Utilizing a mixed-methods approach to assess implementation fidelity of a group antenatal care trial in Rwanda.

ABSTRACT:

Background

The Preterm Birth Initiative (PTBi)-Rwanda conducted a cluster randomized controlled trial to assess the impact of group antenatal care (group ANC) on preterm birth, using a group ANC approach adapted for the Rwanda setting, and implemented in 18 health centers. Previous research showed high overall fidelity of implementation, but lacked correlation with provider self-assessment and left unanswered questions. This study utilizes a mixed-methods approach to study the fidelity with which the health centers' implementation followed the model specified for group ANC.

Methods

Implementation fidelity was measured using two tools, repeated Model Fidelity Assessments (MFAs) and Activity Reports (ARs) completed by Master Trainers, who visited each health center between 7 a

SUBMITTER: Singh K 

PROVIDER: S-EPMC10365308 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature