Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, Washington, DC 20052, USA.
Data Research and Mapping Consults, Suite: B 14, Dansarari Plaza, 5 Ziguinchor Str, Wuse Zone 4, Abuja 900284, Nigeria.
Int J Environ Res Public Health. 2024 Oct 31;21(11):1461. doi: 10.3390/ijerph21111461.
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.
尼日利亚北部的产前保健（ANC）利用率历来较低，健康状况不佳。先前的研究表明，小组产前保健（gANC）可以改善 ANC 行为和妊娠结局。gANC 已在尼日利亚卡杜纳州和卡诺州采用。本文根据 2024 年 3 月至 4 月期间分别从 1269 名和 1200 名孕妇收集的数据，介绍了尼日利亚卡杜纳州和卡诺州实施 gANC 计划的基线结果。对社会人口统计学和妊娠行为数据进行了分析。参与者的年龄大多在 19 岁至 31 岁之间，已婚或与伴侣同居，超过 50%的人有自己的生意。超过 62%和 34%的人完成了中等或高等教育，分别有 60%和 80%的人居住在卡杜纳州和卡诺州的城市地区。在卡诺州，超过 60%的妇女在家中分娩，其中 41.6%没有由熟练的接生员协助。在卡杜纳州，超过 63%的妇女在医院分娩，超过 50%的妇女在分娩期间有熟练的助产士在场。近一半的人以前没有使用过避孕药具。本研究为尼日利亚两个州实施 gANC 提供了基线评估数据。随后的纵向数据将检查 gANC 利用对围产期结局和避孕行为的影响，为该计划在该国的推广提供信息。
