Evidence map›Paper›PMID 32133179›Full record

ArticleBMJ global health2020

Women, children and adolescents in conflict countries: an assessment of inequalities in intervention coverage and survival.

Nadia Akseer, James Wright, Hana Tasic, Karl Everett, Elaine Scudder, Ribka Amsalu, Ties Boerma, Eran Bendavid, Mahdis Kamali, Aluisio J D Barros and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
14.7field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 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

12 authors at 5 institutions in 4 countries.

Nadia AkseerCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-3802-7298
James WrightCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Hana TasicCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Karl EverettCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Elaine ScudderSave the Children USA, Washington, District of Columbia, USA.
Ribka AmsaluSave the Children USA, Washington, District of Columbia, USA.
Ties BoermaRady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-9922-495X
Eran BendavidCenters for Health Policy, Primary Care and Outcomes Research, Stanford University, Stanford, California, USA.
Mahdis KamaliCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Aluisio J D BarrosInternational Centre for Equity in Health, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.ORCID 0000-0002-2022-8729
Inácio Crochemore Mohnsam da SilvaInternational Centre for Equity in Health, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
Zulfiqar Ahmed BhuttaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Great Ormond Street Hospital · GBSave the Children · USUniversidade Federal de Pelotas · BRStanford University · USUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Conflict adversely impacts health and health systems, yet its effect on health inequalities, particularly for women and children, has not been systematically studied. We examined wealth, education and urban/rural residence inequalities for child mortality and essential reproductive, maternal, newborn and child health interventions between conflict and non-conflict low-income and middle-income countries (LMICs). Methods: We carried out a time-series multicountry ecological study using data for 137 LMICs between 1990 and 2017, as defined by the 2019 World Bank classification. The data set covers approximately 3.8 million surveyed mothers (15-49 years) and 1.1 million children under 5 years including newborns (<1 month), young children (1-59 months) and school-aged children and adolescents (5-14 years). Outcomes include annual maternal and child mortality rates and coverage (%) of family planning services, 1+antenatal care visit, skilled attendant at birth (SBA), exclusive breast feeding (0-5 months), early initiation of breast feeding (within 1 hour), neonatal protection against tetanus, newborn postnatal care within 2 days, 3 doses of diphtheria, pertussis and tetanus vaccine, measles vaccination, and careseeking for pneumonia and diarrhoea. Results: Conflict countries had consistently higher maternal and child mortality rates than non-conflict countries since 1990 and these gaps persist despite rates continually declining for both groups. Access to essential reproductive and maternal health services for poorer, less educated and rural-based families was several folds worse in conflict versus non-conflict countries. Conclusions: Inequalities in coverage of reproductive

Indexed as

Armed ConflictsChild MortalityHealthcare DisparitiesMaternal MortalityAdolescentAdultBreast FeedingChildChild HealthChild, PreschoolDeveloping CountriesFemaleHumansInfantInfant, NewbornMaternal Healthchild healthmaternal health

Identifiers

PMID32133179
PMCPMC7042600
OpenAlexW3002877984

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.