ArticleBMC pregnancy and childbirth2022
Group antenatal care (gANC) for Somali-speaking women in Sweden - a process evaluation.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03879200 (Group Antenatal Care for Somali Born Women), which is not on this map. Cited by 11 papers.
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.
Group Antenatal Care for Somali Born Women: a Feasibility Study Including Intervention Development and Evaluation
Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi.PloS one · 2025Trial
- Evaluating a sexual and reproductive health and rights programme within Swedish for Immigrants education: a study protocol.Global health action · 2026Article
- Editorial: Addressing the maternity needs of newly settled migrant mothers.Frontiers in global women's health · 2026Article
- Exploring Somali-born women's experiences with contraceptive services in Sweden through a reproductive justice lens.Sexual and reproductive health matters · 2025Article
- Exploring Empowerment in Group Antenatal Care: Insights from an Insider and Outsider Perspective.Healthcare (Basel, Switzerland) · 2025Article
- Midwives' perceptions of communication at antenatal care using a bilingual digital dialog support tool- a qualitative study.BMC pregnancy and childbirth · 2025Article
- Perspectives of women from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a qualitative study.Frontiers in global women's health · 2025Article
- Implementing group care in Dutch and Surinamese maternity and child care services: the vital importance of addressing outer context barriers.BMC pregnancy and childbirth · 2024Article
- Unlocking the mechanisms of change in the MAMAACT intervention to reduce ethnic disparity in stillbirth and newborns' health: integration of evaluation findings.Frontiers in health services · 2024Article
- Perspectives of women and partners from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a survey study.BMC health services research · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLanguage supported group antenatal care (gANC) for Somali-born women was implemented in a Swedish public ANC clinic. The women were offered seven 60-min sessions, facilitated by midwives and starting with a presentation of a selected topic, with an additional 15-min individual appointment before or after. The aim of this study was to assess the feasibility for participants and midwives of implementing The Hooyo ("mother" in Somali) gANC intervention, including implementation, mechanisms of impact and contextual factors.
methodsA process evaluation was performed, using The Medical Research Council (MRC) guidelines for evaluating complex interventions as a framework. A range of qualitative and quantitative data sources were used including observations (n = 9), complementary, in-depth and key-informant interviews (women n = 6, midwives n = 4, interpreters and research assistants n = 3) and questionnaire data (women n = 44; midwives n = 8).
resultsLanguage-supported gANC offered more comprehensive ANC that seemed to correspond to existing needs of the participants and could address knowledge gaps related to pregnancy, birth and the Swedish health care system. The majority of women thought listening to other pregnant women was valuable (91%), felt comfortable in the group (98%) and supported by the other women (79%), and they said that gANC suited them (79%). The intervention seemed to enhance knowledge and cultural understanding among midwives, thus contributing to more women-centred care. The intervention was not successful at involving partners in ANC.
conclusionsThe Hooyo gANC intervention was acceptable to the Somali women and to midwives, but did not lead to greater participation by fathers-to-be. The main mechanisms of impact were more comprehensive ANC and enhanced mutual cultural understanding. The position of women was strengthened in the groups, and the way in which the midwives expanded their understanding of the participants and their narratives was promising. To be feasible at a large scale, gANC might require further adaptations and the "othering" of women in risk groups should be avoided.
trial registrationThe study was registered in ClinicalTrials.gov (Identifier: NCT03879200).
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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.