Malaria
Conditions
Interventions
Sponsors
USAID
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Facility selection criteria 1. Facility characteristics • High enough ANC census to form groups o Approximately 30-120 first ANC visits per month o > 15 ANC1 visits/month with women 1 provider/staff working at a time so that 1–2 can facilitate group meeting while others are available to see to other clients (e.g., deliveries) • Space for group meeting • Public or non-profit facility • Interest in offering GANC at the facility and district level • Facilities are easily accessible throughout majority of the year 2. Population characteristics • Women likely to stay in catchment area throughout pregnancy – e.g., they are not visiting from another place; it is not a cultural norm for women to move back to parent’s house in third trimester or postpartum • If area has a large number of women working outside the home, may need higher ANC census to form groups and/or enroll more women/cohort – attendance in this population may be lower due to difficulty getting off work. Pregnant women for GANC: • Pregnant women who present for initial ANC visit prior to 24 completed weeks • Intend to remain in the area for the duration of the pregnancy • Agree to participate in GANC. Recently pregnant women (for cross sectional household surveys) • Women between the ages of 15-49 years • Have been pregnant/delivered in the previous 12 months • Consent to participation
Exclusion criteria
Exclusion criteria: Pregnant women: • Women will be excluded from participation in GANC if they initiate ANC care >24 weeks gestation • if there are no available groups that they can join • if they do not intend to remain in the facility catchment area for the duration of the study • if they are not available during the times the group intends to meet Recently pregnant women (cross sectional survey): • Women 49 years will be excluded • Women who last delivered a child over twelve months ago will be excluded For qualitative research, the same criteria will be used. Immediate pre- or postpartum women (for the facility-based survey): • Women will be excluded if they initiated ANC care >24 weeks gestation • 49 years old • Unable or unwilling to provide consent • Suffered a fetal/ neonatal loss or miscarriage during the current pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of pregnant women receiving IPTp3+ | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean number of antenatal care visits;Mean gestational age at first antenatal care visit;Increased proportion of women with facility-based delivery;Greater proportion of women completing the full antenatal care package, composed of blood pressure, urine test, blood test, tetanus, IFA, albendazole, LLIN, IPTp;feasibility and acceptability of group antenatal care | — |
Countries
Benin
Contacts
Public ContactJulie Gutman
Centers for Disease Control and Prevention
Outcome results
None listed