Evidence map›Paper›PMID 29685178›Full record

ArticleBMC health services research2018

The spillover effect of midwife attrition from the Nigerian midwives service scheme.

Daniel O Erim, Harrison E Offiong, Christine Kim, Folasade A Bello, Jeremy Moulton, Stephanie B Wheeler, Harsha Thirumurthy

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In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Daniel O ErimDepartment of Health Policy and Management, the University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA. erim.daniel@unc.edu.ORCID 0000-0002-6604-7640
Harrison E OffiongUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Christine KimDepartment of Health Policy and Management, the University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Folasade A BelloDepartment of Obstetrics and Gynecology, University of Ibadan, Ibadan, Nigeria.
Jeremy MoultonDepartment of Public Policy, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Stephanie B WheelerDepartment of Health Policy and Management, the University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Harsha ThirumurthyDepartment of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Nigerian Midwives Service Scheme (MSS) increased use of antenatal services at rural public sector clinics. However, it is unclear if women who would not have otherwise sought care, or those who would have sought care in rural private sector clinics caused this change. Additionally, it is also unclear if the reported midwife attrition was associated with a spillover of the scheme's effect on urban areas. We sought to answer these two questions using data from two nationally representative surveys.

methodsWe used an interrupted time series model to assess trends in the use of obstetric (i.e. antenatal and delivery) services among rural and urban respondents in the 2008 and 2013 Nigerian demographic and health surveys.

resultsWe found that the MSS led to a 5-percentage point increase in the use of antenatal services at rural public sector clinics, corroborating findings from a previous study. This change was driven by women who would not have sought care otherwise. We also found that there was a 4-percentage point increase in the use of delivery services at urban public sector clinics, and a concurrent 4-percentage point decrease in urban home deliveries. These changes are most likely explained by midwives' attrition and exemplify a spillover of the scheme's effect.

conclusionMidwife attrition from the Nigerian MSS was associated with a spillover of the scheme's effect on the use of delivery services, on urban areas.

Indexed as

AdolescentAdultAmbulatory CareDelivery, ObstetricFacilities and Services UtilizationFemaleHome ChildbirthHumansInterrupted Time Series AnalysisMaternal Health ServicesMiddle AgedMidwiferyNigeriaPatient Acceptance of Health CarePregnancyPrenatal CareMaternal mortality in NigeriaMaternal policy interventionMidwife attritionMidwives service schemePolicy evaluation

Identifiers

PMID29685178
PMCPMC5914034

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.