FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2981514717> ?p ?o ?g. }

• W2981514717 abstract "Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of the Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% of these deaths occur in developing countries. Increasing antenatal care quality and completion, and institutional delivery are key strategies to reduce maternal mortality, however there are many implementation challenges in rural and resource-limited settings. In Nepal, 43% of deliveries do not take place in an institution and 31% of women have insufficient antenatal care. Context-specific and evidence-based strategies are needed to improve antenatal care completion and institutional birth. We present an assessment of effectiveness outcomes for an adaptation of a group antenatal care model delivered by community health workers and midwives in close collaboration with government staff in rural Nepal.The study was conducted in Achham, Nepal, via a public private partnership between the Nepali non-profit, Nyaya Health Nepal, and the Ministry of Health and Population, with financial and technical assistance from the American non-profit, Possible. We implemented group antenatal care as a prospective non-randomized, cluster-controlled, type I hybrid effectiveness-implementation study in six village clusters. The implementation approach allowed for iterative improvement in design by making changes to improve the quality of the intervention. We evaluated effectiveness through a difference in difference analysis of institutional birth rates between groups prior to implementation of the intervention and 1 year after implementation. Additionally, we assessed the change in knowledge of key danger signs and the acceptability of the group model compared with individual visits in a nested cohort of women receiving home visit care and home visit care plus group antenatal care. Using a directed content and thematic approach, we analyzed qualitative interviews to identify major themes related to implementation.At baseline, there were 457 recently-delivered women in the six village clusters receiving home visit care and 214 in the seven village clusters receiving home visit care plus group antenatal care. At endline, there were 336 and 201, respectively. The difference in difference analysis did not show a significant change in institutional birth rates nor antenatal care visit completion rates between the groups. There was, however, a significant increase in both institutional birth and antenatal care completion in each group from baseline to endline. We enrolled a nested cohort of 52 participants receiving home visit care and 62 participants receiving home visit care plus group antenatal care. There was high acceptability of the group antenatal care intervention and home visit care, with no significant differences between groups. A significantly higher percentage of women who participated in group antenatal care found their visits to be 'very enjoyable' (83.9% vs 59.6%, p = 0.0056). In the nested cohort, knowledge of key danger signs during pregnancy significantly improved from baseline to endline in the intervention clusters only (2 to 31%, p < 0.001), while knowledge of key danger signs related to labor and childbirth, the postpartum period, and the newborn did not in either intervention or control groups. Qualitative analysis revealed that women found that the groups provided an opportunity for learning and discussion, and the groups were a source of social support and empowerment. They also reported an improvement in services available at their village clinic. Providers noted the importance of the community health workers in identifying pregnant women in the community and linking them to the village clinics. Challenges in birth planning were brought up by both participants and providers.While there was no significant change in institutional birth and antenatal care completion at the population level between groups, there was an increase of these outcomes in both groups. This may be secondary to the primary importance of community health worker involvement in both of these groups. Knowledge of key pregnancy danger signs was significantly improved in the home visit plus group antenatal care cohort compared with the home visit care only group. This initial study of Nyaya Health Nepal's adapted group care model demonstrates the potential for impacting women's antenatal care experience and should be studied over a longer period as an intervention embedded within a community health worker program.ClinicalTrials.gov Identifier: NCT02330887 , registered 01/05/2015, retroactively registered." @default.
• W2981514717 created "2019-11-01" @default.
• W2981514717 creator A5012260987 @default.
• W2981514717 creator A5029922920 @default.
• W2981514717 creator A5038080901 @default.
• W2981514717 creator A5044712615 @default.
• W2981514717 creator A5047108494 @default.
• W2981514717 creator A5055085949 @default.
• W2981514717 creator A5059654735 @default.
• W2981514717 creator A5059712936 @default.
• W2981514717 creator A5061065312 @default.
• W2981514717 creator A5062743101 @default.
• W2981514717 creator A5069765819 @default.
• W2981514717 creator A5074654223 @default.
• W2981514717 creator A5081684572 @default.
• W2981514717 creator A5082357489 @default.
• W2981514717 creator A5085069859 @default.
• W2981514717 creator A5085461339 @default.
• W2981514717 creator A5087920995 @default.
• W2981514717 creator A5091101637 @default.
• W2981514717 date "2019-10-22" @default.
• W2981514717 modified "2023-10-15" @default.
• W2981514717 title "The power of peers: an effectiveness evaluation of a cluster-controlled trial of group antenatal care in rural Nepal" @default.
• W2981514717 cites W1990167814 @default.
• W2981514717 cites W2093274439 @default.
