Original Research

Informational continuity by skilled birth attendants during antenatal care in Lesotho

Angelina Zhangazha, Doreen K.M. Kaura, Anneline E. Robertson
Health SA Gesondheid | Vol 29 | a2403 | DOI: https://doi.org/10.4102/hsag.v29i0.2403 | © 2024 Angelina Zhangazha, Doreen K.M. Kaura, Anneline E. Robertson | This work is licensed under CC Attribution 4.0
Submitted: 31 March 2023 | Published: 22 January 2024

About the author(s)

Angelina Zhangazha, Department of Nursing and Midwifery, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa
Doreen K.M. Kaura, Department of Nursing and Midwifery, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa
Anneline E. Robertson, Department of Nursing and Midwifery, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa

Abstract

Background: Informational continuity (IC) is one of the four approaches that enables integrated people-centered health services. IC enables the availability of all health and psychosocial information of the pregnant women at all health encounters. World Health Organization (WHO) recognised that ineffective IC results in fragmented health care and duplication of services. Hence, IC may assist in the reduction of maternal morbidity and mortality.

Aim: The purpose of this study was to explore and describe the experiences of skilled birth attendants (SBAs) with IC during the antenatal period

Setting: Three primary healthcare centers in Maseru district, Lesotho.

Methods: A qualitative descriptive phenomenological design was used with purposive sampling to choose nine participants.

Results: Four themes emerged; Theme one: SBAs and pregnant women information communication, theme two: Information communication between the SBAs, theme three: information collection during ANC and theme four: guidelines used during ANC to standardise care. Several challenges regarding information communication form the sources of information, transition of information, information between caregivers and women which demonstrated the frustration between the women and the SBAs during ANC leading to ineffective care coordination.

Conclusion: Enabling IC during ANC enables effective data collection from the sources of information, transition of information during care giving within and between health facilities.

Contribution: Effective informational continuity enables effective care coordination in ANC in Lesotho.


Keywords

informational continuity; continuity of care; antenatal care; primary healthcare; coordination of care

Sustainable Development Goal

Goal 3: Good health and well-being

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