# Protocol to Assess the Knowledge, Attitude, and Practices of Midwives in the Implementation of Maternal Healthcare Guidelines in a Selected District, Limpopo Province, South Africa

**Authors:** Mantsha Sarah Maeko, Thifhelimbilu Irene Ramavhoya, Tebogo Maria Mothiba, Mamoeng Nancy Kgatla, Nonkululeko Peaceful Ntshayintshayi

PMC · DOI: 10.3390/nursrep15100368 · Nursing Reports · 2025-10-15

## TL;DR

This study evaluates midwives' knowledge, attitudes, and practices in implementing maternal healthcare guidelines in Limpopo, South Africa.

## Contribution

The study introduces a protocol to assess midwives' adherence to maternal healthcare guidelines in a specific South African district.

## Key findings

- Midwives' knowledge and practices will be analyzed using a cross-sectional design.
- Findings will inform recommendations to improve guideline implementation in primary healthcare facilities.

## Abstract

Maternal healthcare guidelines (MHCGs) are documents with detailed information on how to manage maternal and perinatal conditions step by step and accordingly to reduce preventable maternal and perinatal deaths. The National Maternity Guidelines Committee in the Department of Health, guided by the WHO, developed the (MHCGs) to ensure that every primary healthcare facility (PHC) has one or two midwives at their disposal to use, but its implementation remains a huge problem in South Africa. The purpose of this study is to evaluate the knowledge, practices, and attitudes of midwives during the implementation of MHCGs in a selected district, Limpopo province, South Africa. A quantitative methodology will be employed; cross-sectional descriptive research design will be used. The population of this research study will be midwives working in the PHCs of a selected district, Limpopo province, South Africa. The convenient sampling approach will be used; whereby self-developed semi-structured questionnaires will be used as a data collection instrument. The collected data will be analyzed using the Statistical Package for Social Sciences (SPSS), version 29, with the help of a statistician. The results will be available after data collection. The conclusion and recommendations will be based on the findings of the study.

## Full-text entities

- **Diseases:** deaths (MESH:D003643)

## Full text

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## Figures

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## References

30 references — full list in the complete paper: https://tomesphere.com/paper/PMC12566797/full.md

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Source: https://tomesphere.com/paper/PMC12566797