Group Postpartum and Well-Child Care for Maternal and Infant Health
Evaluating the Effectiveness of an Integrated Group Postpartum and Well-child Care Model on Maternal and Child Health Outcomes
Johns Hopkins University
940 participants
Mar 30, 2026
INTERVENTIONAL
Conditions
Summary
The proposed study will evaluate the effectiveness of an integrated group postpartum and well-child care model, compared to individual (usual) postnatal and well-child care, on maternal and child health outcomes. Results will provide clinical evidence for improved maternal and infant health care in the first year postpartum. The study will inform and provide lessons learned to advance maternal and infant health service delivery models in low resource settings.
Eligibility
Inclusion Criteria4
- Women presenting for their 1-week postnatal care visit with their infant at a study site clinic.
- Over age 15.
- One infant is less than 4 weeks old.
- Able to speak and understand Chichewa.
Exclusion Criteria4
- Under age 15.
- Serious physical or mental illness or marked cognitive impairment preventing informed consent.
- Inability to participate in full intervention
- Multiple infants (e.g. twins, triplets)
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Interventions
Group care in the postpartum period brings together 6-8 postpartum people with similarly aged infants to engage in care together. Each visit is 2 hours with the first 30-45 min devoted to standard clinical health assessments for the infant and postpartum person and participation in self-assessments such as taking one's own weight and blood pressure. Health assessments are followed by 75-90 min of facilitated, interactive health promotion activities. This 6-visit model across the infants' first year aligns with the infant vaccination schedule and includes Malawi-specific health promotion content for the dyad.
Locations(16)
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NCT07414901