Evidence map›Paper›PMID 29236699›Full record

ArticlePloS one2017

Antenatal care and opportunities for quality improvement of service provision in resource limited settings: A mixed methods study.

Andrea Solnes Miltenburg, Lisette van der Eem, Elias C Nyanza, Sandra van Pelt, Pendo Ndaki, Namanya Basinda, Johanne Sundby

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.3field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 76 citations in OpenAlex.

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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.

Andrea Solnes MiltenburgInstitute of Health and Society, Section for International Health, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0003-4681-7043
Lisette van der EemWomen Centered Care Project, a project of the African Woman Foundation, Magu District, Mwanza Region, Tanzania.
Elias C NyanzaSchool of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Sandra van PeltWomen Centered Care Project, a project of the African Woman Foundation, Magu District, Mwanza Region, Tanzania.
Pendo NdakiSchool of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Namanya BasindaSchool of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Johanne SundbyInstitute of Health and Society, Section for International Health, Faculty of Medicine, University of Oslo, Oslo, Norway.
Catholic University of Health and Allied Sciences · TZUniversity of Oslo · NOAmref Health Africa · TZMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antenatal care is essential to improve maternal and newborn health and wellbeing. The majority of pregnant women in Tanzania attend at least one visit. Since implementation of the focused antenatal care model, quality of care assessments have mostly focused on utilization and coverage of routine interventions for antenatal care. This study aims to assess the quality of antenatal care provision from a holistic perspective in a rural district in Tanzania. Structure, process and outcome components of quality are explored. This paper reports on data collected over several periods from 2012 to 2015 through facility audits of supplies and services, ANC observations and exit interviews with pregnant women. Additional qualitative methods were used such as interviews, focus group observations and participant observations. Findings indicate variable performance of routine ANC services, partly explained by insufficient resources. Poor performance was also observed for appropriate history taking, attention for client's wellbeing, basic physical examination and adequate counseling and education. Achieving quality improvement for ANC requires increased attention for the process of care provision beyond coverage, including attention for response-based services, which should be assessed based on locally determined criteria.

Indexed as

Quality ImprovementChild Health ServicesFemaleHumansInfantInfant, NewbornMaternal Health ServicesPregnancyRural Health ServicesTanzania

Identifiers

PMID29236699
PMCPMC5728494
OpenAlexW2773697694

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.