Evidence map›Paper›PMID 34979981›Full record

ArticleBMC pregnancy and childbirth2022

Effect of four or more antenatal care visits on facility delivery and early postnatal care services utilization in Uganda: a propensity score matched analysis.

Edson Mwebesa, Joseph Kagaayi, Anthony Ssebagereka, Mary Nakafeero, John M Ssenkusu, David Guwatudde, Nazarius Mbona Tumwesigye

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 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

7 authors.

Edson MwebesaMakerere University School of Public Health, Kampala, Uganda. mwebesa.edson@gmail.com.
Joseph KagaayiMakerere University School of Public Health, Kampala, Uganda.
Anthony SsebagerekaMakerere University School of Public Health, Kampala, Uganda.
Mary NakafeeroMakerere University School of Public Health, Kampala, Uganda.
John M SsenkusuMakerere University School of Public Health, Kampala, Uganda.
David GuwatuddeMakerere University School of Public Health, Kampala, Uganda.
Nazarius Mbona TumwesigyeMakerere University School of Public Health, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMaternal mortality remains a global public health issue, more predominantly in developing countries, and is associated with poor maternal health services utilization. Antenatal care (ANC) visits are positively associated with facility delivery and postnatal care (PNC) utilization. However, ANC in itself may not lead to such association but due to differences that exist among users (women). The purpose of this study, therefore, is to examine the effect of four or more ANC visits on facility delivery and early PNC and also the effect of facility-based delivery on early PNC using Propensity Score Matched Analysis (PSMA).

methodsThe present study utilized the 2016 Uganda Demographic and Health Survey (UDHS) dataset. Women aged 15 - 49 years who had given birth three years preceding the survey were considered for this study. Propensity score-matched analysis was used to analyze the effect of four or more ANC visits on facility delivery and early PNC and also the effect of facility-based delivery on early PNC.

resultsThe results revealed a significant and positive effect of four or more ANC visits on facility delivery [ATT (Average Treatment Effect of the Treated) = 0.118, 95% CI: 0.063 - 0.173] and early PNC [ATT = 0.099, 95% CI: 0.076 - 0.121]. It also found a positive and significant effect of facility-based delivery on early PNC [ATT = 0.518, 95% CI: 0.489 - 0.547].

conclusionPolicies geared towards the provision of four or more ANC visits are an effective intervention towards improved facility-based delivery and early PNC utilisation in Uganda.

Indexed as

Postnatal CarePrenatal CareAdolescentAdultDelivery, ObstetricDemographyFacilities and Services UtilizationFemaleHumansMiddle AgedPatient Acceptance of Health CarePregnancyPropensity ScoreUgandaYoung AdultAntenatal careFacility-based deliveryPostnatal carePropensity Score Matched AnalysisUganda

Identifiers

PMID34979981
PMCPMC8722208

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Registered trials

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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.