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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