Assessing health care provider's views in health centers about barriers to the implementation of maternal care package in the third trimester: case study

In regard to importance in maintenance and improving of mother and neonate health, it is necessary to identify factors that would be prevent implementation of maternal standard care package in the third trimester.

This study was done for assessing health care providers’ views in health centers in Firozabad provenience about barriers to the implementation of maternal care package in the third trimester.

This study was descriptive - cross sectional that was done in 2012. In five health centers in Firozabad provenance assessed views of their personnel. All of the personnel (23) who worked in health centers were participate in this study. Data gathered by questioner that designed by researcher in three domains; administrative factors (13 items), individual factors (9 items) and environmental factors (7 items). Its’ reliability was measured by concurrent test in two groups and their correlation was 0.84. Also, the first researcher used observation for how staff implement of maternal care package in the third trimester for mothers. Data analyzed by Spss 16.

The findings showed that the majority of staff (39.1) was in the age group 30-35. And most of them were midwifes. The main obstacle was individual factor; (82.6%) of them having hard work and (73.9%) of them had lack of knowledge about maternal care package (73/9. In environmental factors; inadequate access to health care package was (91.3%) and lack of communication between health centers, hospitals and health network was (82.6%).In administrative factors; staff shortages was (95.7%) and lack of on the job training about implementation maternal care package was (78.3%).Also, observations showed that the majority of nursing maternal care were physical examination for mothers, their vital sign measuring; special blood pressure, interviews with them were about risk symptoms and chief complains and mothers’ education was about breast feeding and physiologic delivery only.

It is nessecary that health care managers play a vital role in planning for improving quality maternal care by increasing workforce, on the job training and continuing performance evaluation for them and increased their interaction with them.