The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women

Heredia-Pi, Ileana; Fuentes-Rivera, Evelyn; Andrade-Romo, Zafiro; Cacho, María de Lourdes Bravo Bolaños; Alcalde‐Rabanal, Jacqueline Elizabeth; Jurkiewicz, Laurie; Darney, Blair G.

doi:10.1111/jmwh.12891

Cited by 8 publications

(12 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…From the provider’s perspective, challenges are those related to the personnel who will implement the model 6 , material resources and physical inputs 5 , 6 , 17 and organizational challenges, specific to national institutions or regulations for the provision of health services 13 ( Table 4 ). These challenges have a potential impact on acceptability of the model by health care providers 6 .…”

Section: Evidence About Implementation Of Group Prenatal Care Models mentioning

confidence: 99%

“…We summarize our experience of adapting and implementing the model in Table 5 . A more detailed description of the adaptation process can be found in a previous article 13 . Two challenges and their respective solutions or recommendations are highlighted ( Tables 4 and 5 ) 28 .…”

Section: The Mexican Experience During the Adaptation And Implementatmentioning

confidence: 99%

“…Los retos de la oferta son aquellos relacionados con el personal que implementará el modelo 6 , los recursos materiales e insumos físicos 5 , 6 , 17 y aquellos organizacionales, propios de las instituciones o normativas nacionales de provisión de servicios de salud 13 ( Tabla 4 ). Estos retos tienen un potencial impacto en los niveles de aceptabilidad que los prestadores de salud refieren al adoptar el modelo 6 .…”

Section: Evidencia De La Implementación De Modelos De Atención Prenatunclassified

“…Resumimos nuestra experiencia de la adaptación e implementación del modelo en la Tabla 5 . Una descripción más detallada del proceso de adaptación se puede consultar en un artículo previo 13 . Dos retos y sus respectivas soluciones o recomendaciones se destacan (Tablas 4 y 5) 28 .…”

Section: La Experiencia Mexicana Durante La Adaptación E Implementaciunclassified

“…Durante los últimos años, se han reportado experiencias sobre la implementación de modelos de atención grupal 5 en países de ingresos altos como Estados Unidos (EEUU) 5 , 6 , Canadá 7 , Australia 8 , 9 , Suecia 9 , Países Bajos 9 , 10 , algunos países de ingresos medios y bajos como Bangladesh, India, Irán, Nepal, varios países en África, Surinam, Brasil 11 , Haití 12 y México 13 .…”

Section: Introductionunclassified

See 4 more Smart Citations

Group prenatal care: effectiveness and challenges to implementation

et al. 2019

Self Cite

View full text Add to dashboard Cite

Group prenatal care is an alternative model of care during pregnancy, replacing standard individual prenatal care. The model has shown maternal benefits and has been implemented in different contexts. We conducted a narrative review of the literature in relation to its effectiveness, using databases such as PubMed, EBSCO, Science Direct, Wiley Online and Springer for the period 2002 to 2018. In addition, we discussed the challenges and solutions of its implementation based on our experience in Mexico. Group prenatal care may improve prenatal knowledge and use of family planning services in the postpartum period. The model has been implemented in more than 22 countries and there are challenges to its implementation related to both supply and demand. Supply-side challenges include staff, material resources and organizational issues; demand-side challenges include recruitment and retention of participants, adaptation of material, and perceived privacy. We highlight specific solutions that can be applied in diverse health systems.

show abstract

Section: Evidence About Implementation Of Group Prenatal Care Models mentioning

confidence: 99%

Section: The Mexican Experience During the Adaptation And Implementatmentioning

confidence: 99%

Section: Evidencia De La Implementación De Modelos De Atención Prenatunclassified

Section: La Experiencia Mexicana Durante La Adaptación E Implementaciunclassified

