2026-10-11T06:50:59Z https://api.figshare.com/v2/oai

oai:figshare.com:article/33939003 2026-09-18T17:44:59Z category_734 category_64 category_106 portal_5 item_type_3 month_year_09_2026

<p>(Domain 1): Intervention characteristics.</p> Alen Kinyina (23735099) Augustino Hellar (338633) Raymond Bandio (23735102) Hamid Mandali (23735105) Ahmad Makuwani (3328848) Phineas Sospeter (23586778) Jennie Jaribu (801365) Isaac Lyatuu (10892451) Yusuph Kulindwa (5198216) Frank Phiri (23735111) Ntuli Kapologwe (3968351) Sarah Chamos (25073430) Cyprian Mtani (23735117) Wilfred Kafuku (23735114) Omari Sukari (23735126) Abubakari Munga (23735108) Husna Athumani (23735120) James Hellar (23735123) Biological Sciences not elsewhere classified Cancer Science Policy supportive facility leadership similar gestational age perceived relative advantage competing clinical demands combines clinical assessments chws ), hcps interacting factors across health system capacity focus group discussions yet many women recently delivered women strengthening identified facilitators key informant interviews community health workers group antenatal care addressing multilevel barriers qualitative study using key facilitators included qualitative study newborn health health managers community context group settings study examined explore facilitators implementation factors workforce shortages weak provider tanzania using successful adoption socioeconomic constraints resource settings reported according recommended follow proper scheduling privacy concerns positive experiences peer support november 2024 local contexts intervention design healthcare providers geita region ga ). facilitated discussion effective teamwork consolidated framework <div><p>Antenatal care (ANC) is essential for improving maternal and newborn health, yet many women do not complete the recommended follow-up visits and often experience suboptimal quality of care and weak provider-client interactions. Group antenatal care (G-ANC) offers an alternative service delivery model that combines clinical assessments with group-based education, facilitated discussion, and peer support for women with similar gestational age (GA). This study examined the facilitators and barriers to G-ANC implementation in low-resource settings in Tanzania using the Consolidated Framework for Implementation Research (CFIR).A qualitative study was conducted in the Geita Region from June to November 2024. Data were collected through Focus Group Discussions (FGDs) with pregnant and recently delivered women who participated in G-ANC. Key Informant Interviews (KIIs) included the healthcare providers (HCPs), facility leaders, and health managers. Using NVivo Version 14.0 software, we managed and analysed all interviews to explore facilitators and barriers to the implementation of G-ANC. Data were grouped and reported according to their relevance to the CFIR constructs. Implementation of G-ANC was shaped by interacting factors across all CFIR domains. Key facilitators included the perceived relative advantage of G-ANC over conventional ANC, adaptability of the model to local contexts, supportive facility leadership, effective teamwork, and peer support among women. Similarly, implementation processes such as proper scheduling of group sessions supported continuity of G-ANC services. In addition, the positive experiences of community health workers (CHWs), HCPs and pregnant women reinforced sustained implementation. Major barriers included inadequate space for meetings, workforce shortages, competing clinical demands, socioeconomic constraints and privacy concerns in group settings. Successful implementation of G-ANC in low-resource settings requires alignment between intervention design, health system capacity, and community context. Addressing multilevel barriers while strengthening identified facilitators is critical for the successful adoption of G-ANC and its integration into other maternal and newborn health services.</p></div> 2026-09-18T17:44:48Z Dataset Dataset 10.1371/journal.pgph.0006221.t002 https://figshare.com/articles/dataset/_p_Domain_1_Intervention_characteristics_p_/33939003 CC BY 4.0