Evidence map›Paper›PMID 33176734›Full record

ArticleBMC pregnancy and childbirth2020

Maternal and newborn healthcare practices: assessment of the uptake of lifesaving services in Hoima District, Uganda.

Geoffrey Babughirana, Sanne Gerards, Alex Mokori, Elisha Nangosha, Stef Kremers, Jessica Gubbels

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

6 authors at 2 institutions in 2 countries.

Geoffrey BabughiranaNUTRIM School of Nutrition and Translational Research in Metabolism, Department of Health Promotion, Maastricht University, Maastricht, the Netherlands. gbabughirana@gmail.com.ORCID http://orcid.org/0000-0002-9946-1039
Sanne GerardsNUTRIM School of Nutrition and Translational Research in Metabolism, Department of Health Promotion, Maastricht University, Maastricht, the Netherlands.
Alex MokoriIndependant Scholar, Kampala, Uganda.
Elisha NangoshaWorld Vision International, Hoima, Uganda.
Stef KremersNUTRIM School of Nutrition and Translational Research in Metabolism, Department of Health Promotion, Maastricht University, Maastricht, the Netherlands.
Jessica GubbelsNUTRIM School of Nutrition and Translational Research in Metabolism, Department of Health Promotion, Maastricht University, Maastricht, the Netherlands.
Maastricht University · NLWorld Health Organization - Uganda · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current maternal mortality ratio in Uganda is 336 maternal deaths per 100,000 live births. Infant mortality is 43 deaths per 1000 live births, with 42% of the mortality occurring during the neonatal period. This might be related to a weak health system in the country. This study aimed at assessing the uptake of lifesaving services during pregnancy and childbirth in Hoima District, Uganda.

methodsThe study used a cross-sectional quantitative design among 691 women with a child under 5 years. Households were randomly sampled from a list of all the villages in the district with the ENA for SMART software using the EPI methodology. Pre-coded questionnaires uploaded in the Open Data Kit were used for data collection. The data was cleaned and analysed using MS Excel and SPSS software. Descriptive results are presented.

resultsOf the 55.1% women attending at least four antenatal care (ANC) visits, only 24.3% had the first ANC within the first trimester. Moreover, ANC services generally was of poor quality, with only 0.4% meeting all the requirements for quality of ANC service. The highest contributors to this poor quality included poor uptake of iron-folic acid (adherence 28.8%), the six-required birth preparedness and complication readiness items (13.2%), and recognition of the seven danger signs of pregnancy (3.0%). Adherence to the seven essential newborn care actions was very low (0.5%), mainly caused by three practices: initiating breastfeeding within 1 h (59.9%), lack of postnatal care within 24 h (20.1%), and failure to recognize the 6 danger signs of the newborn (2.4%). Only 11.1% of the males participated in all maternal and newborn care requirements, by encouraging women to seek healthcare (39.9%), accompanying them to healthcare (36.9%), and HIV counselling and support services (26.2%).

conclusionThe study reveals poor maternal and newborn practices throughout the continuum of care, from ANC and skilled birth attendance to newborn care during childbirth. With such poor results, it is not surprising that Hoima is sixth of 10 districts that have the highest numbers of deaths due to maternal mortality in Uganda.

Indexed as

Infant MortalityMaternal MortalityAdolescentAdultChild, PreschoolCross-Sectional StudiesDelivery, ObstetricFemaleHealth FacilitiesHumansInfantInfant, NewbornMaleMaternal Health ServicesParityPerinatal DeathEssential newborn careGoal-oriented ANCMale involvement and quality of careMaternal and newborn health

Identifiers

PMID33176734
PMCPMC7659084
OpenAlexW3099849514

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.