Innovative Tools and Strategies | Strengthening Quality of Care | Global Guidelines and Local Adaptations Room: Roof Terrace Oral Abstracts
May 10, 2023 11:50 - 13:05(Africa/Johannesburg)
20230510T1150 20230510T1305 Africa/Johannesburg Contextualizing Group Antenatal Care in Three Settings

Improving Health Literacy through Group Antenatal Care: Results from a Cluster Randomized Controlled Trial in Ghana

The purpose of this study was to address the enormous gaps in health literacy and the resulting poor outcomes among pregnant women in Ghana to determine the efficacy of group-based antenatal care (ANC) on increasing health literacy and improving maternal and newborn outcomes. The objective was to examine women's understanding of health messages, their appraisal of health information, and their engagement with the health system using a multidimensional, validated tool - the Maternal Health Literacy (MaHeLi) 12-point scale. We hypothesized that pregnant women randomized into group ANC will exhibit a greater increase in health literacy than women who received routine, individual ANC.

Effect of Group Antenatal Care Versus Individualized Antenatal Care on Birth Preparedness and Complication Readiness: A Cluster Randomized Controlled Study among Pregnant Women in Eastern Region of Ghana 

As utilization of individualized antenatal care (ANC) has increased throughout sub-Saharan Africa, prolonged waiting times, lack of caregiver continuity, and over-stretched staff have combined to limit its effectiveness in many settings. We implemented a trial of group-based antenatal care (G-ANC), an alternative service delivery model, to determine the impact on birth preparedness and complication readiness (BPCR) among pregnant women in Eastern Region, Ghana.

Adaptation of the Group Antenatal Care Model to the Indian Setting: Lessons Learned from Rajasthan, India 

Antenatal care is an essential bundle of services to identify high-risk conditions. Despite increased utilization, ANC quality in India is known to be suboptimal. Grou ...

Room: Roof Terrace International Maternal Newborn Health Conference 2023 information@imnhc.org
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Improving Health Literacy through Group Antenatal Care: Results from a Cluster Randomized Controlled Trial in Ghana

The purpose of this study was to address the enormous gaps in health literacy and the resulting poor outcomes among pregnant women in Ghana to determine the efficacy of group-based antenatal care (ANC) on increasing health literacy and improving maternal and newborn outcomes. The objective was to examine women's understanding of health messages, their appraisal of health information, and their engagement with the health system using a multidimensional, validated tool - the Maternal Health Literacy (MaHeLi) 12-point scale. We hypothesized that pregnant women randomized into group ANC will exhibit a greater increase in health literacy than women who received routine, individual ANC.


Effect of Group Antenatal Care Versus Individualized Antenatal Care on Birth Preparedness and Complication Readiness: A Cluster Randomized Controlled Study among Pregnant Women in Eastern Region of Ghana 

As utilization of individualized antenatal care (ANC) has increased throughout sub-Saharan Africa, prolonged waiting times, lack of caregiver continuity, and over-stretched staff have combined to limit its effectiveness in many settings. We implemented a trial of group-based antenatal care (G-ANC), an alternative service delivery model, to determine the impact on birth preparedness and complication readiness (BPCR) among pregnant women in Eastern Region, Ghana.


Adaptation of the Group Antenatal Care Model to the Indian Setting: Lessons Learned from Rajasthan, India 

Antenatal care is an essential bundle of services to identify high-risk conditions. Despite increased utilization, ANC quality in India is known to be suboptimal. Group antenatal care (G-ANC) has been suggested in the context of rigorous research (WHO 2016) as a novel way to encourage ANC attendance in groups that also promotes empowerment, peer interaction, and health literacy. In this paper, we report on the process undertaken to contextualize and adapt two G-ANC models in Rajasthan and explore the feasibility and acceptability of a heterogeneous model where pregnant women of different gestational ages and a homogeneous model where women with similar gestational ages were grouped together.


Group Antenatal Care Implementation: Providing Technical Assistance for Innovative and Sustainable Maternal and Child Health Service Delivery in a Northern Nigeria State 

Nigeria has a low antenatal care (ANC) coverage, leading to poor uptake of critical life-saving maternal and child health interventions. While progress has been made around antenatal visits, gaps remain in quality of care, completion of the recommended eight ANC visits, uptake of delivery by skilled birth attendants, uptake of intermittent preventive treatment of malaria in pregnancy (IPTp), and postpartum contraceptives. Group antenatal care (G-ANC) has the potential to improve uptake of maternal, neonatal, and child health (MNCH) services in low-income countries, but has been scarcely implemented in Nigeria. This study describes the implementation and outputs of the G-ANC model in Kaduna State, one of the pioneered states that scaled up G-ANC after a successful randomized control trial in Nigeria.

