ArticleBMC health services research2020
Strengths of community and health facilities based interventions in improving women and adolescents' care seeking behaviors as approaches for reducing maternal mortality and improving birth outcome among low income communities of Egypt.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Linking communities and health facilities to improve child health in low-resource settings: a systematic review.Health policy and planning · 2024Pooled it
- Sexual dysfunction among Egyptian men with chronic hepatitis C in the post elimination era prevalence and associated factors.Scientific reports · 2026Article
- Strengthening Migrant Access to Reproductive Healthcare in Thailand: observation of fixed and outreach service-based models of antenatal care for Karen and Myanmar migrants in Thailand, 2021-2024.Frontiers in public health · 2026Observational
- Mapping autism in Egypt: population-based insights into prevalence, risk determinants, and severity among children aged 1-12 years.Molecular autism · 2025Article
- Maternal knowledge of pediatric first aid in Riyadh: Addressing gaps for improved child safety and women's health outcomes.Medicine · 2025Article
- Continuum of maternal health care utilisation in Sub-Saharan African countries: A positive deviance approach.PloS one · 2025Article
- Bibliometric analysis of scientific research on early obstetric warning system.Journal of education and health promotion · 2025Review
- Impact of health literacy on pregnancy outcomes in socioeconomically disadvantaged and ethnic minority populations: A scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- A multi-phase structured cascade model for mass training of community healthcare workers in performing clinical breast exams in remote regions.Journal of global health · 2024Article
- The odds of having obesity in Egyptian children with autism spectrum disorders is higher than stunting compared to healthy developing peers: a national survey.BMC pediatrics · 2024Article
- Implementation of a clinical breast exam and referral program in a rural district of Pakistan.BMC health services research · 2024Article
- A systematic review of behaviour change interventions to improve maternal health outcomes in sub-Saharan Africa.PLOS global public health · 2024Article
- Pregnancy outcomes before and during COVID-19 pandemic in Tamale Metropolis, Ghana: A retrospective cohort study.PloS one · 2024Article
- Screening and determinant of suspected developmental delays among Egyptian preschool-aged children: a cross-sectional national community-based study.BMC pediatrics · 2023Article
- Trends, Projections, and Regional Disparities of Maternal Mortality in Africa (1990-2030): An ARIMA Forecasting Approach.Epidemiologia (Basel, Switzerland) · 2023Article
- A national screening for the prevalence and profile of disability types among Egyptian children aged 6-12 years: a community-based population study.BMC public health · 2023Article
- National screening for Egyptian children aged 1 year up to 12 years at high risk of Autism and its determinants: a step for determining what ASD surveillance needs.BMC psychiatry · 2023Article
- Article
- Promoting weaning practices and growth of Egyptian infants by using communication for behavioral development approach.BMC pediatrics · 2022Article
- A national prevalence and profile of single and multiple developmental delays among children aged from 1 year up to 12 years: an Egyptian community-based study.Child and adolescent psychiatry and mental health · 2022Article
Corrections and comments
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Authors and funding
17 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundProvision of emergency obstetric care is considered the key for maternal mortality reduction worldwide. This study evaluated the impact of community- and facility-based educational programs on provision of emergency obstetric care in Egypt. The study focused on evaluating utilization of the available health services and care seeking behaviors of mothers in the childbearing period.
methodsWe implemented a package of community- and facility-focused educational interventions in two of Egypt's lowest income governorates. At facility level, health professionals at rural health units from 21 villages over 5 years were trained. Mass media gathering, individual teaching at health facilities, printed materials and home-based care sessions were provided. Collectively, these interventions were designed to focusing on recognition of the early warning signs during pregnancy, delivery and postpartum period for timely referral to hospitals for 20,494 women and adolescents mothers.
resultsThe impact of the interventions was highly reflected on the percent of mothers received care during their pregnancy period. Proper antenatal care at governmental or private health facilities was raised dramatically from 0.6 to 59.3% and those who utilized at least one family planning method from 61.4 to 74.4%. Accordingly, the rate of complications significantly reduced during pregnancy (38.1 to 15.1%), during delivery (24.1 to 13.1%) and during postpartum (81.7 to 7.0%). As an impact to the improvement, there was a marked reduction in adolescent pregnancy by 55% and better birth outcome with a reduction in the percent of stillbirth by 11.5%.
conclusionIt is important to provide a comprehensive package that works at both improving qualities of care as well as empowering women by knowledge to first aid measures at the community level. The cost-effective way to empower mothers to provide first aid measures as emergency obstetric care is to adopt the outreach approach which could be more influential than mass media campaigns for the at-risk and vulnerable and low-income communities.
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Registered trials
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.