Evidence map›Paper›PMID 33092565›Full record

Trial reportBMC public health2020

Effectiveness of upgraded maternity waiting homes and local leader training on improving institutional births: a cluster-randomized controlled trial in Jimma, Ethiopia.

Jaameeta Kurji, Lakew Abebe Gebretsadik, Muluemebet Abera Wordofa, Sudhakar Morankar, Kunuz Haji Bedru, Gebeyehu Bulcha, Nicole Bergen, Getachew Kiros, Yisalemush Asefa, Shifera Asfaw and 6 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03299491 (An Implementation Study of Interventions to Promote Safe Motherhood in Jimma Zone Ethiopia), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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.

NCT03299491 nacompletednot on this map

An Implementation Study of Interventions to Promote Safe Motherhood in Jimma Zone Ethiopia

TypeinterventionalSponsorUniversity of OttawaRan2016 to 2020Enrolled3,784ConditionsMaternal Mortality, Maternal MorbidityArmsMWA intervention, IEC intervention
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Maternal social support and health facility delivery in Southwest Ethiopia.Archives of public health = Archives belges de sante publique · 2022
    Article
  7. Article
  8. Article
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

16 authors.

Jaameeta KurjiSchool of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada. jkurj022@uottawa.ca.ORCID http://orcid.org/0000-0001-9181-3266
Lakew Abebe GebretsadikDepartment of Health, Behaviour & Society, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Muluemebet Abera WordofaDepartment of Population & Family Health, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Sudhakar MorankarDepartment of Health, Behaviour & Society, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Kunuz Haji BedruJimma Zone Health Office, Jimma Town, Jimma Zone, Ethiopia.
Gebeyehu BulchaJimma Zone Health Office, Jimma Town, Jimma Zone, Ethiopia.
Nicole BergenFaculty of Health Sciences, University of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada.
Getachew KirosDepartment of Health, Behaviour & Society, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Yisalemush AsefaDepartment of Health Economics, Management & Policy, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Shifera AsfawDepartment of Health, Behaviour & Society, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Abebe MamoDepartment of Health, Behaviour & Society, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Erko EndaleDepartment of Health, Behaviour & Society, Jimma University, Jimma Town, Jimma Zone, Ethiopia.
Kednapa ThavornOttawa Hospital Research Institute General Campus, University of Ottawa, Ottawa, Canada.
Ronald LabonteSchool of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada.
Monica TaljaardOttawa Hospital Research Institute Civic Campus, University of Ottawa, Ottawa, Canada.
Manisha A KulkarniSchool of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada.

Funding

CIHR 108028-01CIHR 108028-02Global Affairs Canada 108028-01Global Affairs Canada 108028-02International Development Research Centre 108028-01International Development Research Centre 108028-02
6 · The paper itself

Abstract

backgroundMaternity waiting homes (MWHs), residential spaces for pregnant women close to obstetric care facilities, are being used to tackle physical barriers to access. However, their effectiveness has not been rigorously assessed. The objective of this cluster randomized trial was to evaluate the effectiveness of functional MWHs combined with community mobilization by trained local leaders in improving institutional births in Jimma Zone, Ethiopia.

methodsA pragmatic, parallel arm cluster-randomized trial was conducted in three districts. Twenty-four primary health care units (PHCUs) were randomly assigned to either (i) upgraded MWHs combined with local leader training on safe motherhood strategies, (ii) local leader training only, or (iii) usual care. Data were collected using repeat cross-sectional surveys at baseline and 21 months after intervention to assess the effect of intervention on the primary outcome, defined as institutional births, at the individual level. Women who had a pregnancy outcome (livebirth, stillbirth or abortion) 12 months prior to being surveyed were eligible for interview. Random effects logistic regression was used to evaluate the effect of the interventions.

resultsData from 24 PHCUs and 7593 women were analysed using intention-to-treat. The proportion of institutional births was comparable at baseline between the three arms. At endline, institutional births were slightly higher in the MWH + training (54% [n = 671/1239]) and training only arms (65% [n = 821/1263]) compared to usual care (51% [n = 646/1271]). MWH use at baseline was 6.7% (n = 256/3784) and 5.8% at endline (n = 219/3809). Both intervention groups exhibited a non-statistically significant higher odds of institutional births compared to usual care (MWH

conclusionsBoth the combined MWH

trial registrationThe trial was retrospectively registered on the Clinical Trials website ( https://clinicaltrials.gov ) on 3rd October 2017. The trial identifier is NCT03299491 .

Indexed as

Health Services AccessibilityMaternal Health ServicesCross-Sectional StudiesEthiopiaFemaleHealth FacilitiesHumansPregnancyCluster-randomized controlled trialCommunity engagementComplex interventionsEthiopiaInstitutional birthMaternal healthcareMaternity waiting homeRE-AIM frameworkThree-delays model

Identifiers

PMID33092565
PMCPMC7583173

What OpenQuestion holds

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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.