Trial reportBMC public health2019
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial.
Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Pooled it
- Demand creation for HIV testing services: A systematic review and meta-analysis.PLoS medicine · 2023Pooled it
- Pooled it
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- The effect of community engagement on healthcare utilization and health insurance enrollment in Ghana: Results from a randomized experiment.Health economics · 2022Trial
- Role of community engagement in maternal health in rural Pakistan: Findings from the CLIP randomized trial.Journal of global health · 2021Trial
- Exploring supplemental immunization strategies to reach zero-dose children in low- and middle-income countries: a scoping review.Therapeutic advances in vaccines and immunotherapy · 2026Article
- Supply and demand barriers to PHC maternal care services uptake: qualitative and behavioural insights from Gombe State, Nigeria.BMC pregnancy and childbirth · 2025Article
- Improving access and quality of primary healthcare through women and adolescents' user committees: A mixed-methods case study in Kinshasa, Democratic Republic of the Congo.The International journal of health planning and management · 2025Article
- Leveraging local health system resources to address quality healthcare gaps in sub-Saharan African: lessons from the SafeCare quality improvement programme in Ghana.BMC health services research · 2024Article
- Power, data and social accountability: defining a community-led monitoring model for strengthened health service delivery.Journal of the International AIDS Society · 2024Article
- 'Two heads are better than one'-exploring the experiences of Ghanaian communities on the role of patient and public participation in health system improvement.Health policy and planning · 2024Article
- Article
- Interventions addressing routine childhood immunization and its behavioral and social drivers.Frontiers in public health · 2024Review
- Interventions to improve the quality of maternal care in Ethiopia: a scoping review.Frontiers in global women's health · 2024Article
- What's in a name? Unpacking 'CommunityBMJ global health · 2023Article
- Community engagement initiatives in primary health care to achieve universal health coverage: A realist synthesis of scoping review.PloS one · 2023Article
- Women's use of non-conventional herbal uterotonic in pregnancy and labour: evidence from birth attendants.BMC pregnancy and childbirth · 2022Article
- A summative content analysis of how programmes to improve the right to sexual and reproductive health address power.BMJ global health · 2022Article
- Barriers and facilitators of Patient-Public Engagement for health system improvement in Sub-Saharan Africa: A systematic scoping review.Health policy OPEN · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundGhana is among African countries not likely to achieve the Sustainable Development Goal (SDG) three (3) target of reducing maternal mortality to 70 per 100,000 live births by the year 2030 if maternal and child health services utilization are not improved. Community engagement in health is therefore advocated to help address this challenge. This study evaluated the impact of a community engagement intervention on maternal and child health services utilization in Ghana.
methodsThis study was a cluster randomised trial among primary healthcare facilities (n = 64) in the Greater Accra and Western regions in Ghana. Multivariate multiple regression analysis and paired-ttest were used to determine impact of the community engagement intervention on maternal and child health indicators at baseline and follow-up.
resultsIntervention health facilities recorded significant improvements over control facilities in terms of average spontaneous vaginal deliveries per month per health facility (baseline mean = 15, follow-up mean = 30, p = 0.0013); child immunizations (baseline mean = 270, follow-up mean = 455, p = 0.0642) and female condoms distribution (baseline mean = 0, follow-up mean = 2, p = 0.0628). Other improved indicators in intervention facilities were average number of Human Immunodeficiency Virus (HIV) tests for non-pregnant women (baseline mean = 55, follow-up 104, p = 0.0213); HIV tests for pregnant women (baseline mean = 40, follow-up mean = 119, p = 0.0067) and malaria tests (baseline mean = 43, follow-up mean = 380, p = 0.0174). Control facilities however performed better than intervention facilities in terms of general laboratory tests, voluntary counselling and testing, treatment of sexually transmitted infections, male child circumcisions and other minor surgical procedures.
conclusionCommunity engagement in health has the potential of improving utilization of maternal and child health services. There is the need for multi-stakeholder dialogues on complementing existing quality improvement interventions with community engagement strategies.
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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.