Group Antenatal/Postnatal Care in Rwanda (PTBi Rwanda)
Pregnancy Complications, Preterm Birth, Preterm Labor
About this trial
This is an interventional treatment trial for Pregnancy Complications
Eligibility Criteria
Individual inclusion Criteria:
Women receiving ANC and PNC care
- all women who enroll in ANC -including pregnant adolescents
- primary data analysis will be restricted to those women in the intervention and control facilities who present for ANC 1 before 24 weeks gestation and have attended more than 1 ANC visit at the health facility.
Providers • Currently provide antenatal or postnatal care
Individual exclusion Criteria:
Women receiving ANC and PNC care
- women who present for ANC 1 after 24 weeks gestation
- women who do not attend more than 1 ANC at the health facility will be excluded from the primary analysis
Providers
• Providers that do not provide antenatal or postnatal care
Site-level exclusion criteria:
• sites that have less than 2 ANC providers.
Site-level inclusion criteria:
• Study sites that have at least 2 ANC providers were included in the final selection of 36 sites. The following are study sites by district:
Nyamasheke District Nyamasheke Kibingo Mugera Mwezi Karengera Kibogora Gisakura Yove
Nyarugenge District Cor-unum Biryogo Rugarama Kabusunzu
Rubavu District Murara Nyakiriba Busasamana Karambo Gisenyi Kigufi Mudende
Bugesera District Ruhuha Gakurazo Gashora Ngeruka Kamabuye Nyamata Ntarama Juru Mayange Nzangwa Nyarugenge
Burera District Cyanika Kirambo Ndongozi Gitare Gahunga Mucaca
Sites / Locations
- Rwanda Biomedical Center
- University of Rwanda
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
No Intervention
Other
Experimental
Experimental
Standard ANC and PNC care only
Standard Care + Ultrasound+Pregnancy Testing
Group ANC and PNC only
Group Care + Ultrasound+Pregnancy Testing
Standard care offered following national guidelines of ANC and PNC.
Standard care in combination with early pregnancy testing and ultrasound.
Health facilities randomized to provide group ANC/PNC.
Group ANC and PNC care, in combination with early pregnancy testing and ultrasound.