Integrating postnatal care into the redesign of group care beyond birth
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Authors
Gresh, Ashley
Van Damme, Astrid
Billings, Deborah L.
Rising, Sharon Schindler
Ibrahim, Shaimaa
Ajibola, Abiola
Chirwa, Ellen
Don-Aki, Jennyfer
Donoho, Nastassia
Hindori, Manodj
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Issue Date
2025
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Article
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Abstract
BACKGROUND: Globally, alarmingly high rates of maternal and infant mortality and morbidity persist. A constellation of health system and social factors contribute to this, including poor quality and barriers to accessing health care, including preventive services. As such, there have been calls for a redesign of maternal and child health (MCH) services. Although group care has primarily been tested in antenatal settings, it offers a promising redesign that optimizes maternal and child health care, survival, and well-being. The purpose of this study was to produce a blueprint of an adapted group care model that integrates postnatal maternal care, well-child care, and family engagement to be adapted to realities of different settings. METHODS: Using a human-centered design approach and the Framework for Reporting Adaptations and Modifications to Evidence-based interventions (FRAME), we employed qualitative methods to adapt CenteringParenting RESULTS: Participants collaboratively modified the content, format, and evaluation of CenteringParenting CONCLUSIONS: The resulting group care beyond birth blueprint offers a strategy to redesign maternal and infant/child health services that can positively transform postnatal care and provide essential services to postpartum people. Adaptation of the blueprint to local realities is expected. Future research is recommended to test the model's acceptability, feasibility, and effectiveness across settings. Using this blueprint, we can build the evidence base to support this model aiming to improve maternal and infant/child health outcomes.
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Archives of Public Health
Volume
83
Issue
1