COMPLIANCE OF HEALTH CARE PROVIDERS TO THE ANAEMIA IN PREGNANCY STANDARDISED OPERATING PROCEDURE
A CLINICAL AUDIT IN PERAK TENGAH DISTRICT
INTRODUCTION & OBJECTIVE
The prevalence of anaemia in pregnancy in Malaysia is 38-50%. This condition, if not managed timely can lead to unfavourable complications to the mother and baby. The aim of this study was to audit the ability of health care providers at primary health clinics within the Perak Tengah district to appropriately manage anaemia in pregnancy by complying with the Standardised Operating Procedure (SOP).
A clinical audit on all anaemia in pregnancy cases which were not corrected to more than 11.0g/dl by 36 weeks of gestation in 2018 in Perak Tengah District was conducted from January to February 2019. A checklist which consists of 7 criteria items was developed based on the SOP of management of anaemia in pregnancy. Data was collected using a standardised data collection sheet and subsequently analysed. A standard was set at 100% compliance to the checklist and the derangement of the standards was identified.
A total of 40 cases were audited. Only one of the seven criteria achieved the standard level which was appropriate colour tagging in patients' card. Out of the sub-standard criteria, the best performance criterion was health education to patients at 98%. Second was performing laboratory investigations in diagnosing anaemia followed by prescribing haematinics correctly with 95% and 90% respectively. Criteria of timely referral to medical officers were documented as 60% and referral to nutritionist was low at 41%. The worst performing criterion was timely up scaling of clinical management at 26%.
The compliance of health care providers in adhering to SOP in management of anaemia in pregnancy was poor. Stakeholders should give attention in taking comprehensive actions to improve the management and care for patients with anaemia in pregnancy.