Antenatal Care in LMICs: Insights from Data on Coverage and Quality
This commentary highlights the critical role of antenatal care in improving maternal and perinatal health outcomes, particularly in Low- and Middle-Income Countries (LMICs). Despite its effectiveness, significant gaps remain in both the coverage and quality of care provided in many settings. The article discusses the World Health Organization's updated guidelines, which reframe antenatal care to prioritize a positive pregnancy experience. This approach emphasizes not only clinical risk detection but also respectful, person-centred interactions. A key recommendation is the shift from the traditional model of four visits to a minimum of eight contacts. The term 'contact' is used to denote more active and meaningful engagements between healthcare providers and pregnant women. Evidence supports this increase in frequency, indicating that high-quality, frequent interactions significantly reduce maternal and perinatal morbidity and mortality. Furthermore, this model aims to enhance the overall experience of care for women globally. The analysis underscores the need for systemic improvements to ensure these guidelines are effectively implemented, addressing the persistent lag in service quality and accessibility in resource-limited environments.
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Antenatal Care in LMICs: Insights from Data on Coverage and Quality
This commentary highlights the critical role of antenatal care in improving maternal and perinatal health outcomes, particularly in Low- and Middle-Income Countries (LMICs). Despite its effectiveness, significant gaps remain in both the coverage and quality of care provided in many settings. The article discusses the World Health Organization's updated guidelines, which reframe antenatal care to prioritize a positive pregnancy experience. This approach emphasizes not only clinical risk detection but also respectful, person-centred interactions. A key recommendation is the shift from the traditional model of four visits to a minimum of eight contacts. The term 'contact' is used to denote more active and meaningful engagements between healthcare providers and pregnant women. Evidence supports this increase in frequency, indicating that high-quality, frequent interactions significantly reduce maternal and perinatal morbidity and mortality. Furthermore, this model aims to enhance the overall experience of care for women globally. The analysis underscores the need for systemic improvements to ensure these guidelines are effectively implemented, addressing the persistent lag in service quality and accessibility in resource-limited environments.
The Lancet Global Health