Evidence map›Paper›PMID 31659058›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2019

Coverage and equity of maternal and newborn health care in rural Nigeria, Ethiopia and India.

Tanya Marchant, Emma Beaumont, Krystyna Makowiecka, Della Berhanu, Tsegahun Tessema, Meenakshi Gautham, Kultar Singh, Nasir Umar, Adamu Umar Usman, Keith Tomlin and 3 more

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
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  7. Wealth and Education Inequities in Maternal and Child Health Services Utilization in Rural Ethiopia.International journal of environmental research and public health · 2022
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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

13 authors.

Tanya MarchantFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria Tanya.Marchant@lshtm.ac.uk.
Emma BeaumontFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Krystyna MakowieckaFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Della BerhanuFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Tsegahun TessemaFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Meenakshi GauthamFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Kultar SinghFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Nasir UmarFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Adamu Umar UsmanFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Keith TomlinFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Simon CousensFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Elizabeth AllenFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.
Joanna Armstrong SchellenbergFaculties of Infectious and Tropical Diseases (Marchant, Berhanu, Gautham, Umar, Armstrong Schellenberg) and of Epidemiology and Population Health (Beaumont, Makowiecka, Tomlin, Cousens, Allen), London School of Hygiene & Tropical Medicine, London, UK; Ethiopian Public Health Institute (Berhanu) and JaRco Consulting (Tessema), Addis Ababa, Ethiopia; Sambodhi Research and Communications Pvt. Ltd. (Singh), New Delhi, India; Data Research and Mapping Consult (Usman), Abuja, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite progress toward meeting the Sustainable Development Goals, a large burden of maternal and neonatal mortality persists for the most vulnerable people in rural areas. We assessed coverage, coverage change and inequity for 8 maternal and newborn health care indicators in parts of rural Nigeria, Ethiopia and India.

methodsWe examined coverage changes and inequity in 2012 and 2015 in 3 high-burden populations where multiple actors were attempting to improve outcomes. We conducted cluster-based household surveys using a structured questionnaire to collect 8 priority indicators, disaggregated by relative household socioeconomic status. Where there was evidence of a change in coverage between 2012 and 2015, we used binomial regression models to assess whether the change reduced inequity.

resultsIn 2015, we interviewed women with a birth in the previous 12 months in Gombe, Nigeria (

interpretationAlthough coverage increased equitably because of various community-based interventions, underlying inequities persisted. Action is needed to address the needs of the most vulnerable women, particularly those living in the most rural areas.

Indexed as

AdultChild Health ServicesEthiopiaFemaleHealth Services AccessibilityHumansIndiaInfant, NewbornInsurance CoverageMaternal Health ServicesNigeriaPregnancyRural PopulationSocioeconomic Factors

Identifiers

PMID31659058
PMCPMC6821501

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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.