System
Training adequate numbers of facilitators in this model of group ANC can be time consuming and costly. Using a train-the-trainer model of implementation, we were able to train champion trainers who then trained midwives at the intervention sites which increased efficiency. Training workshops occurred in small groups similar to the model of group ANC meetings so they could practice the facilitation techniques.A concern expressed by the participants as well as the midwives was that of time management. Midwives stated that often women did not come on time. Some participants were frustrated when they came on time and the meeting did not start at the allotted time while others had issues with being on time due to transportation issues. Strategies for time management were addressed in “reminder” messages sent to the midwife facilitators.