Evidence map›Paper›PMID 28849723›Full record

Trial reportGlobal health action2017

Maternal and neonatal implementation for equitable systems. A study design paper.

Elizabeth Ekirapa-Kiracho, Moses Tetui, John Bua, Rornald Muhumuza Kananura, Peter Waiswa, Fred Makumbi, Lynn Atuyambe, Judith Ajeani, Asha George, Aloysuis Mutebi and 4 more

Abstract readClinical Trial
In one paragraph

Trial report 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
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  7. Saving Mothers, Giving Life: It Takes a System to Save a Mother.Global health, science and practice · 2019
    Article
  8. Review
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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

14 authors.

Elizabeth Ekirapa-Kirachoa Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.ORCID http://orcid.org/0000-0001-6938-2068
Moses Tetuia Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.ORCID http://orcid.org/0000-0001-6833-7601
John Buaa Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.
Rornald Muhumuza Kananuraa Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.
Peter Waiswaa Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.ORCID http://orcid.org/0000-0001-9868-0515
Fred Makumbia Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.
Lynn Atuyambea Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.
Judith Ajeania Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.
Asha Georgee Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Aloysuis Mutebia Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.ORCID http://orcid.org/0000-0002-6837-5488
Ayub Kakairea Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.
Gertrude Namazzia Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.ORCID http://orcid.org/0000-0003-1239-8311
Ligia Painae Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Suzanne Namusoke Kiwanukaa Makerere University School of Public Health (MakSPH) , Makerere University , Kampala , Uganda.ORCID http://orcid.org/0000-0003-4729-4897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability.

objectivesThe study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach.

methodsThe  study consisted of a quasi-experimental design, with a participatory action research approach to implementation in three rural districts (Pallisa, Kibuku and Kamuli) in Eastern Uganda. The intervention had two main components; namely, community empowerment for comprehensive birth preparedness, and health provider and management capacity-building. We collected data using both quantitative and qualitative methods using household and facility-level structured surveys, record reviews, key informant interviews and focus group discussions. We purposively selected the participants for the qualitative data collection, while for the surveys we interviewed all eligible participants in the sampled households and health facilities. Descriptive statistics were used to describe the data, while the difference in difference analysis was used to measure the effect of the intervention. Qualitative data were analysed using thematic analysis.

conclusionsThis study was implemented to generate evidence on how to increase access to quality maternal and newborn health services in a sustainable manner using a multisectoral participatory  approach.

Indexed as

AdultCapacity BuildingFemaleFocus GroupsHealth Services AccessibilityHealth Services ResearchHumansInfant, NewbornMaternal Health ServicesPower, PsychologicalPregnancyPrenatal CareQuality of Health CareResearch DesignRural Health ServicesUgandacommunity health workershealth insuranceimplementation sciencelow-income countriesMANIFEST - Maternal and Neonatal Implementation for Equitable Systems Studymaternal and neonatal healthParticipatory action researchsustainability and local capacity

Identifiers

PMID28849723
PMCPMC5645657

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.