Improving Health Literacy through Group Antenatal Care: Results from a Cluster Randomized Controlled Trial in Ghana
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
None
Innovative Tools and Strategies
Strengthening Quality of Care
Presenters John Williams
Director, Ghana Health Service / Dodowa Health Research Centre
Co-authors
JL
Jody Lori
University Of Michigan, University Of Michigan
VK
Vida Ami Kukula
Deputy Director Of Nursing Services, Dodowa Health Research Centre, Ghana Health Service
Cheryl Moyer
Associate Professor, University Of Michigan
GA
Georgina Amankwah
Senior Research Officer, Ghana Health Service / Dodowa Health Research Centre
NL
Nancy Lockhart
Program Manager, University Of Michigan
VA
Veronica Esinam Awo Apetorgbor
Deputy Director Of Nursing Services, Ghana Health Service / Dodowa Health Research Centre
BG
Bidisha Ghosh
Statistician, University Of Michigan
LL
Liya Liu
Student, University Of Michigan
EA
Elizabeth Awini
Statistician/Epidemiologist, Ghana Health Service / Dodowa Health Research Centre
KJ
Katherine James
Research Associate, University Of Michigan
RZ
Ruth Zielinski
University Of Michigan - Ann Arbor, University Of Michigan - Ann Arbor
Effect of Group Antenatal Care Versus Individualized Antenatal Care on Birth Preparedness and Complication Readiness: A Cluster Randomized Controlled Study among Pregnant Women in Eastern Region of Ghana
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
Strengthening Quality of Care
Innovative Tools and Strategies
Presenters
VK
Vida Ami Kukula
Deputy Director Of Nursing Services, Dodowa Health Research Centre, Ghana Health Service
Co-authors
VA
Veronica Esinam Awo Apetorgbor
Deputy Director Of Nursing Services, Ghana Health Service / Dodowa Health Research Centre
EA
Elizabeth Awini
Statistician/Epidemiologist, Ghana Health Service / Dodowa Health Research Centre
GA
Georgina Amankwah
Senior Research Officer, Ghana Health Service / Dodowa Health Research Centre
John Williams
Director, Ghana Health Service / Dodowa Health Research Centre
NL
Nancy Lockhart
Program Manager, University Of Michigan
BG
Bidisha Ghosh
Statistician, University Of Michigan
KJ
Katherine James
Research Associate, University Of Michigan
RZ
Ruth Zielinski
Clinical Professor, University Of Michigan
JL
Jody Lori
University Of Michigan, University Of Michigan
Adaptation of the Group Antenatal Care Model to the Indian Setting: Lessons Learned from Rajasthan, India
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
None
Strengthening Quality of Care
Global Guidelines and Local Adaptations
Presenters ChandraShekhar Joshi
Advisor Monitoring And Evaluation, Jhpiego
Co-authors
GG
Ghanshyam Goklani
State Programme Manager, Jhpiego
GU
Gulnoza Usmanova
Associate Director MER , Jhpiego
YJ
YASHPAL JAIN
Team Leader, Jhpiego
PG
Pankaj Grover
Senior Program Officer, Jhpiego
DS
Dande Sireesha
Senior Program Officer, Jhpiego
DJ
Deepchand Jangid
Senior Program Coordinator, Jhpiego
VS
Vinod Sain
Senior Program Coordinator, Jhpiego
SS
Shiv Pratap Singh
Program Coordinator, Jhpiego
Group Antenatal Care Implementation: Providing Technical Assistance for Innovative and Sustainable Maternal and Child Health Service Delivery in a Northern Nigeria State
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
Global Guidelines and Local Adaptations
Innovative Tools and Strategies
Presenters
AA
Abiola Ajibola
Senior Manager, Center For Integrated Health Programs -CIHP
Co-authors
FO
Francis Ogirima
Director, CIHP
AP
Abimbola Phillips
Associate Director, CIHP
CI
Collins Imarhiagbe
Director, CIHP
IJ
Ibidun Jolaoso
PMTCT, CIHP
SS
Saude Sagir
Manager, CIHP
VO
Victor Obagunlu
SI, CIHP
PC
Pius Christopher Izere
Director, CIHP
LA
Lilian Anomnachi
Executive Director, TAConnect
Layi Jaiyeola
Technical Director, Technical Advice Connect
Adetosoye Adebanjo
Program Manager, Technical Advice Connect
Damilola Olaniyan
Monitoring And Evaluation Specilaist, Technical Advice Connect
NI
Neyu Iliyasu
Director, SPHCB
SJ
Sunday Joseph
Director, SMOH
BO
Bolanle Oyeledun
CEO, CIHP
Associate Director MER
,
Jhpiego
Deputy Director of Nursing Services
,
Dodowa Health Research Centre, Ghana Health Service
Director
,
Ghana Health Service / Dodowa Health Research Centre
Director
,
SPHCB
Ms. Stephanie Suhowatsky
Senior Technical Advisor, Maternal Health
,
Jhpiego
Dr. Layi Jaiyeola
Technical Director
,
Technical Advice Connect
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