"With group antenatal care, pregnant women know they are not alone": The process evaluation of a group antenatal care intervention in Ghana.
"With group antenatal care, pregnant women know they are not alone": The process evaluation of a group antenatal care intervention in Ghana.
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DOI：
10.1371/journal.pone.0291855
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
改善孕产妇和新生儿结果的一个重要组成部分是产前护理。在加纳进行了一项小组产前保健试验，其中7个卫生保健设施被随机分配为干预地点，7个对照地点继续进行传统的产前保健。集体产前护理是指10至14名预产期相近的妇女一起进行检查，包括风险评估等传统内容，并增加教育和同伴支持的机会。本研究的目的是评估和报告的过程评价实施团体产前保健干预。过程评价数据与干预数据一起收集，包括定量和定性数据来源。被随机分配为干预地点的卫生机构的助产士完成了跟踪日志，以衡量干预的可行性。研究小组成员前往干预地点，在那里他们进行了结构化的观察，并完成了保真度和学习方法检查表，以确定坚持小组产前护理提供模式。此外，助产士促进小组产前护理会议进行了采访，并与参加小组产前护理的妇女进行了重点小组。在大多数情况下，协助集体产前护理的助产士忠实地完成了会议的所有组成部分，遵循最佳做法，如与小组坐在一起，而不是站着。在7个干预地点，7个小组（622名孕妇）记录在跟踪日志中，其中大多数（74%）参加了一半以上的会议，32%参加了所有8个小组会议。在助产士访谈和孕妇焦点小组中确定了三个主题：1）信息共享，2）社区意识，3）时间管理挑战。从妇女的焦点小组中出现了另一个主题：已经分娩的妇女注意到她们在分娩和分娩期间所学到的东西与所接受的治疗之间存在脱节。这一过程评价确定，在低收入和中等收入国家可以忠实地实施集体产前护理。时间管理是最大的挑战，但助产士和孕妇都认为这种护理模式不仅可以接受，而且比传统护理更可取。会议期间分享的知识和建立的社区意识是对产前护理个人模式的宝贵补充。
An essential component to improving maternal and newborn outcomes is antenatal care. A trial of group antenatal care was implemented in Ghana where 7 health care facilities were randomized to be intervention sites and 7 control sites continued traditional antenatal care. Group antenatal care, where 10–14 women with similar due dates meet together for visits, includes traditional components such as risk assessment with increased opportunity for education and peer support. The study aim was to assess and report the process evaluation of the implementation of a group antenatal care intervention. Process evaluation data were collected alongside intervention data and included both quantitative and qualitative data sources. Midwives at the health facilities which were randomized as intervention sites completed tracking logs to measure feasibility of the intervention. Research team members traveled to intervention sites where they conducted structured observations and completed fidelity and learning methods checklists to determine adherence to the model of group antenatal care delivery. In addition, midwives facilitating group antenatal care meetings were interviewed and focus groups were conducted with women participating in group antenatal care. In the majority of cases, midwives facilitating group antenatal care completed all components of the meetings with fidelity, following best practices such as sitting with the group rather than standing. Across 7 intervention sites, 7 groups (622 pregnant women) were documented in the tracking logs and of these participants, the majority (74%) attended more than half of the meetings, with 32% attending all 8 group meetings. Three themes were identified in both the midwife interviews and focus groups with pregnant women: 1) information sharing, 2) sense of community, and 3) time management challenges. An additional theme emerged from the focus groups with the women: women who had already given birth noticed a disconnect between what they learned and treatment received during labor and birth. This process evaluation determined that group antenatal care can be implemented with fidelity in low and middle-income countries. Time management was the biggest challenge, however both midwives and pregnant women found the model of care not only acceptable, but preferable to traditional care. The knowledge shared and sense of community built during the meetings was a valuable addition to the individual model of antenatal care.
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影响因子：
3.7
作者：
Sayinzoga F;Lundeen T;Musange SF;Butrick E;Nzeyimana D;Murindahabi N;Azman-Firdaus H;Sloan NL;Benitez A;Phillips B;Ghosh R;Walker D
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影响因子：
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影响因子：
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影响因子：
1.7
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Lori, Jody R.;Williams, John E. O.;Kukula, Vida A.;Apetorgbor, Veronica E. A.;Awini, Elizabeth A.;Amankwah, Georgina;Zielinski, Ruth;Lockhart, Nancy;James, Katherine H.;Moyer, Cheryl A.
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