Group Antenatal Care: Effectiveness and Contextual Factors Linked to Implementation Success in Malawi
NCT03673709 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1887
Last updated 2025-01-13
Summary
In this study, we test the effectiveness of an evidence-based model of group antenatal care by comparing it to individual (usual) antenatal care. We simultaneously identify the degree of implementation success and the contextual factors associated with success across 6 antenatal clinics in Blantyre District, Malawi. If results are negative, governments will avoid spending on ineffective care. Positive maternal, neonatal and HIV-related outcomes of group antenatal care will save lives, impact the cost and quality of antenatal care, and influence health policy as governments adopt this innovative model of care nationally.
Conditions
- Premature Birth
Interventions
- BEHAVIORAL
-
Antenatal Care
Women in group care bypass the waiting room and have a 2-hour visit with the same provider with a group of 8-12 women at a similar stage of pregnancy. Women assess their own blood pressure and weight, briefly consult the midwife in a corner of the room, and meet for 80-90 minutes of interactive health promotion, enlivened by games and role-plays.
Sponsors & Collaborators
-
University of Malawi
collaborator OTHER -
National Institute of Nursing Research (NINR)
collaborator NIH -
University of Illinois at Chicago
lead OTHER
Principal Investigators
-
Crystal L Patil, PhD · University of Illinois at Chicago
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 15 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-07-05
- Primary Completion
- 2023-08-10
- Completion
- 2024-05-31
Countries
- Malawi
Study Locations
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