Evidence map›Paper›PMID 29297398›Full record

ArticleJournal of health, population, and nutrition2017

Illness recognition and care-seeking for maternal and newborn complications in rural eastern Uganda.

Monica Okuga, Peter Waiswa, Rogers Mandu, Juddy Wachira, Claudia Hanson, Fatuma Manzi

Abstract read
In one paragraph

Article in Journal of health, population, and nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Monica OkugaDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda. mokuga@musph.ac.ug.
Peter WaiswaDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda.
Rogers ManduDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda.
Juddy WachiraSchool of Medicine/AMPATH, Moi University, Nairobi, Kenya.
Claudia HansonDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Fatuma ManziIfakara Health Institute, Dar es Salaam, Tanzania.

Funding

Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

backgroundTo enhance understanding of the roles of community-based initiatives in poor rural societies, we describe and explore illness recognition, decision-making, and appropriate care-seeking for mothers and newborn illnesses in two districts in eastern Uganda where in one implementation district, a facility and community quality improvement approach was implemented.

methodsThis was a cross-sectional study using qualitative methods. We conducted 48 event narratives: eight maternal and newborn deaths and 16 maternal and newborn illnesses. Additionally, we conducted six FGDs with women's saving groups and community leaders. Qualitative data were analyzed thematically using Atlas.ti software.

resultsWomen and caretakers reported that community initiatives including the presence of community health workers and women's saving groups helped in enhancing illness recognition, decision-making, and care-seeking for maternal and newborn complications. Newborn illness seemed to be less well understood, and formal care was often delayed. Care-seeking was complicated by accessing several stations from primary to secondary care, and often, the hospital was reached too late.

conclusionsOur qualitative study suggests that community approaches may play a role in illness recognition, decision-making, and care-seeking for maternal and newborn illness. The role of primary facilities in providing care for maternal and newborn emergencies might need to be reviewed.

Indexed as

Community Health ServicesDecision MakingHealth Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdolescentAdultCaregiversCross-Sectional StudiesFemaleHospitalsHumansInfantInfant MortalityInfant, NewbornInterviews as TopicMale

Identifiers

PMID29297398
PMCPMC5764049

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LicenceCC BY
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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.