ReviewReproductive health2014
Evidence from district level inputs to improve quality of care for maternal and newborn health: interventions and findings.
Review in Reproductive health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 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
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of Community Mobilization in maternal care provision for women in sub-Saharan Africa- A systematic review of studies using an experimental design.BMC pregnancy and childbirth · 2017Pooled it
- Trial
- Strengthening Migrant Access to Reproductive Healthcare in Thailand: observation of fixed and outreach service-based models of antenatal care for Karen and Myanmar migrants in Thailand, 2021-2024.Frontiers in public health · 2026Observational
- Documented Tobacco Cessation Care and Patient Outcomes in Malawi: Analysis of Post-Training Clinical Records.Advances in medical education and practice · 2026Article
- Determinants of family planning services uptake among women within the reproductive age in the Yendi municipality in Northern Ghana.BMC public health · 2025Article
- Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework.Global health action · 2024Article
- Mapping the quality of prenatal and postnatal care and demographic differences on child mortality in 26 low to middle-income countries.World journal of pediatrics : WJP · 2023Article
- Skin-to-Skin Contact in the Third Stage of Labor and Postpartum Hemorrhage Prevention: A Scoping Review.Maternal and child health journal · 2023Article
- Computational Phenotyping of OMOP CDM Normalized EHR for Prenatal and Postpartum Episodes: An Informatics Framework and Clinical Implementation on All of Us.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Article
- Client Experiences in a Mobile-Phone Counseling Intervention for Enhancing Access to Prevention of Mother To-Child Transmission (PMTCT) Services in Kenya.Frontiers in global women's health · 2022Article
- Designing a Logic Model for Mobile Maternal Health e-Voucher Programs in Low- and Middle-Income Countries: An Interpretive Review.International journal of environmental research and public health · 2021Review
- Embedding Community-Based Newborn Care in the Ethiopian health system: lessons from a 4-year programme evaluation.Health policy and planning · 2021Article
- "Sharp downward, blunt upward": district maternal death audits' challenges to formulate evidence-based recommendations in Indonesia - a qualitative study.BMC pregnancy and childbirth · 2021Article
- Assessment of facility and health worker readiness to provide quality antenatal, intrapartum and postpartum care in rural Southern Nepal.BMC health services research · 2020Article
- Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa.BMC pediatrics · 2019Observational
- The quality of childbirth in the light of research the new guidelines of the World Health Organization and Polish Perinatal Care Standards.Developmental period medicine · 2019Review
- Article
- Developing more participatory and accountable institutions for health: identifying health system research priorities for the Sustainable Development Goal-era.Health policy and planning · 2018Article
- Evidence gap map of performance measurement and management in primary care delivery systems in low- and middle-income countries - Study protocol.Gates open research · 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
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
District level healthcare serves as a nexus between community and district level facilities. Inputs at the district level can be broadly divided into governance and accountability mechanisms; leadership and supervision; financial platforms; and information systems. This paper aims to evaluate the effectivness of district level inputs for imporving maternal and newborn health. We considered all available systematic reviews published before May 2013 on the pre-defined district level interventions and included 47 systematic reviews. Evidence suggests that supervision positively influenced provider's practice, knowledge and client/provider satisfaction. Involving local opinion leaders to promote evidence-based practice improved compliance to the desired practice. Audit and feedback mechanisms and tele-medicine were found to be associated with improved immunization rates and mammogram uptake. User-directed financial schemes including maternal vouchers, user fee exemption and community based health insurance showed significant impact on maternal health service utilization with voucher schemes showing the most significant positive impact across all range of outcomes including antenatal care, skilled birth attendant, institutional delivery, complicated delivery and postnatal care. We found insufficient evidence to support or refute the use of electronic health record systems and telemedicine technology to improve maternal and newborn health specific outcomes. There is dearth of evidence on the effectiveness of district level inputs to improve maternal newborn health outcomes. Future studies should evaluate the impact of supervision and monitoring; electronic health record and tele-communication interventions in low-middle-income countries.
Indexed as
Identifiers
What OpenQuestion holds
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.