Women's experience with group prenatal care in a rural community in northern Nigeria

Adaji, SE; Jimoh, AO; Bawa, Umma; Ibrahim, Habiba Ismail; Olorukooba, AA; Adelaiye, Hamdalla; Garba, Comfort; Lukong, Anita; Idris, Suleiman; Shittu, Oladapo

doi:10.1002/ijgo.12788

Cited by 18 publications

(16 citation statements)

References 25 publications

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“…Many commented on their appreciation for the social element of G-ANC and referenced the relationships developed in this model as promoting a sense of support and engagement both within and beyond the antenatal care context. These findings are consistent with studies of G-ANC participants in LMIC settings [7,8,11,[37][38][39], and of adolescent G-ANC participants specifically in high-income settings [12,17,18]. Previous studies have not explicitly examined adolescents' perspectives on being a part of a "mixed-age" G-ANC group, and the optimal composition of G-ANC groups remains a topic of interest within the literature.…”

Section: Discussionsupporting

confidence: 83%

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Adolescents’ experiences with group antenatal care: Insights from a mixed‐methods study in Senegal

Vandermorris

McKinnon

Sall

et al. 2021

Tropical Med Int Health

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ObjectivesGroup antenatal care (G‐ANC) is an innovative model in which antenatal care is delivered to a group of 8–12 women of similar gestational age. Evidence from high‐income countries suggests G‐ANC is particularly effective for women from marginalised populations, including adolescents. The objective of this study was to examine the experiences of Senegalese adolescents engaged in group antenatal care.MethodsThis convergent parallel mixed‐methods study is derived from a larger effectiveness–implementation hybrid pilot study conducted in Kaolack district, Senegal. Quantitative data for adolescent participants were collected through baseline and postnatal surveys and descriptively analysed. One‐on‐one interviews and focus‐group discussions were conducted with adolescent participants, and qualitative data were analysed using qualitative descriptive analysis.ResultsForty‐five adolescents aged 15–19 participated in G‐ANC, with a median age of 18 years. The majority (93.3%) were married, and 64.4% were nulliparous. Findings indicated similar levels of G‐ANC participation for adolescent and adult women. The majority (93.1%) of participants who had previously attended individual ANC indicated they would prefer G‐ANC to individual care for a future pregnancy. Qualitative findings indicated key facets of consideration relevant to G‐ANC for adolescents include social connectedness, the influence of social norms and the opportunity for engagement in healthcare.ConclusionsThis study suggests that G‐ANC has the potential to be an adolescent‐responsive and culturally appropriate method of delivering antenatal care in Senegal.

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Section: Discussionsupporting

confidence: 83%

“…In low-and middle-income countries (LMIC), G-ANC is associated with improved health literacy, higher patient satisfaction and increased facility-based delivery [2,[6][7][8][9][10][11].…”

mentioning

confidence: 99%

Adolescents’ experiences with group antenatal care: Insights from a mixed‐methods study in Senegal

Vandermorris

McKinnon

Sall

et al. 2021

Tropical Med Int Health

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“…Five quantitative studies reported various SC outcomes related to parents' connections to their community, that is, parents' reported perceptions of or interactions with their communities or neighborhoods, and related resources (Acri et al, 2019;Adaji et al, 2019;Brisson, 2012;Brisson et al, 2019;Yuma-Guerrero et al, 2017). Yuma-Guerrero et al…”

Section: Connection To Communitymentioning

confidence: 99%

“…reported low-income families participating in the intervention, "Your Family, Your Neighborhood," designed to improve neighborhood social cohesion, showed improvements in SC (framed as "neighborhood social cohesion"). However, these improvements were not significantly greater than those in a comparison groupF I G U R E 1 Review process T A B L E 2that did not receive the intervention Adaji et al (2019). found SC formed during a prenatal care program in Nigeria to be associated with better program outcomes as mothers who participated in the program had higher levels of SC (framed as "group cohesion") and increased knowledge in pregnancy issues at the end of the program.…”

mentioning

confidence: 99%

Social connectedness among parents raising children in low‐income communities: An integrative review

