Preterm Birth Initiative-Rwanda antenatal care and postnatal care providers survey

Background: The East Africa Preterm Birth Initiative-Rwanda began a cluster randomized controlled trial of group antenatal care (ANC) and postnatal care (PNC) in Rwanda in 2017. That trial will report its primary outcome, gestational length at birth, after data collection concludes in 2019. This nested study includes providers of ANC and/or PNC at the 18 health centers randomized to provide the group model of ANC/PNC and the 18 health centers randomized to continue providing ANC/PNC in the traditional, individual visit model. The objective of this study is to understand the experiences of providers of group ANC/PNC and compare their job satisfaction and perceived stress with individual ANC/PNC providers.

Methods: We collected both quantitative and qualitative data from providers (nurses and midwives) who were recruited by health center directors to participate as group ANC and PNC facilitators at intervention sites and from a similar number of providers of standard ANC and PNC at con...

背景：东非早产倡议-卢旺达项目（East Africa Preterm Birth Initiative-Rwanda）于2017年在卢旺达启动了一项针对团体产前保健（Group Antenatal Care, ANC）与产后保健（Postnatal Care, PNC）的整群随机对照试验。该试验将于2019年完成数据收集后，报告其主要结局指标——出生时的孕周时长。本项嵌套研究的研究对象为两类卫生中心的医护人员：18家被随机分配采用团体式ANC/PNC服务模式的卫生中心，以及18家被随机分配继续采用传统个体就诊模式提供ANC/PNC服务的卫生中心。本研究的目的在于了解团体式ANC/PNC医护人员的执业体验，并将其与传统个体ANC/PNC医护人员的工作满意度及感知压力水平进行对比。
方法：我们从由卫生中心主任招募、在干预站点担任团体ANC与PNC协调员的医护人员（护士及助产士），以及数量相近的标准ANC与PNC服务站点的医护人员处，收集了定量与定性两类数据，相关数据采集自