Evidence map›Paper›PMID 33827513›Full record

ArticleBMC women's health2021

Contributing barriers to loss to follow up from antenatal care services in villages around Addis Ababa: a qualitative study.

Zergu Tafesse Tsegaye, Hailemariam Segni Abawollo, Binyam Fekadu Desta, Tsega Teferi Mamo, Atrie Fekadu Heyi, Mestawot Getachew Mesele, Addisu Dabesa Lose

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 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

7 authors at 1 institution in 1 country.

Zergu Tafesse TsegayeJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia.
Hailemariam Segni AbawolloJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia. hailemariam_segni@et.jsi.com.
Binyam Fekadu DestaJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia.
Tsega Teferi MamoJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia.
Atrie Fekadu HeyiJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia.
Mestawot Getachew MeseleJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia.
Addisu Dabesa LoseJSI/ USAID Transform: Primary Health Care Activity, Addis Ababa, Ethiopia.
International Trachoma Initiative · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProblems during pregnancy, childbirth and postpartum are the major contributors to maternal and perinatal morbidity and mortality. Focused antenatal care is an intervention set to provide basic services for pregnant women, to reduce morbidity and mortality related to pregnancy. In Ethiopia, there is a significant loss to follow up from antenatal care services between the first and fourth visits. The aim of this study is to explore the potential contributing barriers to loss to follow up of pregnant women from antenatal care services in villages around Addis Ababa, the capital city of the country.

methodsA qualitative research method was used, where 20 in-depth interviews (zonal, woreda and health center managers, midwives and health extension workers were the participants) and three focus group discussions (mothers who were lost to follow up, mothers who completed four sessions of antenatal care visits, and community volunteers were the participants) were conducted. A qualitative data analysis software, ATLAS.ti 8, was applied.

resultsInability to deliver essential antenatal care services which occurs primarily due to shortage of the required medical equipment, drugs, and other supplies is a major barrier for sustainable attendance of antenatal care services followed by poor care, respect, and receptiveness of service providers. Lack and cost of transport as well as partners' approval and support were also claimed to be part of the major barriers. Community culture and pervious maternal experiences as well as maternal sociodemographic factors like maternal age at time of pregnancy and educational status of mothers were also reported as barriers to seeking and completion of antenatal care services.

conclusionsBoth demand and supply side barriers play a significant role in the loss to follow up from antenatal care services. Availing essential antenatal care services, closer to the community by improving the infrastructure, health workforce and supply chain system is recommended.

Indexed as

Patient Acceptance of Health CarePrenatal CareEthiopiaFemaleFollow-Up StudiesHumansPregnancyQualitative ResearchANCANC defaulterANC dropoutLoss to follow up from ANCUSAID transform:Primary health care

Identifiers

PMID33827513
PMCPMC8028793
OpenAlexW3144485446

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.