Evidence map›Paper›PMID 31684923›Full record

Trial reportBMC public health2019

Utilization of key preventive measures for pregnancy complications and malaria among women in Jimma Zone, Ethiopia.

Mariame Ouedraogo, Jaameeta Kurji, Lakew Abebe, Ronald Labonté, Sudhakar Morankar, Kunuz Haji Bedru, Gebeyehu Bulcha, Muluemebet Abera, Beth K Potter, Marie-Hélène Roy-Gagnon and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pregnancy Intentions and Maternal Health Behaviours: Observational Study in 18 African Countries.BJOG : an international journal of obstetrics and gynaecology · 2025
    Observational
  3. Review
  4. Review
  5. Article
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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 2 institutions in 2 countries.

Mariame OuedraogoSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Jaameeta KurjiSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Lakew AbebeDepartment of Health, Behavior and Society, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Oromiya Region, Ethiopia.
Ronald LabontéSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Sudhakar MorankarDepartment of Health, Behavior and Society, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Oromiya Region, Ethiopia.
Kunuz Haji BedruJimma Zonal Health Office, Jimma Zone, Oromiya Region, Ethiopia.
Gebeyehu BulchaJimma Zonal Health Office, Jimma Zone, Oromiya Region, Ethiopia.
Muluemebet AberaDepartment of Population and Family Health, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Oromiya Region, Ethiopia.
Beth K PotterSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Marie-Hélène Roy-GagnonSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Manisha A KulkarniSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. manisha.kulkarni@uottawa.ca.ORCID http://orcid.org/0000-0002-5084-4960
University of Ottawa · CAJimma University · ET

Funding

International Development Research Centre 108028- 001International Development Research Centre 108028- 002
6 · The paper itself

Abstract

backgroundIn Ethiopia, malaria infections and other complications during pregnancy contribute to the high burden of maternal morbidity and mortality. Preventive measures are available, however little is known about the factors influencing the uptake of maternal health services and interventions by pregnant women in Ethiopia.

methodsWe analyzed data from a community-based cross-sectional survey conducted in 2016 in three rural districts of Jimma Zone, Ethiopia, with 3784 women who had a pregnancy outcome in the year preceding the survey. We used multivariable logistic regression models accounting for clustering to identify the determinants of antenatal care (ANC) attendance and insecticide-treated net (ITN) ownership and use, and the prevalence and predictors of malaria infection among pregnant women.

resultsEighty-four percent of interviewed women reported receiving at least one ANC visit during their last pregnancy, while 47% reported attending four or more ANC visits. Common reasons for not attending ANC included women's lack of awareness of its importance (48%), distance to health facility (23%) and unavailability of transportation (14%). Important determinants of ANC attendance included higher education level and wealth status, woman's ability to make healthcare decisions, and pregnancy intendedness. An estimated 48% of women reported owning an ITN during their last pregnancy. Of these, 55% reported to have always slept under it during their last pregnancy. Analysis revealed that the odds of owning and using ITNs were respectively 2.07 (95% CI: 1.62-2.63) and 1.73 (95% CI: 1.32-2.27) times higher among women who attended at least one ANC visit. The self-reported prevalence of malaria infection during pregnancy was low (1.4%) across the three districts. We found that young, uneducated, and unemployed women presented higher odds of malaria infection during their last pregnancy.

conclusionANC and ITN uptake during pregnancy in Jimma Zone fall below the respective targets of 95 and 90% set in the Ethiopian Health Sector Transformation Plan for 2020, suggesting that more intensive programmatic efforts still need to be directed towards improving access to these health services. Reaching ANC non-users and ITN ownership and use as part of ANC services could be emphasized to address these gaps.

Indexed as

AdolescentAdultCross-Sectional StudiesEthiopiaFemaleHumansInsecticide-Treated BednetsMalariaMiddle AgedOwnershipPregnancyPregnancy Complications, ParasiticPrenatal CareRural PopulationSocioeconomic FactorsSurveys and QuestionnairesAntenatal careEthiopiaInsecticide-treated netsMalariaPregnant women

Identifiers

PMID31684923
PMCPMC6827171
OpenAlexW2949582100

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.