Exploring the acceptability and impact of group antenatal care: a qualitative study among women in selected health facilities in Burkina Faso

Abstract

Antenatal Care (ANC) models have evolved to increase maternal and child health service utilization, especially in low- and middle-income countries. Recently, group antenatal care (G-ANC), where cohorts of pregnant women with similar gestational ages are followed throughout pregnancy, has shown promise in enhancing care utilization, patient satisfaction, and reducing maternal morbidity and mortality. However, the acceptability of G-ANC in Burkina Faso has not been assessed.This qualitative study aimed to evaluate the acceptability of G-ANC by pregnant women at six pilot sites in Burkina Faso and identify challenges for scaling up. We conducted six Focus Group Discussions (FGDs) with 58 women who attended at least one G-ANC session. Participants were selected through purposive sampling, and discussions were conducted using semi-structured interview guides. Thematic analysis was performed using N-VIVO software.Six themes emerged: overall experience, benefits and challenges of G-ANC, relationships with healthcare workers and partners, changes introduced by G-ANC, and suggestions for improvement. Women expressed high satisfaction with G-ANC, citing skill development and improved relationships as key benefits. Challenges included long session durations and inadequate space. A major recommendation was to hold sessions on weekends to allow partner participation. In conclusion, G-ANC is highly accepted by women in Burkina Faso. This low-cost, high-impact initiative holds potential for broader implementation in similar settings.