Evidence map›Paper›PMID 31662407›Full record

ArticleBMJ open2019

Access to maternal healthcare services among Indigenous women in the Chittagong Hill Tracts, Bangladesh: A cross-sectional study.

Shahinoor Akter, Jane Louise Rich, Kate Davies, Kerry Jill Inder

Abstract read
In one paragraph

Article in BMJ open, 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
–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

12 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

4 authors.

Shahinoor AkterSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia Shahinoor.Akter@uon.edu.au.ORCID 0000-0002-5236-3597
Jane Louise RichSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Kate DaviesSchool of Humanities and Social Science, University of Newcastle, Newcastle, New South Wales, Australia.
Kerry Jill InderPriority Research Centre for Generational Health and Ageing, University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0003-4412-0322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to estimate the prevalence of, and factors associated with, accessing maternal healthcare services (MHC) by Indigenous women in the Chittagong Hill Tracts (CHT), Bangladesh.

designThis was a cross-sectional survey among Indigenous women of reproductive age.

settingTwo upazillas (subdistricts) of Khagrachhari hill district of the CHT.

participantsIndigenous women (15-49 years) within 36 months of delivery were surveyed about accessing MHC services (antenatal care, delivery and postnatal care) for their last pregnancy and delivery. PRIMARY OUTCOME MEASURES: The primary outcome for this analysis is the prevalence of accessing any MHC service and secondary outcome is factors associated with access to MHC services for Indigenous women during their last pregnancy and childbirth.

resultsOf 438 Indigenous women (220 Chakma, 100 Marma, 118 Tripura) who participated, 75% were aged 16-30 years. With an 89% response rate, a total of 258 (59%) women reported accessing at least one MHC service (Chakma 51.6%, Marma 28%, Tripura 20.5%; p=<0.001). Independent factors associated with accessing MHC after adjusting for clustering were attending secondary school and above (OR 2.4; 95% CI 1.2 to 4.9); knowledge about nearest health facilities (OR 3.8, 95% CI 1.8 to 7.8) and knowledge of pregnancy-related complications (OR 3.0, 95% CI 1.5 to 5.8).

conclusionFindings suggest that the prevalence of accessing MHC services is lower among Indigenous women in the CHT compared with national average. MHC access may be improved through better education and awareness raising of local services.

Indexed as

EthnicityHealth Services AccessibilityMaternal Health ServicesAdolescentAdultBangladeshCross-Sectional StudiesFemaleHumansMiddle AgedPatient Acceptance of Health CareSocioeconomic FactorsSurveys and QuestionnairesYoung AdultaccessBangladeshIndigenous womenmaternal healthmaternal health care services

Identifiers

PMID31662407
PMCPMC6830644

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LicenceCC BY-NC
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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.