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Table 1 Comparison of health worker (HW) responses and antenatal care (ANC) observations according to national guidelines (n = 35)

From: Quality of antenatal care in rural southern Tanzania: a reality check

Services provided

Service provision observed (%)

Self report

by HW (%)

National guideline

standard (4 visits)

Physical examination

   

Weight

24 (68)

31 (88)

Check every visit

Blood pressure

33 (94)

35 (100)

Check every visit

Anaemia

21 (60)

33 (94)

Check every visit

Oedema

12 (34 )

29 (83)

Check every visit

Uterine height

35 (100)

35 (100)

Check every visit

Vaginal/Vulva inspection Δ

10 (55)

20 (111 )

Check 1st and 4th visit

Foetal heart sound

31 (88)

35 (100)

Check >16w GA

Laboratory examination

   

Haemoglobin

9 (26)

35 (100)

Check every visit

Urine for albumin

3 (08)

22 (63)

Check every visit

Urine for glucose

2 (09)

15 (43)

Check every visit

Syphilis

35 (100)

35 (100)

Check once

HIV

33 (94)

33 (94)

Check once

Blood group

12 (34)

12 (34)

Check once

IEC

   

Danger signs

22 (61)

35 (100)

Inform every visit

Immunization

34 (97)

33 (94)

Inform (at least) once

Nutrition

33 (94)

31 (88 )

Inform every visit

Sexually transmitted infection information

11 (31)

32 (91 )

Inform every visit

Harmful substances and habits

20 (57 )

26 (74)

Inform every visit

PMTCT

31 (88)

31 (88)

Inform (at least) once

Drugs administered

   

Iron/Folate

16 (46 )

23 (66 )

Administer every visit

Antimalarial drug

24 (68)

31 (88)

Administer three times

Reminded

Client - next ANC visit

35 (100)

33 (94)

Inform every visit