Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2017
Implementation challenges and outcomes of a randomized controlled pilot study of a group prenatal care model in Malawi and Tanzania.
Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2017. 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 37 papers, 3 of them syntheses that pooled it.
What it found
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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
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Feasibility, acceptability and effectiveness of group antenatal care on maternal health continuum of care and perinatal outcomes in sub-Saharan Africa: a systematic review and meta-analysis.BMJ global health · 2026Pooled it
- Belonging: a meta-theme analysis of women's community-making in group antenatal and postnatal care.Frontiers in public health · 2025Pooled it
- Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis.Reproductive health · 2018Pooled it
- Trial
- Impact of group antenatal care on lactational amenorrhea method awareness and knowledge: A cluster randomized control trial.PloS one · 2025Trial
- Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi.PloS one · 2025Trial
- Effect of Group Antenatal Care on Breastfeeding Knowledge and Practices Among Pregnant Women in Ghana: Findings from a Cluster-Randomized Controlled Trial.International journal of environmental research and public health · 2024Trial
- Trial
- 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
- Assessing the impact of group antenatal care on gestational length in Rwanda: A cluster-randomized trial.PloS one · 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
- 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
- Estimating the impact and cost-effectiveness of antenatal care approaches in 24 low- and middle-income countries: a modelling study.BMC global and public health · 2026Article
- Scheduling Group Care in Routine Perinatal Care: Identifying Implementation Modifications Across Belgium, Kosovo, and the UK.Healthcare (Basel, Switzerland) · 2026Article
- Integrating group antenatal care into routine services: a registry-based cohort study in Geita, Tanzania.BMC global and public health · 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
- Article
- Implementation factors of group antenatal care in low-resource settings in Tanzania: A qualitative study using the Consolidated Framework for Implementation Research.PLOS global public health · 2026Article
- Innovation in prenatal care: a global review of implementing group prenatal care and impacts on women, children, and health care providers.Frontiers in global women's health · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo identify implementation challenges associated with conducting a randomized controlled trial (RCT) of group prenatal care (PNC) and report outcomes of the pilot.
methodsA multi-site randomized pilot was conducted in Malawi and Tanzania between July 31, 2014, and June 30, 2015. Women aged at least 16 years with a pregnancy of 20-24 weeks were randomly assigned using sealed envelopes (1:1) to individual or group PNC. Structured interviews were conducted at baseline, in the third trimester and 6-8 weeks after delivery. The primary outcomes were attendance at four PNC visits and attendance at the 6-week postnatal visit.
resultsThe pilot showed that an RCT with individual randomization can be conducted in these two low-resource settings. Significantly more women in group PNC than in individual PNC completed at least four PNC visits (96/102 [94.1%] vs 53/91 [58.2%]) and attended the postnatal visit (76/102 [74.5%] vs 45/90 [50.0%]; both P<0.001).
conclusionGroup PNC was feasible and associated with an increase in healthcare utilization and improved outcomes in Malawi and Tanzania. Lessons learned should be considered when designing large RCTs to determine efficacy. ClinicalTrials.gov: NCT02999334.
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