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Group Antenatal care and Delivery project (GRAND)

Creator:: Lori, Jody R., Moyer, Cheryl, Lockhart, Nancy, Zielinski, Ruth E., Kukula, Vida, Apetorgbor, Veronica, Awini, Elizabeth, Badu-Gyan, Georgina, and Williams, John
Description:: GRAND is a five-year, cluster randomized controlled trial. The study is registered on ClinicalTrials.gov, [ID#: NCT04033003] and is a collaboration between University of Michigan in the United States and the Dodowa Health Research Center in Ghana. , The study setting for GRAND is four districts (Akwapim North, Yilo Krobo, Nsawam-Adoagyiri, and Lower Manya Krobo) within the Eastern Region of Ghana. Health facilities were selected based the number ANC registrants per month and average gestational age of women at registration in each facility., and Facilities were then matched based on facility type, district, and number of monthly ANC registrants. A cluster randomized controlled trial was conducted in 14 facilities in four districts of the Eastern Region of Ghana. Health facilities were randomized using a matched pairs design; each pair was similar in the number of deliveries and average gestational age of the women at enrollment in antenatal care. The locations of the facilities were far enough apart to avoid cross-group contamination. In each pair of facilities, one was randomly assigned to the intervention (G-ANC) and the other to the control (I-ANC). Recruitment began July 2019 and ended when enrollment targets were met. Data collection ended July 2023 when data collection was complete.
Keyword:: Antenatal care, Ghana, and Maternal health
Citation to related publication:: Lori, J., Kukula, V., Liu, L. et al. Improving health literacy through group antenatal care: results from a cluster randomized controlled trial in Ghana. BMC Pregnancy Childbirth 24, 37 (2024). https://doi.org/10.1186/s12884-023-06224-x
Discipline:: International Studies and Health Sciences

Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes: A Cluster Randomized Controlled Trial (The GRAND project)

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Creator:: Lockhart, Nancy
Description:: GRAND is a five-year, cluster randomized controlled trial. The study is registered on ClinicalTrials.gov, [ID#: NCT04033003] and is a collaboration between University of Michigan in the United States and the Dodowa Health Research Center in Ghana. and The study setting for GRAND is four districts (Akwapim North, Yilo Krobo, Nsawam-Adoagyiri, and Lower Manya Krobo) within the Eastern Region of Ghana. Health facilities were selected based the number ANC registrants per month and average gestational age of women at registration in each facility. Facilities were then matched based on facility type, district, and number of monthly ANC registrants.
Keyword:: Antenatal care, Ghana, and Maternal health
Discipline:: Health Sciences and International Studies

2Works

Data for a process evaluation of a randomized controlled trial of group antenatal care in Ghana

Creator:: Zielinski, Ruth E, Kukula, Vida, Apetorgbor, Veronica, Awini, Elizabeth, Moyer, Cheryl, Badu-Gyan, Georgina, Williams, John, Lockhart, Nancy, and Lori, Jody R
Description:: This is a process evaluation of the RCT, Group Antenatal Care and Delivery project (GRAND) to identify and document patient, provider, and system barriers and facilitators to program implementation. Using both quantitative and qualitative methods, potential and actual influences on the quality and conduct of the program's operations, implementation, and service delivery were identified. Only the seven (7) sites randomized to the Group ANC (G-ANC) intervention were included for collection of process evaluation data since the evaluation was of G-ANC implementation. Data were collected from August 2019 to November 2020 and included both quantitative and qualitative data sources.
Keyword:: Group Antenatal Care, Ghana, and Process Evaluation
Citation to related publication:: Zielinski R, Kukula V, Apetorgbor V, Awini E, Moyer C, Badu-Gyan G, et al. (2023) “With group antenatal care, pregnant women know they are not alone”: The process evaluation of a group antenatal care intervention in Ghana. PLoS ONE 18(11): e0291855. https://doi.org/10.1371/journal.pone.0291855
Discipline:: International Studies and Health Sciences

Data for a Mobile Obstetric Referral Emergency System (MORES) to reduce delays in rural Liberia

Creator:: Lee, HaEun, Lori, Jody R, Sieka, Joseph, Reynolds, Christopher W, and Lockhart, Nancy
Description:: Mobile obstetric emergency system (MORES) is a promising intervention to enhance communication between rural health facilities and hospitals and to improve maternal and newborn outcomes.
Keyword:: Obstetric referral, WhatsApp, Mobile health, Referral system, and International Heath
Citation to related publication:: Lee, H., Dahn B., Sieka, J., Nyanplu, A., Reynolds, C., Edson, C., Lockhart, N., & Lori, J. The use of a mobile obstetric emergency system (MORES) to improve obstetric referrals in Bong County, Liberia: A pre/post study. International Journal of Gynecology & Obstetrics. (2023) http://doi.org/10.1002/ijgo.15175
Discipline:: Health Sciences and International Studies

Group Antenatal care and Delivery project (GRAND)

Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes: A Cluster Randomized Controlled Trial (The GRAND project)

Data for a process evaluation of a randomized controlled trial of group antenatal care in Ghana

Data for a Mobile Obstetric Referral Emergency System (MORES) to reduce delays in rural Liberia

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