Evidence map›Paper›PMID 28820046›Full record

ArticleGlobal health action2017

'Nurture the sprouting bud; do not uproot it'. Using saving groups to save for maternal and newborn health: lessons from rural Eastern Uganda.

Elizabeth Ekirapa-Kiracho, Ligia Paina, Rornald Muhumuza Kananura, Aloysius Mutebi, Pacuto Jane, Juliet Tumuhairwe, Moses Tetui, Suzanne N Kiwanuka

Abstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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3 · Its place in the literature

Who cites it

6 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.

Elizabeth Ekirapa-Kirachoa Makerere University School of Public Health , Department of Health Policy Planning and Management , Kampala , Uganda.ORCID http://orcid.org/0000-0001-6938-2068
Ligia Painab Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Rornald Muhumuza Kananuraa Makerere University School of Public Health , Department of Health Policy Planning and Management , Kampala , Uganda.
Aloysius Mutebia Makerere University School of Public Health , Department of Health Policy Planning and Management , Kampala , Uganda.ORCID http://orcid.org/0000-0002-6837-5488
Pacuto Janea Makerere University School of Public Health , Department of Health Policy Planning and Management , Kampala , Uganda.
Juliet Tumuhairwec Reproductive Health Division , Ministry of Health , Uganda.
Moses Tetuia Makerere University School of Public Health , Department of Health Policy Planning and Management , Kampala , Uganda.ORCID http://orcid.org/0000-0001-6833-7601
Suzanne N Kiwanukaa Makerere University School of Public Health , Department of Health Policy Planning and Management , Kampala , Uganda.ORCID http://orcid.org/0000-0003-4729-4897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSaving groups are increasingly being used to save in many developing countries. However, there is limited literature about how they can be exploited to improve maternal and newborn health.

objectivesThis paper describes saving practices, factors that encourage and constrain saving with saving groups, and lessons learnt while supporting communities to save through saving groups.

methodsThis qualitative study was done in three districts in Eastern Uganda. Saving groups were identified and provided with support to enhance members' access to maternal and newborn health. Fifteen focus group discussions (FGDs) and 18 key informant interviews (KIIs) were conducted to elicit members' views about saving practices. Document review was undertaken to identify key lessons for supporting saving groups. Qualitative data are presented thematically.

resultsAwareness of the importance of saving, safe custody of money saved, flexible saving arrangements and easy access to loans for personal needs including transport during obstetric emergencies increased willingness to save with saving groups. Saving groups therefore provided a safety net for the poor during emergencies. Poor management of saving groups and detrimental economic practices like gambling constrained saving. Efficient running of saving groups requires that they have a clear management structure, which is legally registered with relevant authorities and that it is governed by a constitution.

conclusionsSaving groups were considered a useful form of saving that enabled easy acess to cash for birth preparedness and transportation during emergencies. They are like 'a sprouting bud that needs to be nurtured rather than uprooted', as they appear to have the potential to act as a safety net for poor communities that have no health insurance. Local governments should therefore strengthen the management capacity of saving groups so as to ensure their efficient running through partnerships with non-governmental organizations that can provide support to such groups.

Indexed as

Cooperative BehaviorFemaleHumansInfant HealthInfant, NewbornMaternal HealthMaternal Health ServicesPovertyPregnancyPrenatal CareQualitative ResearchRural Health ServicesTransportationUgandabirth preparednesshealth insuranceimplementation scienceMANIFEST - Maternal and Neonatal Implementation for Equitable Systems StudymaternalnewbornSaving groups

Identifiers

PMID28820046
PMCPMC5645701

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LicenceCC BY
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Registered trials

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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.