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. 2021 Dec;26(12):1700-1708.
doi: 10.1111/tmi.13692. Epub 2021 Nov 1.

Adolescents' experiences with group antenatal care: Insights from a mixed-methods study in Senegal

Ashley Vandermorris  1   2   3 , Britt McKinnon  1   4 , Mohamadou Sall  5 , Adrian Witol  6 , Mahamadou Traoré  5 , Fatma Lamesse-Diedhiou  5 , Diego G Bassani  1   3   4
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Free article

Adolescents' experiences with group antenatal care: Insights from a mixed-methods study in Senegal

Ashley Vandermorris et al. Trop Med Int Health. 2021 Dec.
Free article

Abstract

Objectives: Group antenatal care (G-ANC) is an innovative model in which antenatal care is delivered to a group of 8-12 women of similar gestational age. Evidence from high-income countries suggests G-ANC is particularly effective for women from marginalised populations, including adolescents. The objective of this study was to examine the experiences of Senegalese adolescents engaged in group antenatal care.

Methods: This convergent parallel mixed-methods study is derived from a larger effectiveness-implementation hybrid pilot study conducted in Kaolack district, Senegal. Quantitative data for adolescent participants were collected through baseline and postnatal surveys and descriptively analysed. One-on-one interviews and focus-group discussions were conducted with adolescent participants, and qualitative data were analysed using qualitative descriptive analysis.

Results: Forty-five adolescents aged 15-19 participated in G-ANC, with a median age of 18 years. The majority (93.3%) were married, and 64.4% were nulliparous. Findings indicated similar levels of G-ANC participation for adolescent and adult women. The majority (93.1%) of participants who had previously attended individual ANC indicated they would prefer G-ANC to individual care for a future pregnancy. Qualitative findings indicated key facets of consideration relevant to G-ANC for adolescents include social connectedness, the influence of social norms and the opportunity for engagement in healthcare.

Conclusions: This study suggests that G-ANC has the potential to be an adolescent-responsive and culturally appropriate method of delivering antenatal care in Senegal.

Keywords: reproductive, maternal, newborn and child health.

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References

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