Group Antenatal Care: The Power of Peers for Increasing Skilled Birth Attendance in Achham, Nepal
NCT02330887 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2184
Last updated 2021-06-25
Summary
In rural Nepal, the major drivers of underutilization of skilled birth attendance are poverty, poor social support and inadequate birth planning. Drawing from similar programs that have been shown to improve maternal and neonatal outcomes, we have designed a group antenatal care program that uses a participatory learning and action process to engage women in identifying and solving problems accessing maternity care services and create a supportive social network. We plan to test a group antenatal care program that will change antenatal care in three major ways: 1) conduct care in a group setting with women matched by gestational age, 2) incorporate participatory learning and action, and 3) provide expert and facilitated peer counseling.
Conditions
- Prenatal Care
Interventions
- OTHER
-
Group Antenatal Care
The group antenatal care intervention will match pregnant women by gestational age in the intervention village clusters and assign them to peer group sessions facilitated by local healthcare clinic staff.
- OTHER
-
Individual Antenatal Care
Pregnant women in control village clusters will have individual antenatal care sessions with their healthcare provider.
Sponsors & Collaborators
-
Brigham and Women's Hospital
collaborator OTHER -
Possible
lead OTHER
Principal Investigators
-
David Citrin, PhD, MPH · Possible
-
Duncan Maru, MD, PhD · Possible
-
Biraj Karmacharya, MBBS, Msc · University of Washington
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 15 Years
- Max Age
- 49 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2014-08-01
- Primary Completion
- 2016-07-10
- Completion
- 2016-07-10
Countries
- Nepal
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