Su-Jung Nam, Jaehye Suk
Influence of health food literacy on willingness to pay for healthier foods: focus on food insecurity
International journal for equity in health
although majority ghanaian women receive antenatal care anc many exhibit low health literacy misinterpreting incorrectly operationalizing anc messages leading poor maternal newborn health outcomes prior research lowresource settings found group antenatal care ganc feasible women providers study aims determine effect ganc increasing maternal health literacy hypothesized pregnant women randomized ganc would exhibit greater increase maternal health literacy women routine individual anc 5year cluster randomized controlled trial conducted 14 rural periurban health facilities eastern region ghana facilities paired based patient volume average gestational age anc enrollment randomized intervention ganc vs control routine individual anc 1761 pregnant women recruited data collection occurred baseline t0 postbirth t2 using maternal health literacy scale 12item composite scale assess maternal health literacy logistic regression compared changes health literacy t0 t2 overall women intervention control groups improved health literacy scores time p 00001 women intervention group scored significantly higher 3 individual items overall composite scores p 00001 likely attend 8 anc visits health literacy scores improved women attending anc women randomized ganc exhibited greater improvement overall health literacy postbirth compared receiving routine individual care lifesaving information provided anc must presented understandable format prevent women newborns dying preventable causes ethical approval study obtained institutional review boards university michigan hum00161464 ghana health service ghserc 0160419