Evidence map›Paper›PMID 33838658›Full record

ArticleBMC pregnancy and childbirth2021

Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data.

Phoebe Miller, Patience A Afulani, Sabine Musange, Felix Sayingoza, Dilys Walker

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 17 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

5 authors at 3 institutions in 2 countries.

Phoebe MillerUniversity of California San Francisco, San Francisco, USA. phoebe.miller@ucsf.edu.ORCID http://orcid.org/0000-0002-3938-3606
Patience A AfulaniUniversity of California San Francisco, San Francisco, USA.ORCID https://orcid.org/0000-0002-6739-234X
Sabine MusangeUniversity of Rwanda School of Public Health, Kigali, Rwanda.
Felix SayingozaRwanda Biomedical Center, Kigali, Rwanda.
Dilys WalkerUniversity of California San Francisco, San Francisco, USA.ORCID https://orcid.org/0000-0002-9599-388X
University of California, San Francisco · USRwanda Biomedical Center · RWUniversity of Rwanda · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch suggests that women's experience of antenatal care is an important component of high-quality antenatal care. Person-centered antenatal care (PCANC) reflects care that is both respectful of, and responsive to, the preferences, needs, and values of pregnant women. Little is known in Rwanda about either the extent to which PCANC is practiced or the factors that might determine its use. This is the first study to quantitatively examine the extent of and the factors associated with PCANC in Rwanda.

methodsWe used quantitative data from a randomized control trial in Rwanda. A total of 2150 surveys were collected and analyzed from 36 health centers across five districts. We excluded women who were less than 16 years old, were referred to higher levels of antenatal care or had incomplete survey responses. Both bivariate and multivariate logistic regression analyses were used to test the hypothesis that certain participant characteristics would predict high PCANC.

resultsPCANC level was found to be sub-optimal with one third of women leaving antenatal care (ANC) with questions or confused and one fourth feeling disrespected. In bivariate analysis, social support, greater parity, being in the traditional care (control group), and being from Burera district significantly predict high PCANC. Additionally, in the multivariate analysis, being in the traditional care group and the district in which women received care were significantly associated with PCANC.

conclusionsThis quantitative analysis indicates sub-optimal levels of PCANC amongst our study population in Rwanda. We find lower levels of PCANC to be regional and defined by the patient characteristics parity and social support. Given the benefits of PCANC, improvements in PCANC through provider training in Rwanda might promote an institutional culture shift towards a more person-centered model of care.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleHumansMulticenter Studies as TopicParityPatient-Centered CarePatient SatisfactionPregnancyPrenatal CareProgram EvaluationQuality of Health CareRandomized Controlled Trials as TopicRwandaSocioeconomic FactorsAntenatal careMaternal healthPerson-centeredPerson-centered antenatal care

Identifiers

PMID33838658
PMCPMC8037834
OpenAlexW3156806633

What OpenQuestion holds

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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.