Implementation and Baseline Evaluation of an Evidence-Based Group Antenatal Care Program in Two Nigerian States

Northern Nigeria has had historically low antenatal care (ANC) utilization rates with poor health outcomes. Previous studies have shown that group antenatal care (gANC) improves ANC behavior and pregnancy outcomes. The gANC has been adopted in Kaduna and Kano States, Nigeria. This paper presents bas...

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Bibliographic Details
Published in:International journal of environmental research and public health 2024-10, Vol.21 (11), p.1461
Main Authors: Evans, William Douglas, Ochu, Chinwe L, Bingenheimer, Jeffery B, Adebayo, Samson Babatunde, David, Fasiku Adekunle, Gar, Sani Ali, Abdulkarim, Masduk
Format: Article
Language:English
Subjects:
Adolescent
Adult
Clinical trials
Family planning
Female
Gender
Health facilities
Humans
Intervention
Local government
Longitudinal studies
Nigeria
Population density
Postpartum period
Pregnancy
Prenatal care
Prenatal Care - statistics & numerical data
Program Evaluation
Statistical power
Womens health
Young Adult
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Summary:Northern Nigeria has had historically low antenatal care (ANC) utilization rates with poor health outcomes. Previous studies have shown that group antenatal care (gANC) improves ANC behavior and pregnancy outcomes. The gANC has been adopted in Kaduna and Kano States, Nigeria. This paper presents baseline findings from the implementation of the gANC program in Kaduna and Kano States, Nigeria, based on data collected from 1269 and 1200 pregnant women, respectively, from March to April 2024. Analyses of sociodemographic and pregnancy behavior data were performed. Participants were mostly between the age of 19 and 31 years, married or living with a partner, with over 50% having their own businesses. Over 62% and 34% had completed secondary- or higher-level education, with 60% and 80% living in urban areas in Kaduna and Kano States, respectively. In Kano State, >60% of the women had their last delivery at home, with 41.6% not assisted by a skilled birth attendant. In Kaduna, >63% delivered in the hospital and >50% had skilled attendance during labor. Almost half had not used contraceptives previously. This study has provided baseline evaluation data for the implementation of gANC in two states in Nigeria. Subsequent longitudinal data will examine the impact of gANC utilization on perinatal outcomes and contraceptive behavior to inform the scaling of the program in the country.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph21111461