Evidence map›Paper›PMID 30453996›Full record

ArticleBMC health services research2018

Quality of antenatal care services in Rwanda: assessing practices of health care providers.

Akashi Andrew Rurangirwa, Ingrid Mogren, Joseph Ntaganira, Kaymarlin Govender, Gunilla Krantz

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

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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

5 authors.

Akashi Andrew RurangirwaDepartment of Epidemiology and Biostatistics, School of Public Health, University of Rwanda, Kigali, Rwanda. rakashi@nursph.org.ORCID http://orcid.org/0000-0002-1366-8216
Ingrid MogrenDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Box 453, 405 30, Göteborg, Sweden.
Joseph NtaganiraDepartment of Epidemiology and Biostatistics, School of Public Health, University of Rwanda, Kigali, Rwanda.
Kaymarlin GovenderHealth Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal, KwaZulu-Natal, 4000, South Africa.
Gunilla KrantzSection of Epidemiology and Social Medicine (EPSO), Department of Public Health and Community Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough most pregnant women in Rwanda visit antenatal care (ANC) clinics, little has been studied about the quality of services being provided. We investigated the ANC providers' (HCPs) current practices in relation to prevention, management and referral of maternal conditions as well as the information provided to pregnant women attending ANC services in Rwanda.

methodsThis facility-based, cross-sectional study included 312 ANC providers as participants and a review of 605 ANC medical records from 121 health centers. Data collection was performed using an interviewer-administered questionnaire and a structured observation checklist. For the analyses, descriptive statistics and bi-and multivariable logistic regression were used.

resultsNurses and midwives in ANC services failed to report a number of pregnancy-related conditions that would need urgent referral to a higher level of health care. Midwives did somewhat better than nurses in reporting these conditions. There was no statistically significant difference in how nurses and midwives informed pregnant women about pregnancy-related issues. Ever been trained in how to manage a pregnant woman exposed to violence was reported by 14% of the participants. In 12, 13 and 15% of the medical records there was no report on tetanus immunization, anthelmintic treatment and syphilis testing, respectively.

conclusionThe providers in ANC clinics reported suboptimal practices on conditions of pregnancy that needed urgent referral for adequate management. Information to pregnant women on danger signs of pregnancy, recommended medicines and tests do not seem to be consistently provided. Midwifery training in Rwanda should be expanded so that most of staff at ANC clinics are trained as midwives to help lower maternal and child mortality and morbidity.

Indexed as

AdultAmbulatory Care FacilitiesCross-Sectional StudiesData AccuracyData CollectionFemaleHealth PersonnelHumansMidwiferyPregnancyPregnancy ComplicationsPrenatal CareProfessional PracticeQuality of Health CareReferral and ConsultationRwandaAntenatal careAntenatal care providersPracticesQuality of careRwanda

Identifiers

PMID30453996
PMCPMC6245627

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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.