Evidence map›Paper›PMID 26889337›Full record

ArticleThe Pan African medical journal2015

An assessment of priority setting process and its implication on availability of emergency obstetric care services in Malindi District, Kenya.

Lilian Nyamusi Nyandieka, Yeri Kombe, Zipporah Ng'ang'a, Jens Byskov, Mercy Karimi Njeru

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Describing and evaluating healthcare priority setting practices at the county level in Kenya.The International journal of health planning and management · 2018
    Article
  4. Article
  5. Article
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

5 authors at 1 institution in 1 country.

Lilian Nyamusi NyandiekaCentre for Public Health Research, Kenya Medical Research Institute (KEMRI) Nairobi, Kenya; Institute of Tropical Medicine and Infectious Diseases, Department of Public Health - Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Yeri KombeCentre for Public Health Research, Kenya Medical Research Institute (KEMRI) Nairobi, Kenya.
Zipporah Ng'ang'aInstitute of Tropical Medicine and Infectious Diseases, Department of Public Health - Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Jens ByskovResearch Unit for Human Parasitology and the Environment, Faculty of Health and Medical Sciences, University of Copenhagen, Dyrlægevej 100, DK-1870 Frederiksberg C, Denmark.
Mercy Karimi NjeruCentre for Public Health Research, Kenya Medical Research Institute (KEMRI) Nairobi, Kenya.
Kenya Medical Research Institute · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn spite of the critical role of Emergency Obstetric Care in treating complications arising from pregnancy and childbirth, very few facilities are equipped in Kenya to offer this service. In Malindi, availability of EmOC services does not meet the UN recommended levels of at least one comprehensive and four basic EmOC facilities per 500,000 populations. This study was conducted to assess priority setting process and its implication on availability, access and use of EmOC services at the district level.

methodsA qualitative study was conducted both at health facility and community levels. Triangulation of data sources and methods was employed, where document reviews, in-depth interviews and focus group discussions were conducted with health personnel, facility committee members, stakeholders who offer and/ or support maternal health services and programmes; and the community members as end users. Data was thematically analysed.

resultsLimitations in the extent to which priorities in regard to maternal health services can be set at the district level were observed. The priority setting process was greatly restricted by guidelines and limited resources from the national level. Relevant stakeholders including community members are not involved in the priority setting process, thereby denying them the opportunity to contribute in the process.

conclusionThe findings illuminate that consideration of all local plans in national planning and budgeting as well as the involvement of all relevant stakeholders in the priority setting exercise is essential in order to achieve a consensus on the provision of emergency obstetric care services among other health service priorities.

Indexed as

Health Services AccessibilityDelivery, ObstetricEmergency Medical ServicesFemaleFocus GroupsHealth PersonnelHumansKenyaMaleMaternal Health ServicesPregnancyPregnancy Complicationsaccountabilitydecision makingEmOCPriority settingstakeholders

Identifiers

PMID26889337
PMCPMC4742024
OpenAlexW1762555380

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.