Evidence map›Paper›PMID 34967928›Full record

ArticleMaternal and child health journal2022

The Extent of Universal Health Coverage for Maternal Health Services in Eastern Uganda: A Cross Sectional Study.

Clara Lindberg, Tryphena Nareeba, Dan Kajungu, Atsumi Hirose

Abstract read
In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline 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

4 authors.

Clara LindbergDepartment of Learning, Informatics, Management and Ethics, Karolinska Institute, 171 77, Stockholm, Sweden.
Tryphena NareebaDemographic Surveillance Site, Centre for Public Health and Population Research, Makerere University, New Mulago Hill Road, Mulago, Kampala, Uganda.
Dan KajunguCentre for Health and Population Research, Makerere University, New Mulago Hill Road, Mulago, Kampala, Uganda.
Atsumi HiroseSchool of Public Health, Imperial College London, London, UK. atsumi.hirose@ki.se.ORCID http://orcid.org/0000-0002-3967-5529

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMonitoring essential health services coverage is important to inform resource allocation for the attainment of the Sustainable Development Goal 3. The objective was to assess service, effective and financial coverages of maternal healthcare services and their equity, using health and demographic surveillance site data in eastern Uganda.

methodsBetween Nov 2018 and Feb 2019, 638 resident women giving birth in 2017 were surveyed. Among them, 386 were randomly sampled in a follow-up survey (Feb 2019) on pregnancy and delivery payments and contents of care. Service coverage (antenatal care visits, skilled birth attendance, institutional delivery and one postnatal visit), effective coverage (antenatal and postnatal care content) and financial coverage (out-of-pocket payments for antenatal and delivery care and health insurance coverage) were measured, stratified by socio-economic status, education level and place of residence.

resultsCoverage of skilled birth attendance and institutional delivery was both high (88%), while coverage of postnatal visit was low (51%). Effective antenatal care was lower than effective postnatal care (38% vs 76%). Financial coverage was low: 91% of women made out-of-pocket payments for delivery services. Equity analysis showed coverage of institutional delivery was higher for wealthier and peri-urban women and these women made higher out-of-pocket payments. In contrast, coverage of a postnatal visit was higher for rural women and poorest women.

conclusionMaternal health coverage in eastern Uganda is not universal and particularly low for postnatal visit, effective antenatal care and financial coverage. Analysing healthcare payments and quality by healthcare provider sector is potential future research.

Indexed as

Maternal Health ServicesCross-Sectional StudiesDelivery, ObstetricFemaleHumansPregnancyPrenatal CareSocioeconomic FactorsUgandaUniversal Health InsuranceEffective coverageFinancial coverageHealth service coverageMaternal healthUniversal health coverage

Identifiers

PMID34967928
PMCPMC8917020

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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.