Group, Peer, Pregnancy Related
Conditions
Brief summary
This proposal is a program evaluation of a group care delivery model designed for pregnant women that was implemented as a pilot project in Teso District, Kenya in 2012.
Detailed description
The investigators will carry out a pre/post evaluation of this program comparing maternal and child health indicators collected at the facility and at 10 comparison facilities in the year prior to implementation (2012) and throughout the duration of the program (2013-2014). They will also analyze program attendance records, anonymous exit surveys, and training records.
Interventions
BEHAVIORALAfyaJamii
AfyaJamii is a group antenatal and well-child care program developed in Kenya for use in Kenyan health centers
Sponsors
Grand Challenges Canada
Moi University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
AfyaJamii is a group care model in pregnancy facilitated by Government of Kenya (GOK) Community Health Volunteers (CHVs) and Ministry of Health (MOH) nurses. Pregnant women are assigned to specific care groups according to their Expected Date of Delivery (EDD) and meet 3 times antenatally and 4 times postnatally. These groups are meant to provide women with antenatal and postnatal care, peer support, and knowledge to improve their health outcomes and the health outcomes of their infants. This model of group prenatal and postnatal care is being evaluated as an alternative to the existing policy of focused antenatal care that individualizes care to a single woman at a time.
Eligibility
Sex/Gender
ALL
Age
No minimum to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* All facilities that participated in AfyaJamii
Exclusion criteria
* Any facility that did not offer AfyaJamii and was not been selected as a comparison facility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Facility 4 Antenatal Care (ANC) visits | 18 months | Average monthly number 4 or more ANC facility visits |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Facility New Family Planning (FP) | 18 months | Average monthly number new FP visits |
| Facility Total FP | 18 months | Average monthly number total FP visits |
| Facility Delivery Rate | 18 months | Average monthly number of Facility deliveries |
| Facility Oral Polio Vaccine 0 (OPV0) | 18 months | Average monthly number of OPV0 Immunization |
Countries
Kenya
Outcome results
None listed