Evidence map›Paper›PMID 32444432›Full record

ArticleBMJ open2020

Early evaluation of the 'STOP SEPSIS!' WHO Global Maternal Sepsis Awareness Campaign implemented for healthcare providers in 46 low, middle and high-income countries.

Vanessa Brizuela, Mercedes Bonet, Carla Lionela Trigo Romero, Edgardo Abalos, Adama Baguiya, Bukola Fawole, Marian Knight, Pisake Lumbiganon, Meilė Minkauskienė, Ashraf Nabhan and 4 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

14 authors.

Vanessa BrizuelaUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland brizuelav@who.int.ORCID 0000-0002-4860-0828
Mercedes BonetUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.ORCID 0000-0001-9015-1635
Carla Lionela Trigo RomeroDepartment of Social Medicine, Ribeirão Preto Medical School, Ribeirão Preto, Brazil.ORCID 0000-0002-8470-5272
Edgardo AbalosCentro Rosarino de Estudios Perinatales (CREP), Rosario, Argentina.ORCID 0000-0001-6653-429X
Adama BaguiyaResearch Institute of Health Sciences, Ouagadougou, Burkina Faso.ORCID 0000-0003-1016-4896
Bukola FawoleDepartment of Obstetrics and Gynaecology, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria.ORCID 0000-0002-2131-539X
Marian KnightNational Perinatal Epidemiology Unit, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0002-1984-4575
Pisake LumbiganonObstetrics and Gynecology Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0001-9372-0071
Meilė MinkauskienėDepartment of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0003-1056-0522
Ashraf NabhanDepartment of Obstetrics and Gynaecology, Ain Shams University, Cairo, Egypt.ORCID 0000-0003-4572-2210
Nafissa Bique OsmanDepartment of Obstetrics/Gynaecology, Eduardo Mondlane University, Maputo, Mozambique.ORCID 0000-0001-5832-1630
Zahida P QureshiDepartment of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya.ORCID 0000-0003-1764-3136
João Paulo SouzaDepartment of Social Medicine, Ribeirão Preto Medical School, Ribeirão Preto, Brazil.ORCID 0000-0002-2288-4244
World Health Organization Global Maternal Sepsis Study Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate changes in awareness of maternal sepsis among healthcare providers resulting from the WHO Global Maternal Sepsis Study (GLOSS) awareness campaign.

designIndependent sample precampaign/postcampaign through online and paper-based surveys available for over 30 days before campaign roll-out (pre) and after study data collection (post). Descriptive statistics were used for campaign recognition and exposure, and odds ratio (OR) and percentage change were calculated for differences in awareness, adjusting for confounders using multivariate logistic regression. SETTING AND

participantsHealthcare providers from 398 participating facilities in 46 low, middle and high-income countries.

interventionAn awareness campaign to accompany GLOSS launched 3 weeks prior to data collection and lasting the entire study period (28 November 2017 to 15 January 2018) and beyond.

main outcome measuresCampaign recognition and exposure, and changes in awareness.

resultsA total of 2188 surveys were analysed: 1155 at baseline and 1033 at postcampaign. Most survey respondents found the campaign materials helpful (94%), that they helped increase awareness (90%) and that they helped motivate to act differently (88%). There were significant changes with regard to: not having heard of maternal sepsis (-63.4% change, pre-OR/post-OR 0.35, 95% CI 0.18 to 0.68) and perception of confidence in making the right decisions with regard to maternal sepsis identification and management (7.3% change, pre-OR/post-OR 1.44, 95% CI 1.01 to 2.06).

conclusionsAwareness raising campaigns can contribute to an increase in having heard of maternal sepsis and an increase in provider perception of confidence in making correct decisions. Offering the information to make accurate and timely decisions while promoting environments that enable self-confidence and support could improve maternal sepsis identification and management.

Indexed as

Pregnancy Complications, InfectiousSepsisAwarenessDeveloped CountriesFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth PromotionHumansPregnancyWorld Health Organizationmaternal medicineperinatologypublic health

Identifiers

PMID32444432
PMCPMC7247401

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.