Evaluating process fidelity during the implementation of Group Antenatal Care in Mexico

Evaluating process fidelity during the implementation of Group Antenatal Care in Mexico

Blog Article

Abstract Background CenteringPregnancy (CP) is a group antenatal care (G-ANC) model that has proven beneficial for mothers and their newborns.We conducted a feasibility study beginning in 2016 as part of the Mexican effort to implement G-ANC locally.This study reports on fidelity to the essential elements of CP during its implementation in Mexico.Methods We collected prospective data using a standardized checklist at four primary-care centers that implemented our adapted G-ANC model.We performed a descriptive 100w products analysis of fidelity to 28 processes per G-ANC session (71 sessions made up of 10 groups and 129 women across 4 health centers).

We calculated fidelity to each process as a proportion with 95% confidence intervals.We present overall results and stratified by health center and by facilitation team.Results Overall fidelity to the G-ANC intervention was 82%, with variability by health center (78–88%).The elements with the highest fidelity were having space for activities such as checking vital signs, conversation in a click here circle, and medical check-ups (100% each) and the element with the lowest fidelity was using music to enhance privacy (27.3%).

Fidelity was not significantly different by center.Conclusions Our study suggests good model fidelity during the implementation of G-ANC in Mexico.Our findings also contribute useful information about where to focus efforts in the future to maintain and improve G-ANC model fidelity.