Feasibility and preliminary effectiveness of group antenatal care in Senegalese health posts: a pilot implementation trial

Health Policy and Planning
Britt McKinnonDiego Bassani

Abstract

Almost all pregnant women in Senegal receive some antenatal care (ANC), yet only around half receive four or more visits and provision of education and counselling during ANC is often inadequate and, in some cases, non-existent. This results in missed opportunities to provide support and to counsel women regarding appropriate care-seeking practices and health behaviours during pregnancy and across the continuum of care. This pilot effectiveness-implementation randomized controlled trial explored whether group ANC (G-ANC), a model that integrates standard individual pregnancy care with facilitated participatory group education activities and peer support, could potentially address some of these challenges. The G-ANC model adapted for Senegal builds on local healthcare delivery systems and aligns with World Health Organization recommendations for a shift towards women-centred models of maternity services. It was implemented at the health post level, and a total of 330 pregnant women participated in the study, of whom 85% were followed up at 6-10 weeks post-delivery. We assessed implementation outcomes (e.g. acceptability, cost) to establish the feasibility of the model in Senegal and explored effectiveness outcomes related to mat...Continue Reading

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Citations

Dec 17, 2020·Journal of Midwifery & Women's Health·Molly E LasaterJudith K Bass
Oct 21, 2021·Tropical Medicine & International Health : TM & IH·Ashley VandermorrisDiego G Bassani

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