Evidence map›Paper›PMID 29767725›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2018

Advancing the health of women and newborns: predictors of patient satisfaction among women attending antenatal and maternity care in rural Rwanda.

Christine Mutaganzwa, Leah Wibecan, Hari S Iyer, Evrard Nahimana, Anatole Manzi, Francois Biziyaremye, Merab Nyishime, Fulgence Nkikabahizi, Lisa R Hirschhorn, Hema Magge

Abstract read
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China.International journal of environmental research and public health · 2019
    Article
  10. Article
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

10 authors.

Christine MutaganzwaPartners In Health/Inshuti Mu Buzima, Department of Maternal and Child Health, KG 9 Ave, 46 Nyarutarama, Kigali, Rwanda.
Leah WibecanHarvard Medical School, Department of Global Health and Social Medicine, 55 Shattuck Street, Boston, MA, USA.
Hari S IyerPartners In Health/Inshuti Mu Buzima, Department of Maternal and Child Health, KG 9 Ave, 46 Nyarutarama, Kigali, Rwanda.
Evrard NahimanaPartners In Health/Inshuti Mu Buzima, Department of Maternal and Child Health, KG 9 Ave, 46 Nyarutarama, Kigali, Rwanda.
Anatole ManziPartners In Health, Boston, USA.
Francois BiziyaremyePartners In Health/Inshuti Mu Buzima, Department of Maternal and Child Health, KG 9 Ave, 46 Nyarutarama, Kigali, Rwanda.
Merab NyishimePartners In Health/Inshuti Mu Buzima, Department of Maternal and Child Health, KG 9 Ave, 46 Nyarutarama, Kigali, Rwanda.
Fulgence NkikabahiziMinistry of Health Rwanda, Kigali, Rwanda.
Lisa R HirschhornHarvard Medical School, Department of Global Health and Social Medicine, 55 Shattuck Street, Boston, MA, USA.
Hema MaggePartners In Health/Inshuti Mu Buzima, Department of Maternal and Child Health, KG 9 Ave, 46 Nyarutarama, Kigali, Rwanda.

Funding

Training Program in Cancer EpidemiologyT32CA009001 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI A. Heather Eliassen, Meir Stampfer · 1985 to 2026
$17.3M
NCI NIH HHS T32 CA009001
6 · The paper itself

Abstract

objectiveIdentify predictors of patient satisfaction with antenatal care (ANC) and maternity services in rural Rwanda.

designCross-sectional.

settingTwenty-six health facilities in Southern Kayonza (SK) and Kirehe districts.

participantsSample of women ≥ 16 years old receiving antenatal and delivery care between November and December 2013.

interventionSurvey of patient satisfaction with antenatal and delivery care to inform quality improvement (QI) initiatives aimed at reducing neonatal mortality.

main outcome measureOverall satisfaction with antenatal and delivery care (reported as excellent or very good).

resultsIn multivariate logistic regression analysis, high perceived quality [odds ratio (OR) = 3.03, 95% confidence intervals (CI): 1.565.88], respect [OR = 4.13, 95% CI: 2.16-7.89], and confidentiality [SK: OR = 7.50, 95% CI: 2.16-26.01], [Kirehe: OR = 1.54, 95% CI: 0.60-3.94] were associated with higher overall satisfaction with ANC, while having ≥1 child compared to none [OR = 0.46, 95% CI: 0.25-0.84] was associated with lower satisfaction. For maternity services, <5 years of school versus ≥5 years [OR = 0.13, 95% CI: 0.026-0.69] and higher cleanliness [OR = 19.23, 95% CI: 2.22-166.83], self-reported quality [OR = 10.52, 95% CI: 1.81-61.22], communication [OR = 8.78, 95%CI: 1.95-39.59], and confidentiality [OR = 8.66, 95% CI: 1.20-62.64] were all positively associated with high satisfaction. Higher comfort [OR: 0.050, 95% CI: 0.0034-0.71] and Kirehe vs. SK district [OR: 0.21, 95% CI: 0.042-1.01] were associated with lower satisfaction.

conclusionsPatient-centeredness (including interpersonal relationships), organizational factors, and location are important individual determinants of satisfaction for women seeking maternal care at study facilities. Understanding variation in these factors should inform QI efforts in maternal and newborn health programs.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleHumansInfant, NewbornMaternal Health ServicesPatient SatisfactionPregnancyPrenatal CareRural Health ServicesRwandaSurveys and Questionnaires

Identifiers

PMID29767725
PMCPMC6340346

What OpenQuestion holds

Textmetadata
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Registered trials

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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.