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 and Masduk Abdulkarim
Additional contact information
William Douglas Evans: Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, Washington, DC 20052, USA
Chinwe L. Ochu: Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, Washington, DC 20052, USA
Jeffery B. Bingenheimer: Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, Washington, DC 20052, USA
Samson Babatunde Adebayo: Data Research and Mapping Consults, Suite: B 14, Dansarari Plaza, 5 Ziguinchor Str, Wuse Zone 4, Abuja 900284, Nigeria
Fasiku Adekunle David: Data Research and Mapping Consults, Suite: B 14, Dansarari Plaza, 5 Ziguinchor Str, Wuse Zone 4, Abuja 900284, Nigeria
Sani Ali Gar: Data Research and Mapping Consults, Suite: B 14, Dansarari Plaza, 5 Ziguinchor Str, Wuse Zone 4, Abuja 900284, Nigeria
Masduk Abdulkarim: Bill & Melinda Gates Foundation, Nigeria Country Office, Global Development Division, 45 Aguiyi Ironsi St, Wuse, Abuja 904101, Nigeria

IJERPH, 2024, vol. 21, issue 11, 1-12

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.

Keywords: group antenatal care; perinatal care; family planning; maternal and child health; program evaluation; implementation science; low- and middle-income countries; Nigeria (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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