Trial reportMidwifery2013
CenteringPregnancy-Africa: a pilot of group antenatal care to address Millennium Development Goals.
Trial report in Midwifery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02999334 (HIV With Innovative Group Antenatal Care in Two African Countries), which is not on this map. Cited by 43 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
HIV With Innovative Group Antenatal Care in Two African Countries
Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- What are the mechanisms of effect of group antenatal care? A systematic realist review and synthesis of the literature.BMC pregnancy and childbirth · 2024Pooled it
- A systematic review of providers' experiences of facilitating group antenatal care.Reproductive health · 2021Pooled it
- Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis.Reproductive health · 2018Pooled it
- Group versus conventional antenatal care for women.The Cochrane database of systematic reviews · 2015Pooled it
- Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi.PloS one · 2025Trial
- Utilizing a mixed-methods approach to assess implementation fidelity of a group antenatal care trial in Rwanda.PloS one · 2023Trial
- Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Trial
- An effectiveness-implementation hybrid type 1 trial assessing the impact of group versus individual antenatal care on maternal and infant outcomes in Malawi.BMC public health · 2020Trial
- Trial
- Implementation challenges and outcomes of a randomized controlled pilot study of a group prenatal care model in Malawi and Tanzania.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2017Trial
- Randomized controlled pilot of a group antenatal care model and the sociodemographic factors associated with pregnancy-related empowerment in sub-Saharan Africa.BMC pregnancy and childbirth · 2017Trial
- Introducing a group antenatal care model at the health post level in Ethiopia: a qualitative pilot study.Pilot and feasibility studies · 2026Article
- The challenge of adopting the health assessment when implementing antenatal and postnatal Group Care: identifying and understanding cross-country modifications and corresponding strategies to enable its adoption.Implementation science communications · 2026Article
- Provider Perspectives on Group PrEP Care for Sex Workers: A Pre-implementation Study in a U.S. Midwestern Community Health Center.Archives of sexual behavior · 2026Article
- Centering PrEP: utilizing ADAPT-ITT to inform group PrEP care for sex workers in Chicago.BMC public health · 2024Article
- Maternal Perspectives on and Preferences for an Enhanced Neonatal Jaundice Education Program: An Evaluation Using the Consolidated Framework for Implementation Research.Patient preference and adherence · 2024Article
- Understanding health education needs of pregnant women in China during public health emergencies: a qualitative study amidst the COVID-19 pandemic.Frontiers in public health · 2024Article
- Adapting group care to the postpartum period using a human-centered design approach in Malawi.BMC health services research · 2023Article
- Preventing Perinatal Depression: Cultural Adaptation of the Mothers and Babies Course in Kenya and Tanzania.International journal of environmental research and public health · 2023Article
- The effect of national antenatal care guidelines and provider training on obstetric danger sign counselling: a propensity score matching analysis of the 2014 Ethiopia service provision assessment plus survey.Reproductive health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundsevere health worker shortages and resource limitations negatively affect quality of antenatal care (ANC) throughout sub-Saharan Africa. Group ANC, specifically CenteringPregnancy (CP), may offer an innovative approach to enable midwives to offer higher quality ANC.
objectiveour overarching goal was to prepare to conduct a clinical trial of CenteringPregnancy-Africa (CP-Africa) in Malawi and Tanzania. In Phase 1, our goal was to determine the acceptability of CP as a model for ANC in both countries. In Phase 2, our objective was to develop CP-Africa session content consistent with the Essential Elements of CP model and with national standards in both Malawi and Tanzania. In Phase 3, our objective was to pilot CP-Africa in Malawi to determine whether sessions could be conducted with fidelity to the Centering process.
settingPhases 1 and 2 took place in Malawi and Tanzania. Phase 3, the piloting of two sessions of CP-Africa, occurred at two sites in Malawi: a district hospital and a small clinic.
designwe used an Action Research approach to promote partnerships among university researchers, the Centering Healthcare Institute, health care administrators, health professionals and women attending ANC to develop CP-Africa session content and pilot this model of group ANC.
participantsfor Phases 1 and 2, members of the Ministries of Health, health professionals and pregnant women in Malawi and Tanzania were introduced to and interviewed about CP. In Phase 2, we finalised CP-Africa content and trained 13 health professionals in the Centering Healthcare model. In Phase 3, we conducted a small pilot with 24 pregnant women (12 at each site). MEASUREMENTS AND
findingsparticipants enthusiastically embraced CP-Africa as an acceptable model of ANC health care delivery. The CP-Africa content met both CP and national standards. The pilot established that the CP model could be implemented with process fidelity to the 13 Essential Elements. Several implementation challenges and strategies to address these challenges were identified. KEY
conclusionspreliminary data suggest that CP-Africa is feasible in resource-constrained, low-literacy, high-HIV settings in sub-Saharan Africa. By improving the quality of ANC delivery, midwives have an opportunity to make a contribution towards Millennium Development Goals (MDG) targeting improvements in child, maternal and HIV-related health outcomes (MDGs 4, 5 and 6). A clinical trial is needed to establish efficacy. IMPLICATIONS FOR PRACTICE: CP-Africa also has the potential to reduce job-related stress and enhance job satisfaction for midwives in low income countries. If CP can be transferred with fidelity to process in sub-Saharan Africa and retain similar results to those reported in clinical trials, it has the potential to benefit pregnant women and their infants and could make a positive contribution to MGDs 4, 5 and 6.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.