SynthesisHealth policy and planning2016
Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review.
Synthesis in Health policy and planning, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses 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
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of culturally appropriate antenatal education packages to improve birth preparedness and complication readiness in low- and middle-income countries: a systematic review.BMC pregnancy and childbirth · 2026Pooled it
- Interventions to reduce inequalities for pregnant women living with disadvantage in high-income countries: an umbrella review.BMC public health · 2025Pooled it
- Trajectory and predictors of maternal relationship satisfaction from pregnancy to five years postpartum.Archives of women's mental health · 2026Trial
- Advancing maternal health equity: the need for cultural awareness and inclusivity in maternity service delivery in the UK: anchored in the MBRRACE-UK 2025 findings.International journal for equity in health · 2026Article
- Navigating strategies for intercultural maternal and newborn care in Latin America and the Caribbean: a scoping review.Health promotion international · 2026Article
- Population-oriented health promotion and disease prevention interventions in primary healthcare: a scoping review of reviews.BMC primary care · 2026Article
- Improving the maternity experience for Black, African, Caribbean and mixed-Black families in an integrated care system: a multigroup community and interprofessional co-production prioritisation exercise using nominal group technique.BMJ quality & safety · 2025Article
- The Challenging Process of Developing an Antenatal Social Intervention for Parents From Culturally Diverse Backgrounds to Reduce Postnatal Distress: A Participatory Action Research Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Visible and invisible cultural patterns influencing women's use of maternal health services among Igala women in Nigeria: a focused ethnographic study.BMC public health · 2025Article
- Impact of multicultural doula support on pregnant migrant women's healthcare service utilisation in Norway: a multi-centre case-control study.BMJ public health · 2025Article
- Coexisting traditional and biomedical healthcare systems: a mixed-methods analysis of community health workers and traditional birth attendants' contributions to perinatal health behaviors in rural India.Frontiers in health services · 2025Article
- Bottleneck Analysis of Maternal, Newborn and Child Health Services in Underserved Areas of Kwale County, Kenya.Health services insights · 2025Article
- Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.BMC pregnancy and childbirth · 2024Article
- Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on Igala women.BMC pregnancy and childbirth · 2024Article
- Influence of Antenatal Education on Birth Outcomes: A Systematic Review Focusing on Primiparous Women.Cureus · 2024Review
- Perspectives of women and partners from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a survey study.BMC health services research · 2023Article
- Exploring solutions to improve antenatal care in resource-limited settings: an expert consultation.BMC pregnancy and childbirth · 2022Article
- Culturally appropriate care to support maternal positions during the second stage of labour: Midwives' perspectives in South Africa.African journal of primary health care & family medicine · 2022Article
- Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review.BMJ open · 2021Article
- Cross Cultural Workers for women and families from migrant and refugee backgrounds: a mixed-methods study of service providers perceptions.BMC women's health · 2021Article
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
Addressing cultural factors that affect uptake of skilled maternity care is recognized as an important step in improving maternal and newborn health. This article describes a systematic review to examine the evidence available on the effects of interventions to provide culturally appropriate maternity care on the use of skilled maternity care during pregnancy, for birth or in the postpartum period. Items published in English, French and/or Spanish between 1 January 1990 and 31 March 2014 were considered. Fifteen studies describing a range of interventions met the inclusion criteria. Data were extracted on population and intervention characteristics; study design; definitions and data for relevant outcomes; and the contexts and conditions in which interventions occurred. Because most of the included studies focus on antenatal care outcomes, evidence of impact is particularly limited for care seeking for birth and after birth. Evidence in this review is clustered within a small number of countries, and evidence from low- and middle-income countries is notably lacking. Interventions largely had positive effects on uptake of skilled maternity care. Cultural factors are often not the sole factor affecting populations' use of maternity care services. Broader social, economic, geographical and political factors interacted with cultural factors to affect targeted populations' access to services in included studies. Programmes and policies should seek to establish an enabling environment and support respectful dialogue with communities to improve use of skilled maternity care. Whilst issues of culture are being recognized by programmes and researchers as being important, interventions that explicitly incorporate issues of culture are rarely evaluated.
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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.