Evidence map›Paper›PMID 29751805›Full record

ArticleBMC health services research2018

Predictors of person-centered maternity care: the role of socioeconomic status, empowerment, and facility type.

Patience A Afulani, Takudzwa S Sayi, Dominic Montagu

Registry-linked trialOpen access · goldAbstract readMulticenter Study
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. It is linked to trial NCT06085105 (Caring for Providers to Improve Patient Experience), which is not on this map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 pooled it
8.3field-weighted citation impact, top 2% 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.

NCT06085105 nacompletednot on this mapstarted 2024, after this paper: background citation

Caring for Providers to Improve Patient Experience (CPIPE) Study: A Cluster Randomized-controlled Trial to Assess the Impact of the CPIPE Intervention on Person-centered Maternity Care

TypeinterventionalSponsorUniversity of California, San FranciscoRan2024 to 2026Enrolled6,379ConditionsStress, Psychological, Maternal Health, Healthcare Provider, Adverse OutcomesArmsCPIPE Training, Peer support groups, Mentorship, Leadership engagement, Embedded champions
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

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  13. Exploring Women's Perceived Quality of Antenatal Care: A Cross-Sectional Study in The Netherlands.International journal of environmental research and public health · 2025
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1 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 1 country.

Patience A AfulaniUniversity of California, San Francisco, USA. Patience.Afulani@ucsf.edu.
Takudzwa S SayiUniversity of South Florida, Tampa, USA.
Dominic MontaguUniversity of California, San Francisco, USA.
University of California, San Francisco · USUniversity of South Florida · US

Funding

Bill & Melinda Gates Foundation OPP1107312
6 · The paper itself

Abstract

backgroundLow use of maternal health services, as well as poor quality care, contribute to the high maternal mortality in sub-Saharan Africa (SSA). In particular, poor person-centered maternity care (PCMC), which captures user experience, contributes both directly to pregnancy outcomes and indirectly through decreased demand for services. While many studies have examined disparities in use of maternal health services, few have examined disparities in quality of care, and none to our knowledge has empirically examined disparities in PCMC in SSA. The aim of this study is to examine factors associated with PCMC, particularly the role of household wealth, personal empowerment, and type of facility.

methodsData are from a survey conducted in western Kenya in 2016, with women aged 15 to 49 years who delivered in the 9 weeks preceding the survey (N = 877). PCMC is operationalized as a summative score based on responses to 30 items in the PCMC scale capturing dignity and respect, communication and autonomy, and supportive care.

resultsWe find that net of other factors; wealthier, employed, literate, and married women report higher PCMC than poorer, unemployed, illiterate, and unmarried women respectively. Also, women who have experienced domestic violence report lower PCMC than those who have never experienced domestic violence. In addition, women who delivered in health centers and private facilities reported higher PCMC than those who delivered in public hospitals. The effect of employment and facility type is conditional on wealth, and is strongest for the poorest women. Poor women who are unemployed and poor women who deliver in higher-level facilities receive the lowest quality PCMC.

conclusionsThe findings imply the most disadvantaged women receive the lowest quality PCMC, especially when they seek care in higher-level facilities. Interventions to reduce disparities in PCMC are essential to improve maternal outcomes among disadvantaged groups.

Indexed as

AdolescentAdultDelivery, ObstetricFemaleHealthcare DisparitiesHealth FacilitiesHumansKenyaMaternal MortalityMiddle AgedObstetricsPatient-Centered CarePatient ParticipationPregnancyPrenatal CareQuality of Health CareEmpowermentFacility-based deliveryKenyaMaternity carePerson-centered careRespectful careSocioecononmic statusSub-saharan Africa

Identifiers

PMID29751805
PMCPMC5948900
OpenAlexW2799482117

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.