Evidence map›Paper›PMID 31297253›Full record

ReviewBMJ global health2019

Armed conflicts and national trends in reproductive, maternal, newborn and child health in sub-Saharan Africa: what can national health surveys tell us?

Ties Boerma, Hannah Tappis, Ghada Saad-Haddad, Jai Das, Dessalegn Y Melesse, Jocelyn DeJong, Paul Spiegel, Robert Black, Cesar Victora, Zulfiqar A Bhutta and 1 more

Abstract readReview
In one paragraph

Review in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

11 authors.

Ties BoermaCenter for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0001-9922-495X
Hannah TappisJohns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Ghada Saad-HaddadFaculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Jai DasFaculty of Health Sciences, Aga Khan University, Karachi, Pakistan.
Dessalegn Y MelesseCommunity Health Science, University of Manitoba, Winnipeg, Manitoba, Canada.
Jocelyn DeJongFaculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Paul SpiegelInternational Health, Bloomberg School of Public Health, Johns Hopkins Unversity, Baltimore, Maryland, USA.
Robert BlackInternational Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Cesar VictoraEpidemiology, Federal University of Pelotas, Pelotas, Brazil.ORCID 0000-0002-2465-2180
Zulfiqar A BhuttaHospital for Sick Children, Toronto, Ontario, Canada.
Aluisio J D BarrosInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.ORCID 0000-0002-2022-8729

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Armed conflicts are widespread in sub-Saharan Africa and considered to be an important factor in slowing down national progress in reproductive, maternal, newborn and child health (RMNCH). The measurement of the impact of conflicts on national levels and trends in RMNCH is difficult. National surveys conducted before and sometimes during and after conflicts are a major source of information on the national and local effects of conflicts on RMNCH. We examined data from national surveys in 13 countries in sub-Saharan Africa with major conflicts during 1990-2016 to assess the levels and trends in RMNCH intervention coverage, nutritional status and mortality in children under 5 years in comparison with subregional trends. The surveys provide substantive evidence of a negative association between levels and trends in national indicators of RMNCH service coverage, child growth and under-5 mortality with armed conflict, with some notable exceptions. National surveys are an important source of data to assess the longer term national consequences of conflicts for RMNCH in most countries, despite limitations due to sampling and timing of the surveys.

Indexed as

Africaarmed conflictchild growthchild mortalitycoverage of interventionshousehold surveysmaternal newborn and child healthreproductive health

Identifiers

PMID31297253
PMCPMC6590971

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.