Evidence map›Paper›PMID 29580207›Full record

ArticleBMC pregnancy and childbirth2018

The effect of Kenya's free maternal health care policy on the utilization of health facility delivery services and maternal and neonatal mortality in public health facilities.

C M Gitobu, P B Gichangi, W O Mwanda

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

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
23.9field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.

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  15. Does a free maternity policy in Kenya work? Impact and cost-benefit consideration based on demographic health survey data.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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4 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 2 countries.

C M GitobuInstitute of Tropical and Infectious Diseases (UNITID), University of Nairobi, Nairobi, Kenya. cosmgambi@gmail.com.
P B GichangiDepartment of Human Anatomy, University of Nairobi, Nairobi, Kenya.
W O MwandaDepartment of Human Pathology, University of Nairobi, Nairobi, Kenya.
University of Nairobi · KEGhent University Hospital · BE

Funding

APHRC through a IDRC grant PhD scholarship
6 · The paper itself

Abstract

backgroundKenya abolished delivery fees in all public health facilities through a presidential directive effective on June 1, 2013 with an aim of promoting health facility delivery service utilization and reducing pregnancy-related mortality in the country. This paper aims to provide a brief overview of this policy's effect on health facility delivery service utilization and maternal mortality ratio and neonatal mortality rate in Kenyan public health facilities.

methodsA time series analysis was conducted on health facility delivery services utilization, maternal and neonatal mortality 2 years before and after the policy intervention in 77 health facilities across 14 counties in Kenya.

resultsA statistically significant increase in the number of facility-based deliveries was identified with no significant changes in the ratio of maternal mortality and the rate of neonatal mortality.

conclusionThe findings suggest that cost is a deterrent to health facility delivery service utilization in Kenya and thus free delivery services are an important strategy to promote utilization of health facility delivery services; however, there is a need to simultaneously address other factors that contribute to pregnancy-related and neonatal deaths.

Indexed as

AdultDelivery, ObstetricFemaleHealth FacilitiesHealth Plan ImplementationHealth PolicyHumansInfantInfant MortalityInfant, NewbornKenyaMaternal Health ServicesMaternal MortalityPatient Acceptance of Health CarePregnancyFree maternal health care policyMaternal mortality ratioNeonatal mortality rate and health facility delivery services utilization

Identifiers

PMID29580207
PMCPMC5870237
OpenAlexW2794966055

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.