Evidence map›Paper›PMID 31516363›Full record

ArticleTropical medicine and health2019

Factors influencing the choice of facility-based delivery in the ethnic minority villages of Lao PDR: a qualitative case study.

Chika Sato, Khampheng Phongluxa, Noriko Toyama, Ernesto R Gregorio, Chiaki Miyoshi, Futoshi Nishimoto, Tomomi Takayama, Tiengkham Pongvongsa, Kenzo Takahashi, Sengchanh Kounnavong and 1 more

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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 at 6 institutions in 3 countries.

Chika SatoAsia Health and Education Fund, Tokyo, Japan.
Khampheng Phongluxa3Lao Tropical and Public Health Institute, Ministry of Health, Vientiane, Lao People's Democratic Republic.
Noriko Toyama2Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Okinawa, Japan.
Ernesto R Gregorio2Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Okinawa, Japan.
Chiaki Miyoshi7Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Futoshi Nishimoto8Nagasaki University School of Tropical Medicine and Global Health, Nagasaki, Japan.
Tomomi Takayama2Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Okinawa, Japan.
Tiengkham PongvongsaSavannakhet Provincial Health Department, Savannakhet, Lao People's Democratic Republic.
Kenzo Takahashi10Teikyo University Graduate School of Public Health, Tokyo, Japan.
Sengchanh Kounnavong3Lao Tropical and Public Health Institute, Ministry of Health, Vientiane, Lao People's Democratic Republic.
Jun Kobayashi2Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Okinawa, Japan.
University of the Ryukyus · JPMinistry of Health · LANagasaki University · JPNational Center for Global Health and Medicine · JPPublic Health Department · INTeikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFacility-based delivery has been promoted to improve maternal and child health care in Lao PDR and a free delivery policy was introduced at designated health care facilities (HCF) in 2013. However, according to birth records of HCFs in the impoverished and remote district, only a few women utilized the HCFs despite good physical accessibility. The aim of this study was to analyze the factors influencing the choice of facility-based delivery in the impoverished and remote district after a free delivery policy was introduced.

methodsQualitative case study was employed. Focus group discussions (FGDs) and in-depth interviews (IDIs) were conducted from August to October 2015. Five hamlets (or small village) located along the main road where only a few women delivered at HCFs were selected for the study based on birth records. The participants of the FGDs and IDIs were the village heads, village health volunteers, women who delivered at home or at a health facility within the past 2 years, their husbands, and mothers or mothers-in-law. Thematic analysis was used to analyze the data.

resultsA total of 12 FGDs and 27 IDIs were conducted, and the number of participants was 105. The factors influencing the choice of facility-based delivery were classified into nine categories and 19 subcategories. The categories were labeled, "perception of childbirth," "traditional health concept:

conclusionOur study demonstrated that five major factors negatively influenced the choice of facility-based delivery: (1) perception of childbirth, (2) preference for

Indexed as

Decision-makingEthnic minorityFacility-based deliveryQualitative case studyThematic analysis

Identifiers

PMID31516363
PMCPMC6729018
OpenAlexW2972152507

What OpenQuestion holds

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LicenceCC BY
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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.