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Dryad

Group antenatal and postnatal care in Rwanda: model fidelity monitoring data

Abstract

For a cluster randomized controlled trial of the effect of group antenatal care on perinatal outcomes in Rwanda, a Technical Working Group customized the group care model for implementation in this context. Group antenatal and postnatal care were implemented in 18 Rwandan health centers during the study period June 1, 2017 to January 31, 2019. We used two discreet questionnaires to collect data from two groups about the fidelity with which the group antenatal care model was implemented during this period. Group care facilitators, including nurses, midwives, and community health workers, recorded descriptive data about each visit and self-assessed process fidelity with a series of yes/no checkboxes. Master Trainers assessed process fidelity with an 11-item tool using a 5-point scale of 0 (worst) to 4 (best). 140 Model Fidelity Assessment questionnaires were completed by Master Trainers during supervision visits. 2763 Group Visit Debrief questionnaires were completed by the nurses, midwives, and community health workers who facilitated each group visit.