Evidence map›Paper›PMID 27273640›Full record

ArticleThe American journal of tropical medicine and hygiene2016

Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh.

Wit Wichaidit, Mahbub-Ul Alam, Amal K Halder, Leanne Unicomb, Davidson H Hamer, Pavani K Ram

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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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

6 authors.

Wit WichaiditDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, New York. witwicha@buffalo.edu.
Mahbub-Ul AlamInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Amal K HalderInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Leanne UnicombInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Davidson H HamerCenter for Global Health and Development, Boston University School of Public Health, Boston, Massachusetts. Department of Global Health, Boston University School of Public Health, Boston, Massachusetts. Section of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts.
Pavani K RamDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bangladesh's maternal mortality and neonatal mortality remain unacceptably high. We assessed the availability and quality of emergency obstetric care (EmOC) and emergency newborn care (EmNC) services at health facilities in Bangladesh. We randomly sampled 50 rural villages and 50 urban neighborhoods throughout Bangladesh and interviewed the director of eight and nine health facilities nearest to each sampled area. We categorized health facilities into different quality levels (high, moderate, low, and substandard) based on staffing, availability of a phone or ambulance, and signal functions (six categories for EmOC and four categories for EmNC). We interviewed the directors of 875 health facilities. Approximately 28% of health facilities did not have a skilled birth attendant on call 24 hours per day. The least commonly performed EmOC signal function was administration of anticonvulsants (67%). The quality of EmOC services was high in 33% and moderate in 52% of the health facilities. The least common EmNC signal function was kangaroo mother care (7%). The quality of EmNC was high in 2% and moderate in 33% of the health facilities. Approximately one-third of health facilities lack 24-hour availability of skilled birth attendants, increasing the risk of peripartum complications. Most health facilities offered moderate to high quality services for EmOC and low to substandard quality for EmNC.

Indexed as

BangladeshEmergency Medical ServicesFemaleHealth Services AccessibilityHumansInfantInfant MortalityInfant, NewbornMaternal MortalityObstetricsPerinatal CarePregnancyQuality of Health CareRural PopulationUrban PopulationWorkforce

Identifiers

PMID27273640
PMCPMC4973174

What OpenQuestion holds

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Registered trials

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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.