AfyaJamii (Parenting Well): Evaluating the Feasibility of a Group Antenatal/Well-child Care Model in Pregnancy in Kenya

Study Overview
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Brief Summary
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This proposal is a program evaluation of a group care delivery model designed for pregnant women that was implemented as a pilot project in Teso District, Kenya in 2012.

Detailed Description
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The investigators will carry out a pre/post evaluation of this program comparing maternal and child health indicators collected at the facility and at 10 comparison facilities in the year prior to implementation (2012) and throughout the duration of the program (2013-2014). They will also analyze program attendance records, anonymous exit surveys, and training records.

Official Title
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AfyaJamii (Parenting Well): Evaluating the Feasibility of a Group Antenatal and Well-child Care Model in Pregnancy in Kenya

Conditions
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Pregnancy Related, Group, Peer

Intervention / Treatment
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* Behavioral: AfyaJamii


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All facilities that participated in AfyaJamii Exclusion Criteria: Any facility that did not offer AfyaJamii and was not been selected as a comparison facility

Ages Eligible for Study
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Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: AfyaJamii is a group care model in pregnancy facilitated by Government of Kenya (GOK) Community Health Volunteers (CHVs) and Ministry of Health (MOH) nurses. Pregnant women are assigned to specific care groups according to their Expected Date of Delivery (EDD) and meet 3 times antenatally and 4 times postnatally. These groups are meant to provide women with antenatal and postnatal care, peer support, and knowledge to improve their health outcomes and the health outcomes of their infants. This model of group prenatal and postnatal care is being evaluated as an alternative to the existing policy of focused antenatal care that individualizes care to a single woman at a time.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: AfyaJamii facility<br>Facilities using AfyaJamii | Behavioral: AfyaJamii<br>* AfyaJamii is a group antenatal and well-child care program developed in Kenya for use in Kenyan health centers<br>|
| No Intervention: Referent facility<br>Facilities using Focused Antenatal Care Individual Model | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Facility 4 Antenatal Care (ANC) visits | Average monthly number 4 or more ANC facility visits | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Facility New Family Planning (FP) | Average monthly number new FP visits | 18 months | 
| Facility Total FP | Average monthly number total FP visits | 18 months | 
| Facility Delivery Rate | Average monthly number of Facility deliveries | 18 months | 
| Facility Oral Polio Vaccine 0 (OPV0) | Average monthly number of OPV0 Immunization | 18 months |