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Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania
- Source :
- Int J Gynaecol Obstet
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- OBJECTIVE: To examine whether group prenatal care (PNC) increased key services and educational topics women reported receiving, compared with individual PNC in Malawi and Tanzania. METHODS: Data come from a previously published randomized trial (n=218) and were collected using self-report surveys. Late pregnancy surveys asked whether women received all seven services and all 13 topics during PNC. Controlling for sociodemographics, country, and PNC attendance, multivariate logistic regression used forward selection to produce a final model showing predictors of receipt of all key services and topics. RESULTS: In multivariate logistic regression, women in group PNC were 2.49 times more likely to receive all seven services than those in individual care (95% confidence interval [CI] 1.78–3.48) and 5.25 times more likely to have received all 13 topics (95% CI 2.62–10.52). CONCLUSION: This study provides strong evidence that group PNC meets the clinical standard of care for providing basic clinical services and perinatal education for pregnant women in sub-Saharan Africa. The greater number of basic PNC services and educational topics may provide one explanatory mechanism for how group PNC achieves its impact on maternal and neonatal outcomes. ClinicalTrials.gov: NCT03673709, NCT02999334.
- Subjects :
- Adult
Malawi
medicine.medical_specialty
Pilot Projects
Prenatal care
Logistic regression
Tanzania
Article
law.invention
Young Adult
03 medical and health sciences
0302 clinical medicine
Prenatal Education
Randomized controlled trial
Pregnancy
law
medicine
Humans
030212 general & internal medicine
Receipt
030219 obstetrics & reproductive medicine
biology
business.industry
Attendance
Obstetrics and Gynecology
Prenatal Care
General Medicine
medicine.disease
biology.organism_classification
Confidence interval
Logistic Models
Family medicine
Female
Pregnant Women
business
Subjects
Details
- ISSN :
- 18793479 and 00207292
- Volume :
- 153
- Database :
- OpenAIRE
- Journal :
- International Journal of Gynecology & Obstetrics
- Accession number :
- edsair.doi.dedup.....5c431f372cd1c0197e26ab4c8e8d0ff5