Evidence map›Paper›PMID 27512125›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2016

Monitoring maternal and newborn health outcomes in Bauchi State, Nigeria: an evaluation of a standards-based quality improvement intervention.

Ibrahim Kabo, Emmanuel Otolorin, Emma Williams, Nosa Orobaton, Hannatu Abdullahi, Habib Sadauki, Masduk Abdulkarim, Dele Abegunde

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Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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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

12 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

8 authors.

Ibrahim KaboJhpiego, an affiliate of Johns Hopkins University, Plot No. 971 Reuben Okoya Crescent, Off Okonjo Iweala Street, Off Olesegun Obasanjo Way, P.O. Box 14831, Wuye, Abuja FCT, Nigeria.
Emmanuel OtolorinJhpiego, an affiliate of Johns Hopkins University, Plot No. 971 Reuben Okoya Crescent, Off Okonjo Iweala Street, Off Olesegun Obasanjo Way, P.O. Box 14831, Wuye, Abuja FCT, Nigeria.
Emma WilliamsJhpiego, an affiliate of Johns Hopkins University, Plot No. 971 Reuben Okoya Crescent, Off Okonjo Iweala Street, Off Olesegun Obasanjo Way, P.O. Box 14831, Wuye, Abuja FCT, Nigeria.
Nosa OrobatonTargeted States High Impact Project (TSHIP), No. 3 Emir Sulaiman Adamu Street, Off Airport Road, GRA, Bauchi, Nigeria.
Hannatu AbdullahiJhpiego, an affiliate of Johns Hopkins University, Plot No. 971 Reuben Okoya Crescent, Off Okonjo Iweala Street, Off Olesegun Obasanjo Way, P.O. Box 14831, Wuye, Abuja FCT, Nigeria.
Habib SadaukiJhpiego, an affiliate of Johns Hopkins University, Plot No. 971 Reuben Okoya Crescent, Off Okonjo Iweala Street, Off Olesegun Obasanjo Way, P.O. Box 14831, Wuye, Abuja FCT, Nigeria.
Masduk AbdulkarimTargeted States High Impact Project (TSHIP), No. 3 Emir Sulaiman Adamu Street, Off Airport Road, GRA, Bauchi, Nigeria.
Dele AbegundeJohn Snow Incorporated Research and Training Institute, No. 44 Farnsworth Street, Boston, MA 02210-1211, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study assessed the correlation between compliance with set performance standards and maternal and neonatal deaths in health facilities.

designBaseline and three annual follow-up assessments were conducted, and each was followed by a quality improvement initiative using the Standards Based Management and Recognition (SBM-R) approach.

settingTwenty-three secondary health facilities of Bauchi state, Nigeria.

participantsHealth care workers and maternity unit patients.

main outcome measuresWe examined trends in: (i) achievement of SBM-R set performance standards based on annual assessment data, (ii) the use of maternal and newborn health (MNH) service delivery practices based on data from health facility registers and supportive supervision and (iii) MNH outcomes based on routine service statistics.

resultsAt the baseline assessment in 2010, the facilities achieved 4% of SBM-R standards for MNH, on average, and this increased to 86% in 2013. Over the same time period, the study measured an increase in the administration of uterotonic for active management of third stage of labor from 10% to 95% and a decline in the incidence of postpartum hemorrhage from 3.3% to 1.9%. Institutional neonatal mortality rate decreased from 9 to 2 deaths per 1000 live births, while the institutional maternal mortality ratio dropped from 4113 to 1317 deaths per 100 000 live births.

conclusionScaling up SBM-R for quality improvement has the potential to prevent maternal and neonatal deaths in Nigeria and similar settings.

Indexed as

Infant HealthMaternal HealthOutcome Assessment, Health CareQuality ImprovementDelivery of Health CareFemaleHumansInfantInfant MortalityInfant, NewbornNigeriamaternalnewbornNigeriaquality improvement

Identifiers

PMID27512125
PMCPMC5105602

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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.