Implementation of the INTERGROWTH-21st Project in Kenya.

M Carvalho; S Vinayak; R Ochieng; V Choksey; N Musee; W Stones; He Knight; L Cheikh Ismail; International Fetal and Newborn Growth Consortium for the 21st C; (2013) Implementation of the INTERGROWTH-21st Project in Kenya. BJOG, 120 Su. 105-v. ISSN 1470-0328 DOI: 10.1111/1471-0528.12045
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The African site in the INTERGROWTH-21(st) Project was Parklands, a wealthy suburb of Nairobi, Kenya, with a largely middle-to-high socio-economic status population. There are three hospitals with obstetric units in Parklands, with approximately 4300 births per year. The Newborn Cross-Sectional Study (NCSS) sample was drawn from all three hospitals, covering 100% of births in this target population. The Fetal Growth Longitudinal Study (FGLS) sample was recruited from antenatal clinics serving these hospitals, using the eligibility criteria in the INTERGROWTH-21(st) protocol. Special activities to raise awareness of the study included securing media coverage and distributing leaflets in antenatal clinic waiting rooms. FGLS required women to be recruited in the first trimester; therefore, a major challenge at this study site was the high background frequency of first antenatal consultations in the second trimester. The problem was overcome by the study awareness campaign, as a result of which more women started attending antenatal care earlier in pregnancy.

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