The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months after birth to ensure child health and survival. Antenatal care provides an opportunity to educate pregnant women on optimal breastfeeding practices. A cluster-randomized control trial in Ghana examined the impact of group antenatal care on breastfeeding knowledge and practice. The study enrolled 1761 pregnant women from 14 health facilities in Ghana. The intervention group (n = 877) received eight group sessions, while the control group (n = 884) received individual, routine care. Data were collected at baseline and post intervention. Pearson’s chi-square test was performed to examine categorical data, while odds ratios were calculated using separate logistic regression models to examine differences between the intervention and control groups over time. Women enrolled in group antenatal care had higher odds of following WHO recommendations to exclusively breastfeed for the first six months (odds ratio [OR]: 3.6, 95% confidence interval [95% CI]: 2.1, 6.3) and waiting to introduce solid food until six months of age (OR: 3.1, 95% CI: 1.5, 6.9). Our results found that women who participated in group antenatal care were more likely to follow the recommendations for exclusive breastfeeding developed by the WHO.

High maternal mortality and morbidity in low and middle-income countries (LMICs) is a significant global concern, especially among adolescents due to the high birth rates. Providing quality antenatal care, such as group antenatal care (GANC), is vital for enhancing maternal and newborn health outcomes for adolescents. Research indicates that GANC has a positive impact on maternal health outcomes for pregnant women in general. However, there is a notable gap in studies that specifically examine its effects on adolescents in LMICs. This scoping review, following Joanna Briggs Institute methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, examines the impact of GANC versus individualised antenatal care for pregnant adolescents. After a comprehensive review of peer-reviewed literature, eight articles were included. Findings demonstrate that GANC leads to better adherence to care, increased empowerment through knowledge, enhanced social support and improved newborn health quality. However, there is a notable scarcity of research on GANC for adolescents in LMICs, highlighting the need for further studies to inform policy to create, implement and possibly scale up adolescent-friendly GANC. The insights gained from this review can be leveraged for further feasibility studies to explore cultural appropriateness, adolescent responsiveness and adolescent preferences for GANC.

Despite increasing research on gender-based violence (GBV) in higher education, a critical gap persists in understanding GBV prevention strategies in low- and middle-income countries (LMICs). This scoping review aims to identify and synthesize existing evidence on GBV prevention interventions in higher education institutions within LMICs. A scoping review was conducted following Joanna Briggs Institute guidelines and reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines, identifying 14 manuscripts across LMIC higher education contexts. The review included 14 manuscripts published between 2017 and 2023, detailing ten distinct interventions. Studies were conducted in sub-Saharan Africa ( n = 7), East Asia ( n = 4), South Asia ( n = 2), and South America ( n = 1). Interventions focused on primary and secondary prevention. No study focused on tertiary prevention. Most of the studies aimed to pilot test and develop interventions, with only one study employing a randomized controlled trial. The scope of the interventions encompassed participants’ education about gender inequalities, consent, healthy relationships, and bystander behavior. The most consistent findings included improved knowledge, attitudes, and bystander self-efficacy. Current GBV prevention interventions in higher education institutions within LMICs are still evolving, revealing significant gaps in long-term efficacy and survivor support. These findings highlight the necessity for future culturally grounded, sustainable interventions and rigorous evaluation of long-term impact.

Objective To explore the psychosocial concerns and ways of coping of pregnant women with chronic hepatitis B infection in Ghana. Setting Participants were selected from public health facilities in the Tema Metropolis. Design Exploratory descriptive qualitative design was employed. Participants Fourteen pregnant women were purposively selected to participate in face-to-face interviews. The data were analysed using the content analysis procedure. Results The participants' psychosocial concerns and coping strategies were diverse. A significant number of the participants were concerned about the impact their hepatitis B seropositivity would have on their relationships, finances, and general well-being. Specifically, they feared that their social network, especially their spouses, would perceive them as having led a promiscuous lifestyle in the past to acquire hepatitis B infection. Also, fear of transmitting the infection to their infants and the effects of the infection on their infants later in life were identified as major concerns by nearly all participants. The participants further reported feelings of distress and diminished self-esteem. These psychosocial afflictions reported were attributed to lack of pre-test counselling during the antenatal care period. However, the participants coped using different strategies, including avoidance/denial, spirituality, and alternative treatment use. Conclusion To achieve optimal psychological and social well-being of pregnant women with chronic hepatitis B, it is important that their unique challenges are considered in their care and treatment cascade. Explicitly, protocols for supportive care addressing the specific needs of pregnant women with chronic hepatitis B should be implemented in the study setting

Background: Disrespect and patient mistreatment are identified as barriers to care-seeking and low uptake of facility-based deliveries. These mitigating factors have led to slow progress in the achievement of maternal and child health targets, especially in Ghana. Group antenatal care, as an alternative to individual antenatal was implemented to explore the impact on outcomes, including mothers' perception of respectful care. Methods:A cluster randomized controlled trial was conducted in 14 health facilities across four districts in the Easter Region of Ghana. These facilities were randomized to intervention or control using a matched pair. Data was collected at several timepoints: enrollment (Time 0), 34 weeks gestation to 3 weeks post-delivery (Time 1), 6 to 12 weeks post-delivery (Time 2), 5 to 8 months post-delivery (Time 3), and 11 to 14 months post-delivery (Time 4). Questions related to respectful care were asked at Time 2, while a focus group discussion (FGDs) was conducted as part of a process evaluation to examine participants' experiences about respectful maternity care. Results: The findings from the intervention group indicate that participants perceived higher levels of respect in comparison to the control group. Privacy and confidentiality were maintained. They believed they had been provided with adequate information, education, and counseling, empowering them to make informed decisions. Participants perceived a shortened waiting time and reduced discrimination in care provision. Generally, there were higher levels of satisfaction with antenatal care. Conclusion: The provision of respectful maternity care, which is essential to increasing healthcare utilization, has been demonstrated to correlate positively with group antenatal care.