Evidence map›Paper›PMID 27421644›Full record

ArticleBMC health services research2016

Assessing the potential of rural and urban private facilities in implementing child health interventions in Mukono district, central Uganda-a cross sectional study.

Elizeus Rutebemberwa, Esther Buregyeya, Sham Lal, Sîan E Clarke, Kristian S Hansen, Pascal Magnussen, Philip LaRussa, Anthony K Mbonye

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

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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

8 authors at 6 institutions in 4 countries.

Elizeus RutebemberwaDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda. ellie@musph.ac.ug.
Esther BuregyeyaDepartment of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
Sham LalDepartment of Disease Control, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Sîan E ClarkeDepartment of Disease Control, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Kristian S HansenDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
Pascal MagnussenCentre for Medical Parasitology, University of Copenhagen, Copenhagen, Denmark.
Philip LaRussaDepartment of Pediatrics, College of Physicians & Surgeons, Columbia University, New York, USA.
Anthony K MbonyeMinistry of Health, Kampala & School of Public Health-Makerere University, Box 7272, Kampala, Uganda.
London School of Hygiene & Tropical Medicine · GBMakerere University · UGColumbia University · USMinistry of Health · UGUniversity of Copenhagen · DKUniversity of London · GB

Funding

Medical Research Council MR/N003810/1
6 · The paper itself

Abstract

backgroundPrivate facilities are the first place of care seeking for many sick children. Involving these facilities in child health interventions may provide opportunities to improve child welfare. The objective of this study was to assess the potential of rural and urban private facilities in diagnostic capabilities, operations and human resource in the management of malaria, pneumonia and diarrhoea.

methodsA survey was conducted in pharmacies, private clinics and drug shops in Mukono district in October 2014. An assessment was done on availability of diagnostic equipment for malaria, record keeping, essential drugs for the treatment of malaria, pneumonia and diarrhoea; the sex, level of education, professional and in-service training of the persons found attending to patients in these facilities. A comparison was made between urban and rural facilities. Univariate and bivariate analysis was done.

resultsA total of 241 private facilities were assessed with only 47 (19.5 %) being in rural areas. Compared to urban areas, rural private facilities were more likely to be drug shops (OR 2.80; 95 % CI 1.23-7.11), less likely to be registered (OR 0.31; 95 % CI 0.16-0.60), not have trained clinicians, less likely to have people with tertiary education (OR 0.34; 95 % CI 0.17-0.66) and less likely to have zinc tablets (OR 0.38; 95 % CI 0.19-0.78). In both urban and rural areas, there was low usage of stock cards and patient registers. About half of the facilities in both rural and urban areas attended to at least one sick child in the week prior to the interview.

conclusionThere were big gaps between rural and urban private facilities with rural ones having less trained personnel and less zinc tablets' availability. In both rural and urban areas, record keeping was low. Child health interventions need to build capacity of private facilities with special focus on rural areas where child mortality is higher and capacity of facilities lower.

Indexed as

Child Health ServicesPrivate FacilitiesChildCross-Sectional StudiesDiarrheaFemaleHealth Care SurveysHumansMalariaMalePharmaciesPneumoniaRural Health ServicesUgandaUrban Health ServicesWorkforce

Identifiers

PMID27421644
PMCPMC4946091
OpenAlexW2468213515

What OpenQuestion holds

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LicenceCC BY
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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.