenatal care at a community health centre in Tshwane North subdistrict, Gauteng province

AbstractObjective: Few studies document the level of compliance with antenatal care protocols in primary health care in South Africa. The aim of this study was to conduct an audit of antenatal care at a community health centre in Tshwane North subdistrict in order to measure the level of compliance of maternity staff with antenatal care protocols. This study was part of a larger study on a quality improvement initiative in primary health care.Design and setting: A retrospective cross-sectional descriptive study was undertaken of women attending antenatal care at the study clinic. Data were collected through a review of the women's antenatal cards using criteria from the Guidelines for maternity care in South Africa and the basic antenatal care (BANC) checklist. In addition, qualitative interviews of maternity staff were undertaken in order to investigate reasons for noncompliance with the maternity care guidelines.Results: The overall rate of compliance of nurses was 85.1%. This is less than optimal. The ...