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Please use this identifier to cite or link to this item: http://repositorio.insp.mx:8080/jspui/handle/20.500.12096/8138
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DC FieldValueLanguage
dc.coverage.spatialnacional
dc.creatorFuentes-Rivera, Evelyn
dc.date.accessioned2023-05-25T14:21:09Z-
dc.date.available2023-05-25T14:21:09Z-
dc.date.issued2020
dc.identifier.urisicabi.insp.mx:2020-None
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301482/pdf/12913_2020_Article_5430.pdf
dc.identifier.urihttps://www.doi.org/ 10.1186/s12913-020-05430-z
dc.identifier.urihttp://repositorio.insp.mx:8080/jspui/handle/20.500.12096/8138-
dc.description.abstractAbstract Background: CenteringPregnancy (CP) is a group antenatal care (G-ANC) model that has proven beneficial for mothers and their newborns. We conducted a feasibility study beginning in 2016 as part of the Mexican effort to implement G-ANC locally. This study reports on fidelity to the essential elements of CP during its implementation in Mexico. Methods: We collected prospective data using a standardized checklist at four primary-care centers that implemented our adapted G-ANC model. We performed a descriptive analysis of fidelity to 28 processes per G-ANC session (71 sessions made up of 10 groups and 129 women across 4 health centers). We calculated fidelity to each process as a proportion with 95% confidence intervals. We present overall results and stratified by health center and by facilitation team. Results: Overall fidelity to the G-ANC intervention was 82%, with variability by health center (78-88%). The elements with the highest fidelity were having space for activities such as checking vital signs, conversation in a circle, and medical check-ups (100% each) and the element with the lowest fidelity was using music to enhance privacy (27.3%). Fidelity was not significantly different by center. Conclusions: Our study suggests good model fidelity during the implementation of G-ANC in Mexico. Our findings also contribute useful information about where to focus efforts in the future to maintain and improve G-ANC model fidelity.
dc.formatpdf
dc.languagespa
dc.publisherESPM INSP
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.subjectAdult Feasibility Studies Female Humans Infant, Newborn Mexico Population Groups Pregnancy Prenatal Care , methods, Process Assessment, Health Care, Prospective Studies
dc.titleEvaluating process fidelity during the implementation of Group Antenatal Care in Mexico
dc.typeinfo:eu-repo/semantics/article
dc.subject.ctiinfo:eu-repo/classification/cti/3
dc.creator.orcidorcid/0000-0001-5551-6133;Fuentes-Rivera, Evelyn
dc.creator.orcidorcid/0000-0002-9172-2302;Alcalde Rabanal, Jacqueline Elizabeth
dc.creator.orcidorcid/0000-0002-9998-9239;Heredia Pi, Ileana Beatriz
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