Evidence map›Paper›PMID 34669501›Full record

ArticleHealth affairs (Project Hope)2021

In Nigeria, Stillbirths And Newborn Deaths Increased During The COVID-19 Pandemic.

Edward N Okeke, Isa S Abubakar, Rebecca De Guttry

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04090762 (Improving Perinatal Outcomes Using Conditional and Targeted Transfers), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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.

NCT04090762 nacompletednot on this map

Improving Perinatal Outcomes Using Conditional and Targeted Transfers

TypeinterventionalSponsorRANDRan2019 to 2025Enrolled36,607ConditionsUtilization, Health Care, Birth OutcomesArmsConditional cash transfer, Risk information provision
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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  11. Playing defense? Health care in the era of Covid.Journal of health economics · 2022
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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

3 authors at 2 institutions in 2 countries.

Edward N OkekeEdward N. Okeke (eokeke@rand.org) is a senior policy researcher in the Department of Economics, Sociology, and Statistics, RAND Corporation, in Arlington, Virginia, and a professor of policy analysis in the Pardee RAND Graduate School, in Santa Monica, California.
Isa S AbubakarIsa S. Abubakar is a professor of community medicine at Bayero University and Aminu Kano Teaching Hospital, both in Kano, Nigeria.
Rebecca De GuttryRebecca De Guttry is a doctoral fellow at the Pardee RAND Graduate School.
Frederick S. Pardee RAND Graduate School · USBayero University Kano · NG

Funding

Improving Perinatal Outcomes Using Conditional and Targeted TransfersR01HD090231 · NICHD · RAND CORPORATION · PI OKEKE, EDWARD N · 2017 to 2021
$2.8M
NICHD NIH HHS R01 HD090231
6 · The paper itself

Abstract

The COVID-19 pandemic has put severe pressure on health care systems worldwide. Although attention has been focused on COVID-19 hospitalizations and deaths, some experts have warned about potentially devastating secondary health effects. These effects may be most severe in low- and middle-income countries with already weak health care systems. This study examines the effect of the COVID-19 pandemic on early infant deaths, a question that is currently unsettled. We present new evidence from Nigeria showing that early infant deaths have significantly increased during the pandemic. Using data on the birth outcomes of a large and diverse cohort of pregnant women enrolled in a prospective study and a quasi-experimental difference-in-differences design, we found a 1.1-percentage-point (22 percent) increase and a 0.72-percentage-point (23 percent) increase, respectively, in stillbirths and newborn deaths. Our findings show that the health effects of the pandemic extend beyond counted COVID-19 deaths. If these findings generalize to other low- and middle-income countries, they may indicate that the hard-won gains in child survival made during the past two decades are at risk of being reversed amid the ongoing pandemic. Policies addressing disruptions to health services delivery and providing support to vulnerable groups-specifically to households with pregnant women-will be critical as the pandemic continues.

Indexed as

COVID-19PandemicsChildFemaleHumansInfantInfant, NewbornNigeriaPregnancyProspective StudiesSARS-CoV-2Stillbirth

Identifiers

PMID34669501
PMCPMC12501791
OpenAlexW3205714634

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.