Evidence map›Paper›PMID 31805887›Full record

ArticleBMC pregnancy and childbirth2019

Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey.

James Orwa, Michaela Mantel, Micheal Mugerwa, Sharon Brownie, Eunice Siaity Pallangyo, Loveluck Mwasha, Kahabi Isangula, Leonard Subi, Secilia Mrema, Grace Edwards and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 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

15 authors at 5 institutions in 3 countries.

James OrwaDepartment of Population Health, Aga Khan University, Nairobi, Kenya. orwa.ariaro35@gmail.com.ORCID http://orcid.org/0000-0001-8717-6073
Michaela MantelDepartment of Population Health, Aga Khan University, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-4830-0841
Micheal MugerwaAga-Khan Health Services, Mwanza, Tanzania.
Sharon BrownieResearch Associate, Green Templeton College, Oxford University, Oxford, UK.ORCID https://orcid.org/0000-0001-7204-2451
Eunice Siaity PallangyoAga Khan University School of Nursing and Midwifery, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0002-1001-361X
Loveluck MwashaAga Khan University School of Nursing and Midwifery, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0003-1231-6224
Kahabi IsangulaAga Khan University School of Nursing and Midwifery, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0001-5409-0097
Leonard SubiMinistry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
Secilia MremaRegional Reproductive and Child Health Coordinator, Mwanza Region, Tanzania.
Grace EdwardsSchool of Nursing and Midwifery, Aga Khan University, Kampala, Uganda.ORCID https://orcid.org/0000-0001-9111-3550
David SisoAga Khan Foundation, Dar es Salaam, Tanzania.
Edna SelestineAga-Khan Health Services, Mwanza, Tanzania.
Tumbwene MwansisyaAga Khan University School of Nursing and Midwifery, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0002-4659-0873
Columba MbekengaAga Khan University School of Nursing and Midwifery, Dar es Salaam, Tanzania.
Marleen TemmermanDepartment of Population Health, Aga Khan University, Nairobi, Kenya.ORCID https://orcid.org/0000-0003-2069-8752
Aga Khan University · TZAga Khan University Nairobi · KEAga Khan Hospital Dar es Salaam · TZMinistry of Health, Community Development, Gender, Elderly and Children · TZUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15-49 years) in Mwanza Region, Tanzania.

methodsA cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables.

resultsOf the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups.

conclusionUse of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services.

Indexed as

AdolescentAdultCross-Sectional StudiesDelivery, ObstetricFemaleHealth FacilitiesHumansInfant, NewbornMaternal Health ServicesMiddle AgedPostnatal CarePregnancyPrenatal CarePrevalenceRural PopulationSocioeconomic FactorsAntenatal careHealth facility deliveryMwanzaPostpartum careTanzania

Identifiers

PMID31805887
PMCPMC6896688
OpenAlexW2992610326

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.