• W2981514717 cites W2101170869 @default.
• W2981514717 cites W2105925569 @default.
• W2981514717 cites W2107079254 @default.
• W2981514717 cites W2142225512 @default.
• W2981514717 cites W2176362707 @default.
• W2981514717 cites W2300583084 @default.
• W2981514717 cites W2334201740 @default.
• W2981514717 cites W2594660639 @default.
• W2981514717 cites W2734536231 @default.
• W2981514717 cites W2767921768 @default.
• W2981514717 cites W2796287020 @default.
• W2981514717 cites W2800653013 @default.
• W2981514717 cites W2999620346 @default.
• W2981514717 doi "https://doi.org/10.1186/s12978-019-0820-8" @default.
• W2981514717 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6805428" @default.
• W2981514717 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31640770" @default.
• W2981514717 hasPublicationYear "2019" @default.
• W2981514717 type Work @default.
• W2981514717 sameAs 2981514717 @default.
• W2981514717 citedByCount "17" @default.
• W2981514717 countsByYear W29815147172020 @default.
• W2981514717 countsByYear W29815147172021 @default.
• W2981514717 countsByYear W29815147172022 @default.
• W2981514717 countsByYear W29815147172023 @default.
• W2981514717 crossrefType "journal-article" @default.
• W2981514717 hasAuthorship W2981514717A5012260987 @default.
• W2981514717 hasAuthorship W2981514717A5029922920 @default.
• W2981514717 hasAuthorship W2981514717A5038080901 @default.
• W2981514717 hasAuthorship W2981514717A5044712615 @default.
• W2981514717 hasAuthorship W2981514717A5047108494 @default.
• W2981514717 hasAuthorship W2981514717A5055085949 @default.
• W2981514717 hasAuthorship W2981514717A5059654735 @default.
• W2981514717 hasAuthorship W2981514717A5059712936 @default.
• W2981514717 hasAuthorship W2981514717A5061065312 @default.
• W2981514717 hasAuthorship W2981514717A5062743101 @default.
• W2981514717 hasAuthorship W2981514717A5069765819 @default.
• W2981514717 hasAuthorship W2981514717A5074654223 @default.
• W2981514717 hasAuthorship W2981514717A5081684572 @default.
• W2981514717 hasAuthorship W2981514717A5082357489 @default.
• W2981514717 hasAuthorship W2981514717A5085069859 @default.
• W2981514717 hasAuthorship W2981514717A5085461339 @default.
• W2981514717 hasAuthorship W2981514717A5087920995 @default.
• W2981514717 hasAuthorship W2981514717A5091101637 @default.
• W2981514717 hasBestOaLocation W29815147171 @default.
• W2981514717 hasConcept C138816342 @default.
• W2981514717 hasConcept C159110408 @default.
• W2981514717 hasConcept C162324750 @default.
• W2981514717 hasConcept C2779234561 @default.
• W2981514717 hasConcept C2779703513 @default.
• W2981514717 hasConcept C2908647359 @default.
• W2981514717 hasConcept C50522688 @default.
• W2981514717 hasConcept C512399662 @default.
• W2981514717 hasConcept C54355233 @default.
• W2981514717 hasConcept C71924100 @default.
• W2981514717 hasConcept C83864248 @default.
• W2981514717 hasConcept C86803240 @default.
• W2981514717 hasConcept C99454951 @default.
• W2981514717 hasConceptScore W2981514717C138816342 @default.
• W2981514717 hasConceptScore W2981514717C159110408 @default.
• W2981514717 hasConceptScore W2981514717C162324750 @default.
• W2981514717 hasConceptScore W2981514717C2779234561 @default.
• W2981514717 hasConceptScore W2981514717C2779703513 @default.
• W2981514717 hasConceptScore W2981514717C2908647359 @default.
• W2981514717 hasConceptScore W2981514717C50522688 @default.
• W2981514717 hasConceptScore W2981514717C512399662 @default.
• W2981514717 hasConceptScore W2981514717C54355233 @default.
• W2981514717 hasConceptScore W2981514717C71924100 @default.
• W2981514717 hasConceptScore W2981514717C83864248 @default.
• W2981514717 hasConceptScore W2981514717C86803240 @default.
• W2981514717 hasConceptScore W2981514717C99454951 @default.
• W2981514717 hasIssue "1" @default.
• W2981514717 hasLocation W29815147171 @default.
• W2981514717 hasLocation W29815147172 @default.
• W2981514717 hasLocation W29815147173 @default.
• W2981514717 hasLocation W29815147174 @default.

• next