Conclusion
Significant shifts in clinical practice do not happen easily or quickly. Valid, reproducible evidence must exist for practice guidelines to change. Implementation of group ANC in this context was not without challenges, one of which was time management, however our findings contribute to the growing evidence that group ANC in LMICs is safe, feasible and that women find it beneficial. We advocate for future research focusing on the scale-up of group ANC in LMICs to address the unacceptable high rates of maternal and newborn mortality.