Increasing the Rate of Antenatal Care in the Prikro Health District

  • Published Date: October 2015
  • Download File Format: PDF
  • Download File Size: 217.41 KB
Download File

In May 2014, a team of health care providers from Prikro health district took part as one of 11 health teams that started a Leadership Development Program Plus (LDP+)—a participatory program to develop leadership and management capacity in the health sector.

Participants in this LDP+, organized by the USAID-financed Leadership, Management and Governance Decentralization Pilot Project, set a goal of increasing the number of people living with HIV who adhere to their antiretroviral therapy from 50% to 80%. Through setting clear objectives, creating a vision and an action plan, and developing other leadership skills, the Prikro team achieved its target between May and December 2014--raising the local adherence rate to 80 percent.

The team witnessed an unexpected impact on other critical health indicators—the number of mothers receiving antenatal care (ANC) and those giving birth at a health facility. In September 2014, only 7% of pregnant women in the village of Linguezan, located in the Prikro health district, attended the recommended four antenatal visits.

Carine Koffi, midwife at Linguezan’s small health center, took personal responsibility for changing these numbers. Applying what she had learned during the LDP+, Carine Koffi says: “I first, mobilized resources from various partners. Then I went through all the villages and encampments in my health area and those of [neighboring areas] to educate women on the advantages of ANC, giving birth at the maternity wards, and vaccinating their children.”

This concerted education campaign had a dramatic effect. After only five months, 68% of pregnant women in Linguezan were attending four antenatal visits. This increase in the ANC+ coverage rate was associated with a drastic decline in the dropout rate, described as the rate at which pregnant women who start ANC visits fail to complete the recommended four visits, which went as low as 0% in December 2014.