Core strategies,social processes,and contextual influences of early phases of implementation and statewide scale-up of group prenatal care in South Carolina |
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| Institution: | 1. Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, United States;2. College of Nursing, University of South Carolina, United States;3. University of South Carolina School of Medicine Greenville, Prisma Health-Upstate, United States;4. South Carolina March of Dimes, United States;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. School of Social Sciences, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;2. School of Business, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;3. School of Allied Health, Australian Catholic University, 25A Barker Rd., Strathfield, NSW, Australia;1. Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada;2. Department of Geography & Tourism Studies, Brock University, 1812 Sir Isaac Brock Way St. Catharines, Ontario, Canada;1. Claremont Graduate University, United States;2. California State University, Los Angeles, United States;1. University of Maryland, School of Public Health, Department of Behavioral and Community Health, College Park, MD, United States;2. University of Maryland, School of Public Health, Department of Epidemiology and Biostatistics, United States;3. Community Ministry of Prince George’s County, Upper Marlboro, MD, United States |
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| Abstract: | This mixed-methods process evaluation examined a state-wide, interagency collaborative in South Carolina that expanded CenteringPregnancy group prenatal care from two to five additional healthcare practices from 2012 to 2015. The evaluation focused on delineating core processes, strategies, and external contextual elements of group prenatal care implementation and scale-up. Success of this scale-up was enhanced by the effective use and creation of windows of opportunity, which allowed stakeholders to pursue actions consistent with their own values, at both state and organizational levels. Most importantly, strong political advocacy and state-level financial commitment for group prenatal care made it possible for clinics throughout South Carolina to begin providing CenteringPregnancy to their patients. Improved understanding of the processes involved in scaling-up pilot interventions may enhance the effectiveness and efficiency of future expansion efforts. |
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| Keywords: | CenteringPregnancy Group prenatal care Implementation science Scale-up |
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