GANC In The Netherlands: Implementation Results

Abstract

To improve pregnancy outcomes, group antenatal care (gANC) was introduced in the Netherlands and is now offered by a third of midwifery practices. So far it has shown improved outcomes and better care satisfaction. However, uptake varies, particularly among populations in vulnerable conditions. If upscaling of the gANC model is to be undertaken, more knowledge is needed on implementation challenges. The aim of this study was to investigate implementation of gANC amongst midwifery practices. Results show that gANC is available to women, but not all. Scaleup of the model is needed to allow all pregnant women and people to access gANC.