Evidence map›Paper›PMID 28238994›Full record

ArticleJournal of health care for the poor and underserved2017

Can incentives reduce the barriers to use of antenatal care and delivery services in Kenya?: Results of a qualitative inquiry.

Eleanor Fleming, Joanna Gaines, Katherine O'Connor, Judith Ogutu, Nancy Atieno, Salimah Atieno, Mary L Kamb, Robert Quick

Abstract read
In one paragraph

Article in Journal of health care for the poor and underserved, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
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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.

Eleanor Fleming
Joanna Gaines
Katherine O'Connor
Judith Ogutu
Nancy Atieno
Salimah Atieno
Mary L Kamb
Robert Quick

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

A qualitative inquiry was used to assess if incentives consisting of a hygiene kit, protein-fortified flour, and delivery kit reduced barriers to antenatal care and delivery services in Nyanza Province, Kenya. We conducted 40 interviews (baseline: five nurses, six mothers, one focus group of five mothers; follow-up: nine nurses, 19 mothers) to assess perceptions of these services. Mothers and nurses identified poor quality of care, fear of HIV diagnosis and stigma, inadequate transport, and cost of care as barriers. Nurses believed incentives encouraged women to use services; mothers described wanting good birth outcomes as their motivation. While barriers to care did not change during the study, incentives may have increased service use. These findings suggest that structural improvements-upgraded infrastructure, adequate staffing, improved treatment of women by nurses, low or no-cost services, and provision of transport-could increase satisfaction with and use of services, improving maternal and infant health.

Indexed as

MotivationDelivery, ObstetricFemaleHealth ExpendituresHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHIV InfectionsHumansKenyaMaternal Health ServicesMothersNursesPatient Acceptance of Health CarePatient SatisfactionPregnancyPrenatal Care4-chlorophenyl-2-(1H-1,2,4-triazol-yl)cycloheptanolTriazoles

Identifiers

PMID28238994
PMCPMC5427715

What OpenQuestion holds

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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.