Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Implementation and Evaluation of an Evidence-Based Group Antenatal Care Program in Two Nigerian States: Design and Baseline Data Collection

W. Douglas Evans
* ORCID logo ,
Chinwe L. Ochu
ORCID logo ,
Jeffery B. Bingenheimer
,
Samson Babatunde Adebayo
,
Fasiku Adekunle David
,
Sani Ali Gar
,
Masduk Abdulkarim
Version 1 : Received: 17 September 2024 / Approved: 17 September 2024 / Online: 18 September 2024 (08:52:45 CEST)

How to cite: Evans, W. D.; Ochu, C. L.; Bingenheimer, J. B.; Adebayo, S. B.; David, F. A.; Gar, S. A.; Abdulkarim, M. Implementation and Evaluation of an Evidence-Based Group Antenatal Care Program in Two Nigerian States: Design and Baseline Data Collection. Preprints 2024, 2024091344. https://doi.org/10.20944/preprints202409.1344.v1 Evans, W. D.; Ochu, C. L.; Bingenheimer, J. B.; Adebayo, S. B.; David, F. A.; Gar, S. A.; Abdulkarim, M. Implementation and Evaluation of an Evidence-Based Group Antenatal Care Program in Two Nigerian States: Design and Baseline Data Collection. Preprints 2024, 2024091344. https://doi.org/10.20944/preprints202409.1344.v1

Abstract

Northern Nigeria has had historically low antenatal care (ANC) utilization rates with poor health outcomes. Group antenatal care (gANC) improves ANC behavior and pregnancy outcomes. The gANC has been adopted in Kaduna and Kano states, Nigeria. This paper presents baseline findings from the evaluation of the implementation of the gANC program to support scaling in real-world setting. Baseline data were collected from a cohort of 1,269 and 1,200 pregnant women enrolled in gANC at health facilities in Kaduna and Kano states respectively from March to April 2024. Analyses of socio-demographic and pregnancy behavior data were done. Participants were mostly between ages 19-31 years, married or living with a partner, with over 50% having their own businesses. Over 62% and 34% had completed secondary or higher-level education with 60% and 80% living in urban areas in Kaduna and Kano States, respectively. In Kano State, >60% of the women had their last delivery at home with 41.6% not assisted by a skilled birth attendant. In Kaduna, >63% delivered in the hospital and >50% had skilled attendance during labor. Almost half had not used contraceptives previously. Subsequent longitudinal data will examine the impact of gANC utilization on perinatal outcomes.

Keywords

Group antenatal care; perinatal care; family planning; maternal and child health; program evaluation; implementation science; low and middle income countries; Nigeria

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Download PDF Download Supplementary

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Get PDF Supplementary Files Cite Share 0
Bookmark BibSonomy Mendeley Reddit Delicious
×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.