Antenatal Care
Conditions
Keywords
Ethiopia, Health post, Group ANC
Brief summary
The purpose of this study is to determine the acceptability, feasibility, and effectiveness of a group antenatal care (G-ANC) model introduced at the health post level compared to usual antenatal care (ANC) among women who report intention to receive ANC at the health post level.
Interventions
BEHAVIORALGroup Antenatal Care
Group ANC is an integrated approach that incorporates physical assessment, education and skill development, and peer support and takes a broader, more holistic, woman-centered approach to traditional antenatal care
Sponsors
Bill and Melinda Gates Foundation
Addis Continental Institute of Public Health
Jhpiego
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Stepped wedge design
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* Minimum age of 15 years at the time of enrollment; pregnant 15-17 year-olds will be treated as emancipated/mature as per local regulations * Gestational age less than or equal to 20 weeks at the time of enrollment determined by last menstrual period (LMP), pelvic exam, fundal height, quickening, ultrasound, and/or timing of fetal heart tones and pregnancy test * Pregnant women able and willing to provide adequate locator information * Planning to reside at their current location for at least 10 months * Agree to participate in the study and continue ANC at health post * Willing to participate and consent to follow up for up to 6 weeks post-delivery * Are willing to receive group antenatal care at the health post level (during the intervention period)
Exclusion criteria
* Women who plan to travel away from the study site for more than four consecutive weeks during ANC or after 6 weeks post-delivery * Women who are unable provide consent * Women who have any condition that in the opinion of the investigator or designee, would complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of G-ANC at the health post level | Less than or equal to 20 weeks gestation at enrollment into study up to 6 weeks after delivery | Satisfaction survey to understand satisfaction with G-ANC |
| Feasibility of G-ANC at the health post level | Less than or equal to 20 weeks gestation at enrollment into study up to 6 weeks after delivery | Documentation of number of G-ANC sessions facilitated by by health extension workers to measure feasibility |
| Effectiveness of G-ANC on continuation of ANC | Less than or equal to 20 weeks gestation at enrollment into study up to 6 weeks after delivery | Survey of self-reported number of ANC visits to document effectiveness of continuing ANC |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of G-ANC on quality of care | Less than or equal to 20 weeks gestation at enrollment into study up to 6 weeks after delivery | Survey of self-reported quality of care elements received during ANC to understand role of G-ANC on improving elements of quality of care during ANC |
Countries
Ethiopia
Outcome results
None listed