Impact of group antenatal care on quality of care, ANC attendance and facility-based delivery: A pragmatic cluster-randomized controlled trial in Kenya and Nigeria

Impact of group antenatal care on quality of care, ANC attendance and facility-based delivery: A pragmatic cluster-randomized controlled trial in Kenya and Nigeria

Background Low quality and frequency of antenatal care (ANC) are associated with lower uptake of facility-based deliveries-a key intervention to reduce maternal and neonatal mortality. We implemented group ANC (G-ANC), an alternative service delivery model, in Kenya and Nigeria, to assess its impact...

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Veröffentlicht in:PloS one 2019-10, Vol.14 (10), p.e0222177
Hauptverfasser: Grenier, Lindsay, Suhowatsky, Stephanie, Kabue, Mark M, Noguchi, Lisa M, Mohan, Diwakar, Karnad, Shalmali Radha, Onguti, Brenda, Omanga, Eunice, Gichangi, Anthony, Wambua, Jonesmus, Waka, Charles, Oyetunji, Jaiyeola, Smith, Jeffrey M
Format: Artikel
Sprache:eng
Schlagworte:
Analysis
Clinical trials
Health aspects
Infant mortality
Maternal mortality
Medical care quality
Medical research
Newborn infants
Pregnancy
Pregnant women
Prenatal care
Quality management
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Zusammenfassung:Background Low quality and frequency of antenatal care (ANC) are associated with lower uptake of facility-based deliveries-a key intervention to reduce maternal and neonatal mortality. We implemented group ANC (G-ANC), an alternative service delivery model, in Kenya and Nigeria, to assess its impact on quality and attendance at ANC and uptake of facility-based delivery. Methods From October 2016-January 2018, we conducted a facility-based, pragmatic, cluster-randomized controlled trial with 20 clusters per country. We recruited women
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0222177