Trial reportAmerican journal of perinatology2013
Assessment of obstetric and neonatal health services in developing country health facilities.
Trial report in American journal of perinatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effects of prenatal psychosocial work stress on adverse pregnancy outcomes: A comprehensive systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2025Pooled it
- The global network antenatal corticosteroids trial: impact on stillbirth.Reproductive health · 2016Trial
- Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries.Reproductive health · 2016Trial
- The Antenatal Corticosteroids Trial (ACT)'s explanations for neonatal mortality - a secondary analysis.Reproductive health · 2016Trial
- An Intervention to Enhance Obstetric and Newborn Care in India: A Cluster Randomized-Trial.Maternal and child health journal · 2015Trial
- A combined community- and facility-based approach to improve pregnancy outcomes in low-resource settings: a Global Network cluster randomized trial.BMC medicine · 2013Trial
- Low syphilis treatment rates and associated birth outcomes in pregnant women with and without HIV in Zambia: A cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Evolution in caesarean section practices in North Kivu: Impact of caregiver training.PloS one · 2022Article
- Human Resources for Health-Related Challenges to Ensuring Quality Newborn Care in Low- and Middle-Income Countries: A Scoping Review.Global health, science and practice · 2021Article
- Portable continuous wave Doppler ultrasound for primary healthcare in South Africa: can the EUnetHTA Core Model guide evaluation before technology adoption?Cost effectiveness and resource allocation : C/E · 2021Article
- Neonatal Resuscitation Research Priorities in Low- and Middle-Income Countries.International journal of pediatrics · 2021Review
- Assessment of service readiness for maternity care in primary health centres in rural Nigeria: implications for service improvement.The Pan African medical journal · 2021Article
- Rates and risk factors for preterm birth and low birthweight in the global network sites in six low- and low middle-income countries.Reproductive health · 2020Article
- Review of the evidence for interventions to reduce perinatal mortality in low- and middle-income countries.International journal of pediatrics & adolescent medicine · 2020Review
- Article
- Technology-driven Neonatal Health Care in Low-resource Settings: Expectations and Reality.EClinicalMedicine · 2019Article
- A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016.American journal of perinatology · 2019Article
- A system approach to improving maternal and child health care delivery in Kenyan communities and primary care facilities: baseline survey on maternal health.African health sciences · 2019Article
- CUBES: A practical toolkit to measure enablers and barriers to behavior for effective intervention design.Gates open research · 2019Article
- Factors influencing referrals for ultrasound-diagnosed complications during prenatal care in five low and middle income countries.Reproductive health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
23 authors.
Funding
Abstract
objectiveTo describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality. STUDY
designIn 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section.
resultsThe coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals.
conclusionsAssuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.