Evidence map›Paper›PMID 28462634›Full record

ArticleGlobal health action2017

Effectiveness of the Maternal and Child Health handbook in Burundi for increasing notification of birth at health facilities and postnatal care uptake.

Kayo Kaneko, Jacques Niyonkuru, Ndereye Juma, Térence Mbonabuca, Keiko Osaki, Atsuko Aoyama

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

Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  6. Review
  7. Closing the birth registration gap forGlobal health action · 2023
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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

6 authors at 4 institutions in 3 countries.

Kayo Kanekoa Department of Public Health and Health Systems , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Jacques Niyonkurub Direction of Healthcare Supply and Demand , Ministry of Health and Fight against HIV/AIDS , Bujumbura , Burundi.
Ndereye Jumac National Reproductive Health Program , Ministry of Health and Fight against HIV/AIDS , Bujumbura , Burundi.
Térence Mbonabucad Direction of the Internal Administration , Ministry of Home Affairs , Bujumbura , Burundi.
Keiko Osakie Human Development Department , Japan International Cooperation Agency , Tokyo , Japan.
Atsuko Aoyamaa Department of Public Health and Health Systems , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Nagoya University · JPRepublic of Burundi · BIJapan International Cooperation Agency · JPMinistry of Home Affairs · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Burundi, birth certificate ownership (56.4%) and postnatal care (PNC) coverage (30%) remain low. Birth certificates prove birth registration and allow clients to receive free medical care including PNC. To obtain birth certificates, notification of birth by witnesses is indispensable. However, use of existing parallel home-based records for mother and child has prevented clients from successfully receiving notification of birth and related information.

objectiveTo assess the effectiveness of the Maternal and Child Health (MCH) handbook for increasing notification of birth at health facilities and PNC uptake.

methodsPre- and post-introduction measurement were applied including: (i) structured interviews with two different sets of randomly selected mothers having infants aged less than six weeks at the pre- or post-studies; and (ii) secondary data from the national health management information system.

results95.1% of mothers had an MCH handbook post-study. Significant improvement was observed in the proportion of mothers receiving notification of birth at health facilities, from 4.6% to 61.0% (95% confidence interval [CI]: 55.9%-66.2%), and the proportion of mothers receiving guidance on PNC, from 35.9% to 64.2% (95% CI: 59.2%-69.3%). The annual PNC coverage (43.9% to 54.2%; p < 0.05) in the Gitega District significantly increased from 2013 to 2014. Among MCH handbook owners, mothers giving birth at hospitals/clinics had 2.62 higher odds (95% CI: 1.63-4.22) of obtaining notification of birth than mothers giving birth at health centers. Conversely, mothers delivering at hospitals/clinics had 0.51 lower odds (95% CI: 1.63-4.22) of receiving PNC guidance than mothers delivering at health centers.

conclusionsAs previous studies showed, the MCH handbook appeared to help health personnel provide guidance on PNC, thereby it may have increased PNC. Furthermore, this study suggests the handbook contributed to every birth being counted. However, to increase the effectiveness of the handbook, health personnel should be encouraged toward its proper use.

Indexed as

AdolescentAdultBirth CertificatesBurundiChild HealthFemaleHealth Knowledge, Attitudes, PracticeHumansMothersPatient Education as TopicPostnatal CarePregnancyPrenatal CareYoung AdultAfricabirth certificatehome-based recordsMaternalnewborn and child healthpost-natal care

Identifiers

PMID28462634
PMCPMC5496056
OpenAlexW2610632391

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.