Evidence map›Paper›PMID 26650388›Full record

ArticlePloS one2015

Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors.

Francis Yeji, Akira Shibanuma, Abraham Oduro, Cornelius Debpuur, Kimiyo Kikuchi, Seth Owusu-Agei, Margaret Gyapong, Sumiyo Okawa, Evelyn Ansah, Gloria Quansah Asare and 11 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03145155 (Integrating Services for Noncommunicable Diseases in Continuum of Care for Mothers and Children), which is not on this map. Cited by 96 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT03145155 nacompletednot on this mapstarted 2017, after this paper: background citation

Integrating Services for Noncommunicable Diseases in Continuum of Care for Mothers and Children: a Cluster Randomized Control Trial in Myanmar

TypeinterventionalSponsorTokyo UniversityRan2017 to 2018Enrolled630ConditionsContinuum of Care, Noncommunicable DiseasesArmsIntegrating services for noncommunicable diseases in continuum of care for mothers and children, Ordinary health education for pregnant women
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Francis YejiNavrongo Health Research Centre, P.O. Box 114, Navrongo, Upper-East, Ghana.
Akira ShibanumaDepartment of Community and Global Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Abraham OduroNavrongo Health Research Centre, P.O. Box 114, Navrongo, Upper-East, Ghana.
Cornelius DebpuurNavrongo Health Research Centre, P.O. Box 114, Navrongo, Upper-East, Ghana.
Kimiyo KikuchiDepartment of Community and Global Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Seth Owusu-AgeiKintampo Health Research Centre, P.O. Box 200, Kintampo, Brong-Ahafo, Ghana.
Margaret GyapongDodowa Health Research Centre, P.O. Box DD1, Dodowa, Greater Accra, Ghana.
Sumiyo OkawaDepartment of Community and Global Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Evelyn AnsahResearch and Development Division, Ghana Health Service, Accra MB 190, Ghana.
Gloria Quansah AsareGhana Health Service Headquarters, Accra MB 190, Ghana.
Keiko NanishiDepartment of Community and Global Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
John WilliamsNavrongo Health Research Centre, P.O. Box 114, Navrongo, Upper-East, Ghana.
Sheila AddeiDodowa Health Research Centre, P.O. Box DD1, Dodowa, Greater Accra, Ghana.
Charlotte TawiahKintampo Health Research Centre, P.O. Box 200, Kintampo, Brong-Ahafo, Ghana.
Junko YasuokaDepartment of Community and Global Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Yeetey EnuamehKintampo Health Research Centre, P.O. Box 200, Kintampo, Brong-Ahafo, Ghana.
Evelyn SakeahNavrongo Health Research Centre, P.O. Box 114, Navrongo, Upper-East, Ghana.
Peter WontuoNavrongo Health Research Centre, P.O. Box 114, Navrongo, Upper-East, Ghana.
Masamine JimbaDepartment of Community and Global Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Abraham HodgsonResearch and Development Division, Ghana Health Service, Accra MB 190, Ghana.
Ghana EMBRACE Implementation Research Project Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSlow progress has been made in achieving the Millennium Development Goals 4 and 5 in Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance; postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial in helping Ghana achieve these goals and beyond. This study examined the levels and factors associated with continuum of care (CoC) completion among Ghanaian women aged 15-49.

methodsA retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random sampling method, 1,500 women with infants were selected and interviewed about maternal and newborn service usage in line with CoC. Multiple logistic regression models were used to assess factors associated with CoC completion.

resultsOnly 8.0% had CoC completion; the greatest gap and contributor to the low CoC was detected between delivery and postnatal care within 48 hours postpartum. About 95% of women had a minimum of four antenatal visits and postnatal care at six weeks postpartum. A total of 75% had skilled assisted delivery and 25% received postnatal care within 48 hours. Factors associated with CoC completion at 95% CI were geographical location (OR = 0.35, CI 0.13-0.39), marital status (OR = 0.45; CI 0.22-0.95), education (OR = 2.71; CI 1.11-6.57), transportation (OR = 1.97; CI 1.07-3.62), and beliefs about childhood illnesses (OR = 0.34; CI0.21-0.61).

conclusionThe continuum of care completion rate is low in the study site. Efforts should focus on increasing postnatal care within 48 hours and overcoming the known obstacles to increasing the continuum of care completion rate.

Indexed as

AdolescentAdultChild HealthContinuity of Patient CareCross-Sectional StudiesFemaleGhanaHumansInfant, NewbornMaternal Health ServicesMiddle AgedPregnancyPrenatal CareSocioeconomic FactorsYoung Adult

Identifiers

PMID26650388
PMCPMC4674150

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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.