Evidence map›Paper›PMID 34327381›Full record

ArticleThe Lancet regional health. Western Pacific2020

Improving the quality of maternal and newborn care in the Pacific region: A scoping review.

A N Wilson, N Spotswood, G S Hayman, J P Vogel, J Narasia, A Elijah, C Morgan, A Morgan, J Beeson, C S E Homer

Abstract readScoping Review
In one paragraph

Article in The Lancet regional health. Western Pacific, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 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.

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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

10 authors.

A N WilsonMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.
N SpotswoodMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.
G S HaymanMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.
J P VogelMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.
J NarasiaMinistry of Health & Medical Services, Solomon Islands.
A ElijahPort Moresby General Hospital, Port Moresby, Papua New Guinea.
C MorganMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.
A MorganNossal Institute for Global Health, School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia.
J BeesonMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.
C S E HomerMaternal, Child and Adolescent Health Program, Burnet Institute, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality care is essential for improving maternal and newborn health. Low- and middle-income Pacific Island nations face challenges in delivering quality maternal and newborn care. The aim of this review was to identify all published studies of interventions which sought to improve the quality of maternal and newborn care in Pacific low-and middle-income countries.

methodsA scoping review framework was used. Databases and grey literature were searched for studies published between January 2000 and July 2019 which described actions to improve the quality of maternal and newborn care in Pacific low- and middle-income countries. Interventions were categorised using a four-level health system framework and the WHO quality of maternal and newborn care standards. An expert advisory group of Pacific Islander clinicians and researchers provided guidance throughout the review process.

results2010 citations were identified and 32 studies included. Most interventions focused on the clinical service or organisational level, such as healthcare worker training, audit processes and improvements to infrastructure. Few addressed patient experiences or system-wide improvements. Enablers to improving quality care included community engagement, collaborative partnerships, adequate staff education and training and alignment with local priorities.

conclusionsThere are several quality improvement initiatives in low- and middle-income Pacific Island nations, most at the point of health service delivery. To effectively strengthen quality maternal and newborn care in this region, efforts must broaden to improve health system leadership, deliver sustaining education programs and encompass learnings from women and their communities.

Indexed as

LMICMaternal healthNeonatal healthPacificQuality careQuality improvementScoping review

Identifiers

PMID34327381
PMCPMC8315605

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.