NCT02330887

Group Antenatal Care: The Power of Peers for Increasing Skilled Birth Attendance in Achham, Nepal

Completed NA Last updated 25 June 2021

What this trial tests

NA trial testing Group Antenatal Care in Prenatal Care in 2,184 participants. Completed in 10 July 2016.

Timeline

1 August 2014

Primary endpoint
10 July 2016

10 July 2016

Quick facts

Lead sponsor	Possible
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	health services research
Enrollment	2,184
Start date	1 August 2014
Primary completion	10 July 2016
Estimated completion	10 July 2016
Sites	1 location across Nepal

Drugs / interventions tested

• Group Antenatal Care
• Individual Antenatal Care

Conditions studied

• Prenatal Care — all drugs for Prenatal Care →

Sponsor

Possible

Who can join

Adults 15 to 49, female only, with Prenatal Care. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

In rural Nepal, the major drivers of underutilization of skilled birth attendance are poverty, poor social support and inadequate birth planning. Drawing from similar programs that have been shown to improve maternal and neonatal outcomes, we have designed a group antenatal care program that uses a participatory learning and action process to engage women in identifying and solving problems accessing maternity care services and create a supportive social network. We plan to test a group antenatal care program that will change antenatal care in three major ways: 1) conduct care in a group setting with women matched by gestational age, 2) incorporate participatory learning and action, and 3) provide expert and facilitated peer counseling.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. The power of peers: an effectiveness evaluation of a cluster-controlled trial of group antenatal care in rural Nepal.
   Thapa P, Bangura AH, Nirola I, Citrin D, et al · · 2019 · cited 28× · PMID 31640770 · DOI 10.1186/s12978-019-0820-8
2. Measuring fidelity, feasibility, costs: an implementation evaluation of a cluster-controlled trial of group antenatal care in rural Nepal.
   Harsha Bangura A, Nirola I, Thapa P, Citrin D, et al · · 2020 · cited 17× · PMID 31952543 · DOI 10.1186/s12978-019-0840-4