Evidence map›Paper›PMID 34533417›Full record

ArticleGlobal health action2021

Factors associated with non-utilization of postnatal care among newborns in the first 2 days after birth in Pakistan: a nationwide cross-sectional study.

Amir Saira, Leigh A Wilson, Kingsley O Ezeh, David Lim, Uchechukwu L Osuagwu, Kingsley E Agho

Abstract read
In one paragraph

Article in Global health action, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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

6 authors.

Amir SairaSchool of Health Sciences, Western Sydney University, Penrith, NSW, Australia.ORCID 0000-0002-9766-5089
Leigh A WilsonFaculty of Medicine and Health, School of Health Science, University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0002-0744-9228
Kingsley O EzehSchool of Health Sciences, Western Sydney University, Penrith, NSW, Australia.ORCID 0000-0002-2839-2056
David LimSchool of Health Sciences, Western Sydney University, Penrith, NSW, Australia.ORCID 0000-0002-2837-0973
Uchechukwu L OsuagwuTranslational Health Research Institute (THIR), School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.ORCID 0000-0002-1727-6914
Kingsley E AghoSchool of Health Sciences, Western Sydney University, Penrith, NSW, Australia.ORCID 0000-0003-4111-3207

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent data indicated that approximately four in every ten newborns in Pakistan do not receive postnatal care (PNC) services in the first 48 hours after delivery.

objectivesThis study aimed to identify factors associated with the non-utilization of PNC for newborns in Pakistan using the 2017-18 Pakistan Demographic and Health Survey (PDHS).

methodsThis was a cross-sectional analytical study utilizing data from 3887 live-born newborns recorded in the 2017-18 PDHS. Non-utilization of PNC was assessed against a set of independent factors using multilevel logistic regression analysis, and the population attributable risk estimates of factors associated with non-utilization of PNC were also calculated.

resultsThere were 1443 newborns (37%) in Pakistan whose mothers did not utilize PNC check-ups in the first 2 days after delivery. The non-utilization of PNC was largely attributable to newborns delivered at non-health facilities 53% (47% to 59%) and those born to uneducated women 27% (13% to 38%). Adjusted analyses indicated that newborns with higher birth order and with a birth interval of more than 2 years, women who perceived their baby to be small at birth, women with no formal education and those living in regional areas of Khyber Pakhtunkhwa and Federally Administered Tribal Areas were significantly associated with non-utilization of PNC services.

conclusionsTailored health messages by community health workers, including door-to-door visits on utilizing health facilities through pregnancy to the postnatal periods, are needed and should target places of low socioeconomic status, including educationally disadvantaged women from regional areas of Pakistan.

Indexed as

ParturitionPostnatal CareCross-Sectional StudiesFemaleHealth FacilitiesHumansInfant, NewbornPakistanPregnancyPrenatal Careattributable risknewbornnon-utilizationPakistanPostnatal care

Identifiers

PMID34533417
PMCPMC8451633

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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.