Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care
Introduction The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward...
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| Format: | Article |
| Language: | English |
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Innovative Healthcare Institute
2024-11-01
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| Series: | Global Journal on Quality and Safety in Healthcare |
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| Online Access: | https://theijpt.org/doi/pdf/10.36401/JQSH-24-5 |
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| author | Tara Danielle Kinra Vanisree Ramanathan Chinmay Pramod Umarji Peg Dublin Sharon Schindler Rising |
| author_facet | Tara Danielle Kinra Vanisree Ramanathan Chinmay Pramod Umarji Peg Dublin Sharon Schindler Rising |
| author_sort | Tara Danielle Kinra |
| collection | DOAJ |
| description | Introduction
The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward a more integrated model to improve quality in care and outcomes for mothers and children. The aim of this study was to better understand the challenges and benefits of implementation of the group model of antenatal care in the Indian private health sector for the purpose of improving quality of care.
Methods
Through a collaborative innovation project led by a master’s student of public health and an international organization with expertise in implementing this model, an urban 35-bed private hospital in Pune was identified with readiness to explore the model with stakeholders, train hospital staff as facilitators, and initiate group antenatal care. Semi-structured interviews with facilitators, along with feedback from participants in cohorts and observation of the groups by the trainer, were done for qualitative analysis of themes related to the strengths and barriers in implementing the model.
Results
A total of 31 pregnant women participated in two cohorts over their second to third trimesters for group antenatal care with a team of three facilitators from November 2022 to June 2023. On review of experiences in implementing the model, the top strengths demonstrated were meeting of felt needs of the participants, high engagement, and relative advantage of the model. Challenges for implementation included for scheduling and attendance, adapting the model for compatibility, capacity-building, and need for more ongoing planning, monitoring, and evaluation.
Conclusions
Through this innovation project, important lessons were learned for robust planning for a future pilot study. Patient-centered and integrated antenatal care are markers of quality of care that this group model can bring not only in the private healthcare sector but throughout India. |
| format | Article |
| id | doaj-art-86c8cef373de415a8f5953be83f05f2d |
| institution | DOAJ |
| issn | 2589-9449 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Innovative Healthcare Institute |
| record_format | Article |
| series | Global Journal on Quality and Safety in Healthcare |
| spelling | doaj-art-86c8cef373de415a8f5953be83f05f2d2025-08-20T02:49:50ZengInnovative Healthcare InstituteGlobal Journal on Quality and Safety in Healthcare2589-94492024-11-017419119610.36401/JQSH-24-5i2589-9449-7-4-191Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of CareTara Danielle Kinra0Vanisree Ramanathan1Chinmay Pramod Umarji2Peg Dublin3Sharon Schindler Rising41 Department of Public Health, School of Health Science & Technology, Dr. Vishwanath Karad MIT World Peace University, Pune, India1 Department of Public Health, School of Health Science & Technology, Dr. Vishwanath Karad MIT World Peace University, Pune, India2 Department of Maternal and Fetal Medicine, Umarji Mother and Child Care, Pune, India3 Group Care Global, Philadelphia, PA, USA3 Group Care Global, Philadelphia, PA, USAIntroduction The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward a more integrated model to improve quality in care and outcomes for mothers and children. The aim of this study was to better understand the challenges and benefits of implementation of the group model of antenatal care in the Indian private health sector for the purpose of improving quality of care. Methods Through a collaborative innovation project led by a master’s student of public health and an international organization with expertise in implementing this model, an urban 35-bed private hospital in Pune was identified with readiness to explore the model with stakeholders, train hospital staff as facilitators, and initiate group antenatal care. Semi-structured interviews with facilitators, along with feedback from participants in cohorts and observation of the groups by the trainer, were done for qualitative analysis of themes related to the strengths and barriers in implementing the model. Results A total of 31 pregnant women participated in two cohorts over their second to third trimesters for group antenatal care with a team of three facilitators from November 2022 to June 2023. On review of experiences in implementing the model, the top strengths demonstrated were meeting of felt needs of the participants, high engagement, and relative advantage of the model. Challenges for implementation included for scheduling and attendance, adapting the model for compatibility, capacity-building, and need for more ongoing planning, monitoring, and evaluation. Conclusions Through this innovation project, important lessons were learned for robust planning for a future pilot study. Patient-centered and integrated antenatal care are markers of quality of care that this group model can bring not only in the private healthcare sector but throughout India.https://theijpt.org/doi/pdf/10.36401/JQSH-24-5centering-based group caregroup antenatal carepostnatal carehealthcare qualityimplementation |
| spellingShingle | Tara Danielle Kinra Vanisree Ramanathan Chinmay Pramod Umarji Peg Dublin Sharon Schindler Rising Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care Global Journal on Quality and Safety in Healthcare centering-based group care group antenatal care postnatal care healthcare quality implementation |
| title | Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care |
| title_full | Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care |
| title_fullStr | Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care |
| title_full_unstemmed | Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care |
| title_short | Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care |
| title_sort | group antenatal care start up in the indian private sector an implementation journey to improve quality of care |
| topic | centering-based group care group antenatal care postnatal care healthcare quality implementation |
| url | https://theijpt.org/doi/pdf/10.36401/JQSH-24-5 |
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