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Table 3 Summary of results

From: “Taking care of your pregnancy”: a mixed-methods study of group antenatal care in Kakamega County, Kenya

 

Percentage

Odds Ratio (95% CI)

Baseline

(N = 112)

Endline

(N = 360)

Knowledge

 Women who could identify 3 or more danger signs of complications during pregnancy

7.1%

26.4%

4.58 (2.26–10.61)

 Women who could identify 3 or more things a woman can do during pregnancy to improve her and her baby’s health

30.4%

37.5%

1.37 (0.87–2.19)

 Qualitative themes: Knowing the why and not only the what; practical tips and information; mutual learning for women and health providers

ANC experience of care: Percentage rating “excellent” or “very good” based on 5-point Likert scale

 Women who strongly agreed that they shared their feelings and experiences with other women

58.9%

71.7%

1.73 (1.1–2.7)

 Knowledge and competence of health workers

57.2%

78.6%

2.52 (1.57–4.02)

 Respect shown to respondent by ANC providers

59.8%

73.3%

1.82 (1.16–2.85)

 Experienced disrespect and humiliation

7.1%

9.7%

1.40 (0.66–3.33)

 Trust in ANC providers

58.1%

65.0%

1.23 (0.78–1.91)

 Language ANC providers used toward respondent

57.2%

65.6%

1.39 (0.88–2.16)

 Level of privacy and confidentiality observed during ANC

55.3%

62.0%

1.29 (0.79–2.22)

 Intent to use same facility in a subsequent pregnancy

88.8%

93.2%

1.87 (0.39–9.47)

 Very likely to recommend facility to other women

75%

90.8%

2.82 (0.39–9.47)

 Overall quality of care

56.3%

68.3%

1.62 (1.03–2.53)

 Qualitative themes: Sharing experiences to solve problems, giving each other strength and encouragement to cope, feeling that nurses create an open and safe space

Empowerment and self-efficacy: Percentage who “strongly agree” based on a 5-point Likert scale

 You could ask your ANC provider about your pregnancy.

67.0%

63.1%

0.86 (0.54–1.36)

 Since you began antenatal care, you have been making more decisions about your health.

74.1%

74.7%

1.02 (0.61–1.66)

 You felt you had a right to ask questions when you don’t understand something about your pregnancy.

83.0%

76.4%

0.67 (0.37–1.16)

 You were able to change things in your life that are not healthy for you or the baby.

75.0%

78.3%

1.21 (0.73–1.99)

 You did what you could do to have a healthy baby.

92.9%

87.5%

0.54 (0.23–1.12)

 You could talk to your partner about your pregnancy and planning for delivery.

85.6%

76.9%

0.56 (0.21–1.23)

Qualitative themes: Feelings of self-efficacy

Adoption of healthy behaviors

 Number of ANC visits

4.21

5.08

95% CI of difference: 0.47–1.42 visits

 Number of ANC visits among under 25 years of age

4.23

5.11

95% CI of difference: 0.27–1.34 visits

Birth preparations

 Women reporting that they made 2 or more of any of the listed preparations

33.0%

48.9%

1.94 (1.24–3.05)

 Women reporting that they prepared items for the baby or delivery

64.3%

71.9%

1.61 (0.94–2.72)

Qualitative themes: Making a difference for the better