Improving Women’s Engagement in Antenatal Care Through Group ANC

Group Antenatal Care (G‑ANC) is an innovative service delivery model that brings together women with similar gestational ages into structured groups. It combines clinical assessments, health education, and peer support in a participatory setting, fostering greater engagement and retention in care. In Geita Region, pregnant women below 24 weeks are invited to form groups of 8‑15 and attend five 90‑minute sessions held four weeks apart. Led by 1‑2 healthcare providers, the meetings use small‑group work, games, songs, and illustration cards to cover key pregnancy topics. Women also conduct peer‑to‑peer self‑assessments using digital devices (blood pressure monitors, thermometers, weigh scales) under provider guidance, while each woman receives a private clinical consultation. This model is designed to empower women in self‑care and create a supportive community throughout pregnancy.

The participatory nature of G‑ANC resulted in women actively conducting peer assessments for blood pressure, weight, and temperature, with the provider acting as a lead facilitator. This hands‑on involvement encouraged investment in self‑care and fetal well‑being. Additionally, women shared pregnancy experiences, building a strong peer support network. The model was found to significantly improve women's participation and engagement in ANC services, as well as self‑care practices. These initial findings support the potential of G‑ANC to enhance maternal health outcomes and provide valuable evidence for government consideration in scaling up the approach across Tanzania.