Section: Introductionunclassified

See 3 more Smart Citations

Group prenatal care: effectiveness and challenges to implementation

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi

Patil,

Norr,

Kapito

et al. 2024

Preprint

View full text Add to dashboard Cite

BackgroundWe developed and tested a Centering-based group antenatal (ANC) model in Malawi, integrating health promotion for HIV prevention and mental health. We present effectiveness data and examine congruence with the only Group ANC theory of change model, which identifies key processes as supportive relationships, empowered partners in learning and care, and meaningful services, leading to better ANC experiences and outcomes.MethodsWe conducted a hybrid effectiveness-implementation trial at seven clinics in Blantyre District, Malawi, comparing outcomes for 1887 pregnant women randomly assigned to Group ANC or Individual ANC. Group effects on outcomes were summarized and evaluated using t-tests, Mann-Whitney, or Chi-squared tests, and multivariable linear or logistic regression models adjusted for baseline outcomes, seven individual and two clinic-level covariates. All statistical tests were two-sided, controlling for a Type I error probability of 0.01 due to multiple testing.FindingsWomen in Group ANC had higher peer connectedness and pregnancy-related empowerment, recalled receiving more services, and discussed more health promotion topics. They experienced less wait time, greater satisfaction with care (Estimate = 1.21, 99% CI = 0.07, 2.35), had a higher mean number of ANC contacts (Estimate = 0.74, 99% CI = 0.50, 0.98), and were more likely to complete at least four or eight contacts. Most women preferred Group ANC for a future pregnancy (81% in Individual ANC; 95% in Group ANC). Women in Group ANC had more diverse diets (Estimate = 0.35, 99% CI = 0.17, 0.53), were better prepared for birth (Estimate 0.32, 99% CI = 0.16, 0.48), more likely to use condoms consistently (OR= 1.07, 99% CI = 1.00, 1.14) and communicated more with partners. They reported less mental distress in late pregnancy (Estimate = -0.61, 99% CI = -1.20, -0.02). Exclusive breastfeeding, partner HIV testing and disclosure, facility-based delivery, postnatal care attendance, postpartum family planning, and low birth weight did not differ by ANC type.ConclusionsThis effectiveness study of Malawi Group ANC, the first trial with individual randomization in a low-income country, maps outcomes to the theory of change, enhancing our understanding of Group ANC’s diverse positive impacts. The integration of typically neglected health promotion topics highlights group care’s flexibility to address local and global needs. Based on study results, the Malawi Ministry of Health is introducing Group ANC at district-level trainings and exploring the logistics for nationwide adoption. With momentum and political will, we are poised to bring better care and a positive healthcare experience to women, infants, and families throughout Malawi and globally.

show abstract

Building a Global Evidence Base to Guide Policy and Implementation for Group Antenatal Care in Low‐ and Middle‐Income Countries: Key Principles and Research Framework Recommendations from the Global Group Antenatal Care Collaborative

Grenier¹,

Lori

Darney

et al. 2020

J Midwife Womens Health

Self Cite

View full text Add to dashboard Cite

Evidence from high-income countries suggests that group antenatal care, an alternative service delivery model, may be an effective strategy for improving both the provision and experience of care. Until recently, published research about group antenatal care did not represent findings from low-and middle-income countries, which have health priorities, system challenges, and opportunities that are different than those in highincome countries. Because high-quality evidence is limited, the World Health Organization recommends group antenatal care be implemented only in the context of rigorous research. In 2016 the Global Group Antenatal Care Collaborative was formed as a platform for group antenatal care researchers working in low-and middle-income countries to share experiences and shape future research to accelerate development of a robust global evidence base reflecting implementation and outcomes specific to low-and middle-income countries. This article presents a brief history of the Collaborative's work to date, proposes a common definition and key principles for group antenatal care, and recommends an evaluation and reporting framework for group antenatal care research.

show abstract

The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women

Cited by 8 publications

References 30 publications

Group prenatal care: effectiveness and challenges to implementation

Group prenatal care: effectiveness and challenges to implementation

Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi

Building a Global Evidence Base to Guide Policy and Implementation for Group Antenatal Care in Low‐ and Middle‐Income Countries: Key Principles and Research Framework Recommendations from the Global Group Antenatal Care Collaborative

Contact Info

Product

Resources

About