medRxiv PreprintsInternational10 November 2026
Measuring community building in group antenatal care: Evidence from a randomized trial in Malawi
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Improving the quality of antenatal care is essential for reducing persistently high maternal and neonatal mortality in Malawi. Group antenatal care has demonstrated improvements in quality, satisfaction, health behaviors, and outcomes. However, the impact of community building, one of the models core components, has not previously been quantitatively assessed. This study examined the measurement properties of two community building measures, assessed the impact of group antenatal care on these measures, and explored their potential role as mediators of health outcomes. This secondary analysis
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