Evidence map›Paper›PMID 26742486›Full record

ArticleHealth research policy and systems2016

Mapping the use of research to support strategies tackling maternal and child health inequities: evidence from six countries in Africa and Latin America.

Emily Vargas, Victor Becerril-Montekio, Miguel Ángel Gonzalez-Block, Patricia Akweongo, Cynthia N A Hazel, Maria de Fatima Cuembelo, Felix Limbani, Wanderley Bernardo, Fernando Muñoz

Erratum issuedAbstract read
In one paragraph

Article in Health research policy and systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Emily VargasCentro de Investigación en Sistemas de Salud, National Institute of Public Health, Cuernavaca, México. emily.vargas@gmail.com.
Victor Becerril-MontekioCentro de Investigación en Sistemas de Salud, National Institute of Public Health, Cuernavaca, México. victor.becerril@insp.mx.
Miguel Ángel Gonzalez-BlockCentro de Investigación en Sistemas de Salud, National Institute of Public Health, Cuernavaca, México. miguel.gonzalezblock@gmail.com.
Patricia AkweongoSchool of Public Health, University of Ghana, Accra, Ghana. akweongo@gmail.com.
Cynthia N A HazelSchool of Public Health, University of Ghana, Accra, Ghana. cynthiaafedi@gmail.com.
Maria de Fatima CuembeloIndependent consultant, Maputo, Mozambique. fcuembelo@gmail.com.
Felix LimbaniCenter for Health Policy, School of Public Health, University of the Witwatersrand, Witwatersrand, Republic of South Africa. limbanif@yahoo.com.uk.
Wanderley BernardoUniversity of Sao Paolo, Sao Paolo, Brazil. wmbernardo@usp.br.
Fernando MuñozFacultad de Medicina, Universidad de Chile, Santiago, Chile. fmunoz@med.uchile.cl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStriving to foster collaboration among countries suffering from maternal and child health (MCH) inequities, the MASCOT project mapped and analyzed the use of research in strategies tackling them in 11 low- and middle-income countries. This article aims to present the way in which research influenced MCH policies and programs in six of these countries - three in Africa and three in Latin America.

methodsQualitative research using a thematic synthesis narrative process was used to identify and describe who is producing what kind of research, how research is funded, how inequities are approached by research and policies, the countries' research capacities, and the type of evidence base that MCH policies and programs use. Four tools were designed for these purposes: an online survey for researchers, a semi-structured interview with decision makers, and two content analysis guides: one for policy and programs documents and one for scientific articles.

resultsThree modalities of research utilization were observed in the strategies tackling MCH inequities in the six included countries - instrumental, conceptual and symbolic. Instrumental utilization directly relates the formulation and contents of the strategies with research results, and is the least used within the analyzed policies and programs. Even though research is considered as an important input to support decision making and most of the analyzed countries count five or six relevant MCH research initiatives, in most cases, the actual impact of research is not clearly identifiable.

conclusionsWhile MCH research is increasing in low- and middle-income countries, the impact of its outcomes on policy formulation is low. We did not identify a direct relationship between the nature of the financial support organizations and the kind of evidence utilization within the policy process. There is still a visible gap between researchers and policymakers regarding their different intentions to link evidence and decision making processes.

Indexed as

Child HealthDeveloping CountriesHealth PolicyHealth Status DisparitiesMaternal HealthAfricaHumansInformation DisseminationLatin AmericaMaternal-Child Health ServicesQualitative ResearchResearch

Identifiers

PMID26742486
PMCPMC4705625

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.