Evidence map›Paper›PMID 34344765›Full record

ArticleFamily medicine and community health2021

"We have either obsolete knowledge, obsolete equipment or obsolete skills": policy-makers and clinical managers' views on maternal health delivery in rural Nigeria.

Ogochukwu Udenigwe, Friday E Okonofua, Lorretta F C Ntoimo, Wilson Imongan, Brian Igboin, Sanni Yaya

Abstract read
In one paragraph

Article in Family medicine and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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.

Ogochukwu UdenigweSchool of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada.
Friday E OkonofuaWomen's Health and Action Research Centre, Benin City, Nigeria.
Lorretta F C NtoimoDepartment of Demography and Social Statistics, Federal University Oye-Ekiti, Ekiti, Nigeria.
Wilson ImonganWomen's Health and Action Research Centre, Benin City, Nigeria.
Brian IgboinWomen's Health and Action Research Centre, Benin City, Nigeria.
Sanni YayaSchool of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada sanni.yaya@uottawa.ca.ORCID 0000-0002-4876-6043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this paper is to explore policy-makers and clinical managers' views on maternal health service delivery in rural Nigeria.

designThis is a qualitative study using key informant interviews. Participants' responses were audio recorded and reflective field notes supplemented the transcripts. Data were further analysed with a deductive approach whereby themes were organised based on existing literature and theories on service delivery.

settingThe study was set in Esan South East (ESE) and Etsako East (ETE), two mainly rural local government areas of Edo state, Nigeria.

participantsThe study participants consisted of 13 key informants who are policy-makers and clinical managers in ESE and ETE in Edo state. Key informants were chosen using a purposeful criterion sampling technique whereby participants were identified because they meet or exceed a specific criterion related to the subject matter.

resultsRespondents generally depicted maternal care services in primary healthcare centres as inaccessible due to undue barriers of cost and geographic location but deemed it acceptable to women. Respondents' notion of quality of service delivery encompassed factors such as patient-provider relationships, hygienic conditions of primary healthcare centres, availability of skilled healthcare staff and infrastructural constraints.

conclusionThis study revealed that while some key aspects of service delivery are inadequate in rural primary healthcare centres, there are promising policy reforms underway to address some of the issues. It is important that health officials advocate for strong policies and implementation strategies.

Indexed as

Maternal HealthMaternal Health ServicesFemaleHumansNigeriaPolicyPregnancyRural Populationcommunity health centersglobal healthmaternal-child health serviceswomen's health services

Identifiers

PMID34344765
PMCPMC8336186

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.