Plesko

Tobin

et al. 2021

Research in Nursing & Health

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Social isolation has been linked to numerous health risks, including depression and mortality. Parents raising children in low-income and under-resourced communities are at an increased risk for experiencing social isolation and its negative effects. Social connectedness (SC), one's sense of belongingness and connection to other people, or a community, has been linked to reduced social isolation and improved health outcomes in the general population, yet little is known about the impact SC has on parents with low incomes. This integrative review aims to describe the current state of the science surrounding SC in parents with low incomes, summarize how SC is being defined and measured, evaluate the quality of the science, and identify gaps in the literature to guide future research. Five electronic databases were searched, yielding 15 articles for inclusion. Empirical studies meeting the following criteria were included: population focused on parents who have low incomes or live in low-income communities and have dependent children, outcomes were parent-centered, SC was a study variable or a qualitative finding, and publication date was before March 2021. Findings emphasize SC as a promising construct that may be protective in the health and well-being of parents and children living in low-income communities. However, a lack of consensus on definitions and measures of SC makes it difficult to build a strong science base for understanding these potential benefits. Future research should focus on understanding the mechanisms by which SC works to benefit parents and their children.

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“…A large cluster-randomized trial in Nigeria and Kenya found greater antenatal care attendance in both countries and more birth planning for a facility-based birth in Nigeria [52,53]. Two smaller studies in Nigeria with weaker designs reported greater attendance, greater knowledge of danger signs, and more use of health facilities for delivery [54,55]. Importantly, these initiatives do not report sufficient detail about if and in what ways their models deviate from the evidence-based CenteringPregnancy model (i.e., fidelity).…”

Section: Introductionmentioning

confidence: 99%

An effectiveness-implementation hybrid type 1 trial assessing the impact of group versus individual antenatal care on maternal and infant outcomes in Malawi

et al. 2020

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Background: Sub-Saharan Africa has the world's highest rates of maternal and perinatal mortality and accounts for two-thirds of new HIV infections and 25% of preterm births. Antenatal care, as the entry point into the health system for many women, offers an opportunity to provide life-saving monitoring, health promotion, and health system linkages. Change is urgently needed, because potential benefits of antenatal care are not realized when pregnant women experience long wait times and short visits with inconsistent provisioning of essential services and minimal health promotion, especially for HIV prevention. This study answers WHO's call for the rigorous study of group antenatal care as a transformative model that provides a positive pregnancy experience and improves outcomes.Methods: Using a hybrid type 1 effectiveness-implementation design, we test the effectiveness of group antenatal care by comparing it to individual care across 6 clinics in Blantyre District, Malawi. Our first aim is to evaluate the effectiveness of group antenatal care through 6 months postpartum. We hypothesize that women in group care and their infants will have less morbidity and mortality and more positive HIV prevention outcomes. We will test hypotheses using multi-level hierarchical models using data from repeated surveys (four time points) and health records. Guided by the consolidated framework for implementation research, our second aim is to identify contextual factors related to clinic-level degree of implementation success. Analyses use within and across-case matrices. Discussion: This high-impact study addresses three global health priorities, including maternal and infant mortality, HIV prevention, and improved quality of antenatal care. Results will provide rigorous evidence documenting the effectiveness and scalability of group antenatal care. If results are negative, governments will avoid spending on less effective care. If our study shows positive health impacts in Malawi, the results will provide strong evidence and valuable lessons learned for widespread scale-up in other low-resource settings. Positive maternal, neonatal, and HIV-related outcomes will save lives, impact the quality of antenatal care, and influence health policy as governments make decisions about whether to adopt this innovative healthcare model. Trial registration: ClinicalTrials.gov registration number NCT03673709. Registered on September 17, 2018.

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Women's experience with group prenatal care in a rural community in northern Nigeria

Cited by 18 publications

References 25 publications

Adolescents’ experiences with group antenatal care: Insights from a mixed‐methods study in Senegal

Adolescents’ experiences with group antenatal care: Insights from a mixed‐methods study in Senegal

Social connectedness among parents raising children in low‐income communities: An integrative review

An effectiveness-implementation hybrid type 1 trial assessing the impact of group versus individual antenatal care on maternal and infant outcomes in Malawi

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