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. 2018 Sep 25;63(5):593–601. doi: 10.1111/jmwh.12871

Table 2.

Comparison of Key Components: Ibaruke Neza Mubyeyi a and CenteringPregnancy

CenteringPregnancy Essential Elements 19 Does Ibaruke Neza Mubyeyi Include This Component? Notes
Health assessment occurs within the group space. Yes Facilitators teach women in the first group antenatal care visit to assess weight and blood pressure (using an electronic cuff) with one another.
Women are involved in self‐care activities. Yes
A facilitative leadership style is used. Yes
Each session has an overall plan. Yes The facilitator's manual contains a plan for each session but encourages discussion of women's special concerns and questions.
Attention is given to the core content; emphasis may vary. Yes
There is stability of group leadership. Mixed

  • A single community health worker attends all longitudinal visits and acts as a cofacilitator.

  • The other cofacilitator is the antenatal care provider (nurse or midwife) on duty the day of a scheduled group visit; this person is not consistent across all of a distinct group's visits because of the needs of the health center's rotating staff schedule.
Group conduct honors the contribution of each member. Yes
The group is conducted in a circle. Yes
Group composition is stable but not rigid. Yes Women who miss scheduled group visits are encouraged to drop in and join other groups when they are able.
Group size is optimal to promote the process. Yes Recommended group size is 8‐12; in practice, actual group size ranges from 2‐16.
Involvement of family support people is optional. Yes Each group of women decides for themselves if they will invite husbands and next‐of‐kin to attend group visits.
Opportunity for socialization within the group is provided. Yes Some women continue to socialize outside of group antenatal care and have visited each other at home.
There is ongoing evaluation of outcomes. Yes

  • Cofacilitators debrief after every group visit in a continuous learning and quality improvement process.

  • Master Trainers regularly observe group visits, assess for model fidelity, and mentor cofacilitators.

  • Health care provider and participant experiences will be measured in this study.

  • Outcomes of the trial will be reported in 2019.
a

Ibaruke Neza Mubyeyi is the name of the Rwandan group ANC and PNC model. It is translated from Kinyarwanda to English as “May all of us mothers have safe pregnancies, births, and new motherhood.”