Evidence map›Paper›PMID 27696915›Full record

ArticleJournal of medical engineering & technology

An mHealth monitoring system for traditional birth attendant-led antenatal risk assessment in rural Guatemala.

Lisa Stroux, Boris Martinez, Enma Coyote Ixen, Nora King, Rachel Hall-Clifford, Peter Rohloff, Gari D Clifford

Abstract read
In one paragraph

Article in Journal of medical engineering & technology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  13. eHealth: A Survey of Architectures, Developments in mHealth, Security Concerns and Solutions.International journal of environmental research and public health · 2022
    Article
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  15. Article
  16. Review
  17. Leveraging Technology to Improve Diabetes Care in Pregnancy.Clinical diabetes : a publication of the American Diabetes Association · 2020
    Article
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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

7 authors at 4 institutions in 3 countries.

Lisa Strouxa Centre for Doctoral Training in Healthcare Innovation, Institute of Biomedical Engineering, Department of Engineering Science , University of Oxford , Oxford , UK.
Boris Martinezb Wuqu' Kawoq Maya Health Alliance, Santiago Sacatepéquez , Guatemala.
Enma Coyote Ixenb Wuqu' Kawoq Maya Health Alliance, Santiago Sacatepéquez , Guatemala.
Nora Kingb Wuqu' Kawoq Maya Health Alliance, Santiago Sacatepéquez , Guatemala.
Rachel Hall-Cliffordc Departments of Anthropology and Public Health , Agnes Scott College , Atlanta , GA , USA.
Peter Rohloffb Wuqu' Kawoq Maya Health Alliance, Santiago Sacatepéquez , Guatemala.
Gari D Cliffordd Departments of Biomedical Informatics and Biomedical Engineering , Emory University and Georgia Institute of Technology , Atlanta , GA , USA.
Probigua · GTAgnes Scott College · USEmory University · USUniversity of Oxford · GB

Funding

Mobile Health Intervention to Improve Perinatal Continuum of Care in GuatemalaR21HD084114 · NICHD · EMORY UNIVERSITY · PI CLIFFORD, GARI DAVID · 2015 to 2016
$374k
NICHD NIH HHS R21 HD084114
6 · The paper itself

Abstract

Limited funding for medical technology, low levels of education and poor infrastructure for delivering and maintaining technology severely limit medical decision support in low- and middle-income countries. Perinatal and maternal mortality is of particular concern with millions dying every year from potentially treatable conditions. Guatemala has one of the worst maternal mortality ratios, the highest incidence of intra-uterine growth restriction (IUGR), and one of the lowest gross national incomes per capita within Latin America. To address the lack of decision support in rural Guatemala, a smartphone-based system is proposed including peripheral sensors, such as a handheld Doppler for the identification of foetal compromise. Designed for use by illiterate birth attendants, the system uses pictograms, audio guidance, local and cloud processing, SMS alerts and voice calling. The initial prototype was evaluated on 22 women in highland Guatemala. Results were fed back into the refinement of the system, currently undergoing RCT evaluation.

Indexed as

Fetal MonitoringMaternal Health ServicesAdolescentAdultFeasibility StudiesFemaleFetusGuatemalaHeart SoundsHumansMidwiferyPregnancyRisk AssessmentRural PopulationYoung AdultIntrauterine growth restrictionmHealthperinatal monitoringresource constrained healthcare

Identifiers

PMID27696915
PMCPMC5180361
OpenAlexW2528891537

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.