ArticleBMJ open2019
Place-specific factors associated with adverse maternal and perinatal outcomes in Southern Mozambique: a retrospective cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01911494 (The CLIP), which is not on this map. Cited by 11 papers.
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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.
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.
The CLIP (Community Level Interventions for Pre-eclampsia) Cluster Randomized Controlled Trial
Who cites it
11 citing papers in PubMed.
- PRECISE-DYAD: a prospective cohort study linking maternal and infant health trajectories in sub-Saharan Africa.BMJ open · 2026Observational
- Maternal and child health challenges during and after flooding: a qualitative study in Makassar, Indonesia.BMC public health · 2026Article
- Spatial scanning for the identification of risk areas for fetal death: an ecological study in Pernambuco.Revista da Escola de Enfermagem da U S P · 2026Article
- Association between social and built environment characteristics and maternal mortality in 340 Latin America cities: an ecological study from the SALURBAL study.BMJ public health · 2026Article
- Cohort Profile: PRECISE-DYAD: a prospective cohort study linking maternal and infant health trajectories in sub-Saharan Africa.medRxiv : the preprint server for health sciences · 2025Article
- The PRECISE-DYAD protocol: linking maternal and infant health trajectories in sub-Saharan Africa.Wellcome open research · 2022Article
- How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data.Frontiers in global women's health · 2022Article
- Implementation of a Community Transport Strategy to Reduce Delays in Seeking Obstetric Care in Rural Mozambique.Global health, science and practice · 2021Article
- Interactions between the Physical and Social Environments with Adverse Pregnancy Events Related to Placental Disorders-A Scoping Review.International journal of environmental research and public health · 2020Article
- The PRECISE (PREgnancy Care Integrating translational Science, Everywhere) database: open-access data collection in maternal and newborn health.Reproductive health · 2020Article
- The contribution of qualitative research within the PRECISE study in sub-Saharan Africa.Reproductive health · 2020Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify and measure the place-specific determinants that are associated with adverse maternal and perinatal outcomes in the southern region of Mozambique.
designRetrospective cohort study. Choice of variables informed by literature and Delphi consensus.
settingStudy conducted during the baseline phase of a community level intervention for pre-eclampsia that was led by community health workers.
participantsA household census identified 50 493 households that were home to 80 483 women of reproductive age (age 12-49 years). Of these women, 14 617 had been pregnant in the 12 months prior to the census, of which 9172 (61.6%) had completed their pregnancies. PRIMARY AND SECONDARY OUTCOME MEASURES: A combined fetal, maternal and neonatal outcome was calculated for all women with completed pregnancies.
resultsA total of six variables were statistically significant (p≤0.05) in explaining the combined outcome. These included: geographic isolation, flood proneness, access to an improved latrine, average age of reproductive age woman, family support and fertility rates. The performance of the ordinary least squares model was an adjusted R
conclusionsThe community exploration was successful in identifying context-specific determinants of maternal health. The results highlight the need for designing targeted interventions that address the place-specific social determinants of maternal health in the study area. The geographic process of identifying and measuring these determinants, therefore, has implications for multisectoral collaboration. TRIAL REGISTRATION NUMBER: NCT01911494.
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