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

William Douglas Evans, Chinwe L Ochu, Jeffery B Bingenheimer, Samson Babatunde Adebayo, Fasiku Adekunle David, Sani Ali Gar, Masduk Abdulkarim
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Abstract

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.

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在尼日利亚两个州实施以证据为基础的集体产前护理计划并进行基线评估。
尼日利亚北部地区的产前保健(ANC)利用率历来较低,健康状况较差。以往的研究表明,集体产前保健(gANC)可改善产前保健行为和妊娠结果。尼日利亚的卡杜纳州和卡诺州已经采用了 gANC。本文基于 2024 年 3 月至 4 月期间分别从 1269 名和 1200 名孕妇处收集的数据,介绍了在尼日利亚卡杜纳州和卡诺州实施 gANC 计划的基线调查结果。对社会人口学和怀孕行为数据进行了分析。参与者的年龄大多在 19 至 31 岁之间,已婚或与伴侣同居,50% 以上拥有自己的企业。超过 62% 和 34% 的人完成了中等或高等教育,分别有 60% 和 80% 的人生活在卡杜纳州和卡诺州的城市地区。在卡诺州,超过 60% 的妇女最后一次分娩是在家中进行的,其中 41.6% 没有得到熟练助产士的协助。在卡杜纳州,超过 63% 的产妇在医院分娩,超过 50% 的产妇在分娩过程中得到了熟练助产士的帮助。近一半的人以前没有使用过避孕药具。这项研究为在尼日利亚的两个州实施 gANC 提供了基线评估数据。随后的纵向数据将检验 gANC 的使用对围产期结果和避孕行为的影响,为在该国推广该计划提供参考。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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