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BackgroundDespite high rates of antenatal care and relatively good access to health facilities, maternal and neonatal mortality remain high in Bangladesh. There is an immediate need for implementation of evidence-based, cost-effective interventions to improve maternal and neonatal health outcomes. The aim of the study is to assess the effect of the intervention namely Group Prenatal Care (GPC) on utilization of standard number of antenatal care, post natal care including skilled birth attendance and institutional deliveries instead of usual care.MethodsThe study is quasi-experimental in design. We aim to recruit 576 pregnant women (288 interventions and 288 comparisons) less than 20 weeks of gestational age. The intervention will be delivered over around 6 months. The outcome measure is the difference in maternal service coverage including ANC and PNC coverage, skilled birth attendance and institutional deliveries between the intervention and comparison group.DiscussionFindings from the research will contribute to improve maternal and newborn outcome in our existing health system. Findings of the research can be used for planning a new strategy and improving the health outcome for Bangladeshi women. Finally addressing the maternal health goal, this study is able to contribute to strengthening health system.

Original publication

DOI

10.1186/s12884-017-1227-6

Type

Journal

BMC pregnancy and childbirth

Publication Date

31/01/2017

Volume

17

Addresses

Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh. marufa@icddrb.org.

Keywords

Humans, Clinical Protocols, Prenatal Care, Delivery, Obstetric, Program Evaluation, Group Processes, Midwifery, Pregnancy, Qualitative Research, Adult, Health Facilities, Patient Acceptance of Health Care, Bangladesh, Female