Evidence map›Paper›PMID 32589647›Full record

ArticlePloS one2020

Impact of continuing education on maternal and child health indicators.

Débora Dupas Gonçalves do Nascimento, Sílvia Helena Mendonça de Moraes, Carlos Antonio de Souza Teles Santos, Albert Schiaveto de Souza, Rafael Aiello Bomfim, Alessandro Diogo De Carli, Vera Lucia Kodjaoglanian, Mara Lisiane de Moraes Dos Santos, Edilson José Zafalon

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.9field-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

4 citing papers in PubMed, 23 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

9 authors at 4 institutions in 1 country.

Débora Dupas Gonçalves do NascimentoOswaldo Cruz Foundation, Campo Grande, Mato Grosso do Sul, Brazil.
Sílvia Helena Mendonça de MoraesOswaldo Cruz Foundation, Campo Grande, Mato Grosso do Sul, Brazil.ORCID 0000-0002-4815-0863
Carlos Antonio de Souza Teles SantosGonçalo Muniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Albert Schiaveto de SouzaBiosciences Institute, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Rafael Aiello BomfimPost-doctoral Researcher at The School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-6478-8664
Alessandro Diogo De CarliFaculty of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Vera Lucia KodjaoglanianState Secretary of Health, Campo Grande, Mato Grosso do Sul, Brazil.
Mara Lisiane de Moraes Dos SantosIntegrated Health Institute, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Edilson José ZafalonFaculty of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.ORCID 0000-0002-6058-6272
Universidade Federal de Mato Grosso do Sul · BRFundação de Apoio ao Desenvolvimento do Ensino, Ciência e Tecnologia do Estado de Mato Grosso do Sul · BRFundação Oswaldo Cruz · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated whether the presence of care workers who completed a specialization course on family health was associated with improved care and maternal and child health indicators in municipalities in the state of Mato Grosso do Sul, Brazil.

methodsNegative binomial regression models with fixed effects were used for the 79 municipalities in the state of Mato Grosso do Sul, with repeated observations for the period 2009-2015. For our reference, the parameter "number of professionals who completed the course" calculated the proportion of professionals who completed the course, and was divided by the total number of primary health care professionals in the municipality to create a ratio. The cutoff points used represented tertile distribution: T3: high (0.35-1.00), T2: intermediate (0.02-0.33) and T1: low (0.00-0.01); to avoid biased results, the analysis was also performed for the years prior to the beginning of the course in question (2009 and 2010).

resultsDuring the study period, enrollment of pregnant women, exclusive breastfeeding for children under 4 months, and up-to-date vaccinations in children younger than 1 year to 23 months increased (high to intermediate categories) in municipalities where professionals who completed the specialization course worked. Growth in the intermediate ratio was also observed in indicators related to cervical cancer screening and new diagnoses of congenital syphilis in infants under one year of age.

conclusionsThe presence of care workers who completed a specialization course on family health was seen to be associated with improved care and indicators for maternal and child health in municipalities in the state of Mato Grosso do Sul, Brazil. These findings reaffirm the importance and effectiveness of policies on training and continuing education for the Brazilian Unified Health System.

Indexed as

Education, ContinuingAdultChild HealthFemaleHealth PersonnelHumansInfantMaleMaternal HealthPregnancyRegistries

Identifiers

PMID32589647
PMCPMC7319283
OpenAlexW3036995653

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.