ArticlePreventive medicine2016
Do active patients seek higher quality prenatal care?: A panel data analysis from Nairobi, Kenya.
Article in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 23 citations in OpenAlex.
- Healthcare service user-reported quality of care in Malawi: a national multifacility cross-sectional study.BMJ open · 2026Article
- "Attitude is the fifth delay": perspectives of obstetric near-miss survivors and health care professionals on continuity and coordination of maternal care.BMC health services research · 2025Article
- Article
- User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries.The Lancet. Global health · 2024Review
- Self-reported continuity and coordination of antenatal care and its association with obstetric near miss in Uasin Gishu county, Kenya.African journal of primary health care & family medicine · 2023Article
- Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence.BMC pregnancy and childbirth · 2022Article
- Associations between women's empowerment, care seeking, and quality of malaria care for children: A cross-sectional analysis of demographic and health surveys in 16 sub-Saharan African countries.Journal of global health · 2022Article
- Evaluating Attitudes Towards Patient Care and Operations at Korle-Bu Outpatient Clinic.Annals of global health · 2020Article
- Change in clinical knowledge of diabetes among primary healthcare providers in Indonesia: repeated cross-sectional survey of 5105 primary healthcare facilities.BMJ open diabetes research & care · 2020Article
- Assessment of Bypass of the Nearest Primary Health Care Facility Among Women in Ghana.JAMA network open · 2020Article
- Why do women deliver where they had not planned to go? A qualitative study from peri-urban Nairobi Kenya.BMC pregnancy and childbirth · 2020Article
- Combination of Interventions Needed to Improve Maternal Healthcare Utilization: A Multinomial Analysis of the Inequity in Place of Childbirth in Afghanistan.Frontiers in global women's health · 2020Article
- Access to public transportation and health facilities offering long-acting reversible contraceptives among residents of formal and informal settlements in two cities in Kenya.Reproductive health · 2019Article
- Expectations of healthcare quality: A cross-sectional study of internet users in 12 low- and middle-income countries.PLoS medicine · 2019Article
- High-quality health systems in the Sustainable Development Goals era: time for a revolution.The Lancet. Global health · 2018Review
- Editorial: 3rd Special Issue on behavior change, health, and health disparities.Preventive medicine · 2016Article
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 at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite poverty and limited access to health care, evidence is growing that patients in low-income countries are taking a more active role in their selection of health care providers. Urban areas such as Nairobi, Kenya offer a rich context for studying these "active" patients because of the large number of heterogeneous providers available. We use a unique panel dataset from 2015 in which 402 pregnant women from peri-urban (the "slums" of) Nairobi, Kenya were interviewed three times over the course of their pregnancy and delivery, allowing us to follow women's care decisions and their perceptions of the quality of care they received. We define active antenatal care (ANC) patients as those women who switch ANC providers and explore the prevalence, characteristics and care-seeking behavior of these patients. We analyze whether active ANC patients appear to be seeking out higher quality facilities and whether they are more satisfied with their care. Women in our sample visit over 150 different public and private ANC facilities. Active patients are more educated and more likely to have high risk pregnancies, but have otherwise similar characteristics to non-active patients. We find that active patients are increasingly likely to pay for private care (despite public care being free) and to receive a higher quality of care over the course of their pregnancy. We find that active patients appear more satisfied with their care over the course of pregnancy, as they are increasingly likely to choose to deliver at the facility providing their ANC.
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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.