Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana

Table 3 Human Resource and logistics characteristics by facility type

Variable	Hospital	Polyclinic	p-value	All facilities
Variable	Mean (SD)	Mean (SD)	p-value	Range	Mean (SD)
Average monthly ANC attendance	1424.0 (181.2)	1476.3 (744.2)	0.89	179.0–2563.0	1329.8 (641.1)
ANC clinical staff^a	75.0 (29.4)	35.8 (9.0)	0.03	9.0–119.0	54.7 (32.5)
Doctor/ OBGYN	18.7 (12.0)	3.6 (1.7)	0.02	1.0–40.0	11.8 (11.6)
Support staff^b	22.7 (7.8)	11.8 (4.0)	0.03	6.0–36.0	17.2 (8.8)
ANC average workload per month^c	22.7 (12.8)	41.4 (15.5)	0.07	6.2–55.7	29.2 (15.7)
ANC workload score	0.4 (0.2)	0.7 (0.3)	0.07	0.1–1.0	0.5 (0.3)
Availability of ANC drugs score	0.9 (0.1)	0.8 (0.1)	0.24	0.8–1.0	0.89 (0.13)
Availability of lab testing score	0.9 (0.1)	1.0 (0.0)	0.45	0.9–1.0	1.0 (0.0)
Proportion of clinical staff trained on SMP	0.4 (0.3)	0.7 (0.1)	0.17	0.2–0.0	0.6 (0.2)

ANC means antenatal care; OBGYN means obstetrician-gynecologist; SD means standard deviation; SMP means national safe motherhood service protocol
^aANC clinical staff refers to doctors (including specialists) and midwives
^bANC support staff refers to pharmacists, pharmacy technologists, dispensing technicians, biomedical scientists, laboratory technologists and laboratory assistants
^cUnit of measurement: number of clients per health worker; p-values pertain to comparisons between the hospitals and polyclinics

ISSN: 1472-6963