Observational studyReproductive health2018
Increasing postpartum family planning uptake through group antenatal care: a longitudinal prospective cohort design.
Observational study in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- 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
- Antenatal Care Interventions to Increase Contraceptive Use Following Birth in Low- and Middle-Income Countries: Systematic Review and Narrative Synthesis.Global health, science and practice · 2024Pooled it
- 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
- The impact of group antenatal care on newborns: Results of a cluster randomized control trial in Eastern Region, Ghana.BMC pediatrics · 2024Trial
- Knowledge, Acceptance, and Uptake of Family Planning: A Cluster Randomized Controlled Trial of Group Antenatal Care in Ghana.International journal of environmental research and public health · 2024Trial
- Trial
- 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
- 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
- "Each moon we come to weigh the pregnancy:" Exploring the experience of group antenatal care processes in Benin and their contributions to self-efficacy.PLOS global public health · 2026Article
- Integrating family planning with nutrition and other sexual and reproductive health services in low-income and middle-income countries: findings from a scoping review.BMJ global health · 2025Article
- Women's Attitudes toward Family Planning in the Postpartum Period and Affecting Factors: Turkiye Sample.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025Article
- Successful strategies that address gender-related barriers and promote bodily autonomy within efforts to scale up and sustain postpregnancy contraception: a scoping review.BMJ global health · 2025Article
- Patient Perceived Quality of Virtual Group Contraception Counseling.Open access journal of contraception · 2024Article
- Integrated group antenatal and pediatric care in Haiti: A comprehensive care accompaniment model.PloS one · 2024Article
- Socio-demographic and antenatal care-related factors associated with early post-partum family planning use in Ethiopia: evidence from Ethiopian Demographic and Health Survey 2016 data.Frontiers in global women's health · 2023Article
- Effect of optimal antenatal care on maternal and perinatal health in Ethiopia.Frontiers in pediatrics · 2023Article
- Experiential Training Workshops for Group Antenatal Care in Malawi.Journal of midwifery & women's health · 2022Article
- Spatial variations in family planning demand to limit childbearing and the demand satisfied with modern methods in sub-Saharan Africa.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
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundDespite significant improvements, postpartum family planning uptake remains low for women in sub-Saharan Africa. Transmitting family planning education in a comprehensible way during antenatal care (ANC) has the potential for long-term positive impact on contraceptive use. We followed women for one-year postpartum to examine the uptake and continuation of family planning following enrollment in group versus individual ANC.
methodsA longitudinal, prospective cohort design was used. Two hundred forty women were assigned to group ANC (n = 120) or standard, individual care (n = 120) at their first ANC visit. Principal outcome measures included intent to use family planning immediately postpartum and use of a modern family planning method at one-year postpartum. Additionally, data were collected on intended and actual length of exclusive breastfeeding at one-year postpartum. Pearson chi-square tests were used to test for statistically significant differences between group and individual ANC groups. Odds ratios and adjusted odds ratios were calculated using logistic regression.
resultsWomen who participated in group ANC were more likely to use modern and non-modern contraception than those in individual care (59.1% vs. 19%, p < .001). This relationship improved when controlled for intention, age, religion, gravida, and education (AOR = 6.690, 95% CI: 2.724, 16,420). Women who participated in group ANC had higher odds of using a modern family planning method than those in individual care (AOR = 8.063, p < .001). Those who participated in group ANC were more likely to exclusively breastfeed for more than 6 months than those in individual care (75.5% vs. 50%, p < .001). This relationship remained statistically significant when adjusted for age, religion, gravida, and education (AOR = 3.796, 95% CI: 1.558, 9.247).
conclusionsGroup ANC has the potential to be an effective model for improving the uptake and continuation of post-partum family planning up to one-year. Antenatal care presents a unique opportunity to influence the adoption of postpartum family planning. This is the first study to examine the impact of group ANC on family planning intent and use in a low-resource setting. Group ANC holds the potential to increase postpartum family planning uptake and long-term continuation.
trial registrationNot applicable. No health related outcomes reported.
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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.