Group care for mothers and their partners

Group care for (pregnant) mothers and their partners, is a proven success especially for the most vulnerable women and girls. Within group care, eight to twelve women and their partners meet up during pregnancy or after birth with their baby for all medical and psycho-social care, during the first 1000 days, sharing experiences and learning from each other. In order to implement group care as the standard model of care, TNO and her partners are now developing strategies in seven countries.

Maternal and new born mortality and morbity

Poor quality of maternal and child health services (content and delivery) has been identified as a root factor in avoidable maternal and new-born mortality and morbidity. Poor quality of care is also a major contributing factor to inadequate use of maternity and child health services.

Improvements in clinical-medical services alone have not led to increased uptake of services. Tackling the vicious cycle of poor quality and inadequate use of services is necessary to optimize health services and health outcomes for all women and children during and after pregnancy, especially for vulnerable populations.

Our proven solution: group care

Group care based on the Centering model is a new model of care where (future) parents receive guidance in groups of about eight to twelve women with a baby of about the same age. Apart from individual medical assessments of mother and/or baby, this form allows for group discussion on topics based on the group’s need, experiences and interest.

Evidence shows that women receiving group care have fewer preterm births, better mental health outcomes, fewer low birth weight babies, increased rates of breastfeeding, longer pregnancy spacing and increased satisfaction with care. The evidence of benefits is especially strong for groups of marginalized women in underserved populations.

Approved EU project

Despite many successes, group care has not yet succeeded in penetrating the health care system as a model of standard care. The WHO highlighted group care as a promising model to improve quality of care, noting that further study is essential to identify the best mechanisms to implement the model in ways that are feasible and sustainable.

Recently, the EU approved our large project CG_1000 to implement group care in vulnerable populations in Ghana, South Africa, Suriname, Kosovo, Belgium, United Kingdom and the Netherlands. Implementation sites in these countries represent the wide diversity of contexts found throughout the world in terms of health systems, organization of care, and of end-users.

The main deliverables for the four-year project are:

  • Country-specific blueprints for sustainable implementation in the seven target countries
  • Implementation strategy Toolbox
  • An open access database with anonymized data from the GC_1000 project available to the research community.

With this project we contribute to the SDGs 2 on improved nutrition (sub target 2), SDG 3 on health (sub targets 1 and 2 on maternal and child health), SDG 5 on gender equality (sub targets 1 and 6) and SDG  10 (on reducing inequality within and between countries).

Role TNO

TNO is the coordinator of the project and contributes to all work packages. Researcher Marlies Rijnders : ”TNO has had major impact in the Netherlands with the implementation and development of 'group care for the first 1000 days'. With this new EU project, all our knowledge and expertise can be shared to make this innovative health care model sustainable for the world. That will improve health care for mothers, babies and families. Personally I consider it a huge privilege to be able to work on that.”

3-sdg-group-care-mothers-and-teir-partners
This TNO project supports the Sustainable Development Goals; good health and well-being, gender equality and reduced inequalities

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Group Care for pregnant women: A game changer for maternal and child care

Informatietype:
Insight
20 December 2022

Approximately 800 women die every day from preventable causes related to pregnancy and childbirth. Group care breaks the vicious circle of poor quality and inadequate utilization of services by offering care that addresses health holistically. It also focuses on health promotion and information and meets the needs of the end users. TNO and partners co-create strategies, learn implementation lessons and build ecosystems for learning and adaptation to bring group care to scale in seven countries.

International Centering-Based Group Care Conference

Informatietype:
Event

The Centering Netherlands Foundation organizes an Experience Event on Centering-Based Group Care worldwide, in cooperation with TNO, Group Care Global, and the GC_1000 Consortium. Don’t miss this exciting interactive maternal & child health care event where (scientific) knowledge, innovations and experiences of Group Care start up, implementation and development will be shared.

Startdatum:
-
Locatie:
Apenheul – Apeldoorn, the Netherlands

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