Evidence map›Paper›PMID 33076869›Full record

ArticleBMC pregnancy and childbirth2020

Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey.

James Orwa, Samwel Maina Gatimu, Michaela Mantel, Stanley Luchters, Michael A Mugerwa, Sharon Brownie, Leonard Subi, Secilia Mrema, Lucy Nyaga, Grace Edwards and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.2field-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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 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

17 authors at 8 institutions in 7 countries.

James OrwaCentre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270-00010, Nairobi, Kenya. james.orwa@aku.edu.ORCID http://orcid.org/0000-0001-8717-6073
Samwel Maina GatimuSchool of Nursing and Midwifery, Aga Khan University, Nairobi, Kenya.
Michaela MantelCentre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270-00010, Nairobi, Kenya.
Stanley LuchtersDepartment of Population Health, Aga Khan University, Nairobi, Kenya.
Michael A MugerwaAga Khan Health Services, Dar es Salaam, Tanzania.
Sharon BrownieCentre for Health & Social Practice, Waikato Institute of Technology (Wintec), Hamilton, New Zealand.
Leonard SubiMinistry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
Secilia MremaRegional Reproductive and Child Health Office, Region, Mwanza, Tanzania.
Lucy NyagaCentre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270-00010, Nairobi, Kenya.
Grace EdwardsSchool of Nursing and Midwifery, Aga Khan University, Kampala, Uganda.
Loveluck MwashaSchool of Nursing and Midwifery, Aga Khan University, Dar es Salaam, Tanzania.
Kahabi IsangulaSchool of Nursing and Midwifery, Aga Khan University, Dar es Salaam, Tanzania.
Edna SelestineAga Khan Health Services, Dar es Salaam, Tanzania.
Sofia JadavjiAga Khan Foundation, Ottawa, Canada.
Rachel PellAga Khan Foundation, Ottawa, Canada.
Columba MbekengaSchool of Nursing and Midwifery, Aga Khan University, Dar es Salaam, Tanzania.
Marleen TemmermanCentre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270-00010, Nairobi, Kenya.
Aga Khan University Nairobi · KEAga Khan University · TZAga Khan Foundation · CAAga Khan Hospital Dar es Salaam · TZBurnet Institute · AUGhent University · BEGriffith University · AUMinistry of Health, Community Development, Gender, Elderly and Children · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.

methodsWe conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016-2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.

resultsOnly 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7 and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14-2.20, secondary: aOR: 2.24, 95% CI: 1.39-3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15-2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80-2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93-2.67), postpartum (aOR: 2.69, 95% CI: 1.24-5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13-1.78).

conclusionOverall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultAge FactorsCommunity-Based Participatory ResearchCross-Sectional StudiesEducational StatusFemaleHumansKenyaMaternal AgeMaternal MortalityMiddle AgedMothersObstetric Labor ComplicationsParturitionBirth preparednessBPCRComplications readinessEastern AfricaKenyaMaternal healthObstetric danger signsPregnancySafe motherhoodTanzania

Identifiers

PMID33076869
PMCPMC7574438
OpenAlexW3093394195

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.