Group antenatal and postnatal care in Rwanda: model fidelity monitoring data

For a cluster randomized controlled trial of the effect of group
antenatal care on perinatal outcomes in Rwanda, a Technical Working Group
customized the group care model for implementation in this context. Group
antenatal and postnatal care were implemented in 18 Rwandan health centers
during the study period June 1, 2017 to January 31, 2019. We used two
discreet questionnaires to collect data from two groups about the fidelity
with which the group antenatal care model was implemented during this
period. Group care facilitators, including nurses, midwives, and community
health workers, recorded descriptive data about each visit and
self-assessed process fidelity with a series of yes/no checkboxes. Master
Trainers assessed process fidelity with an 11-item tool using a 5-point
scale of 0 (worst) to 4 (best). 140 Model Fidelity Assessment
questionnaires were completed by Master Trainers during supervision
visits. 2763 Group Visit Debrief questionnaires were completed by the
nurses, midwives, and community health workers who facilitated each group
visit.