Evidence map›Paper›PMID 34979990›Full record

ArticleBMC pregnancy and childbirth2022

Impact of the Salud Mesoamerica Initiative on delivery care choices in Guatemala, Honduras, and Nicaragua.

Bernardo Hernandez, Katie Panhorst Harris, Casey K Johanns, Erin B Palmisano, Rebecca Cogen, Maximilian G Thom, Emily Linebarger, Charbel El Bcheraoui, Aruna M Kamath, Joseph Camarda and 11 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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.

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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

21 authors at 8 institutions in 4 countries.

Bernardo HernandezInstitute for Health Metrics and Evaluation. Department of Health Metrics Sciences, University of Washington, Seattle, WA, USA. bhp3@uw.edu.
Katie Panhorst HarrisInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Casey K JohannsInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Erin B PalmisanoInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Rebecca CogenInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Maximilian G ThomInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Emily LinebargerInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Charbel El BcheraouiRobert Koch Institute, Berlin, Germany.
Aruna M KamathDepartment of Anesthesiology, University of Washington, Seattle, WA, USA.
Joseph CamardaInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Diego Rios-ZertucheSalud Mesoamerica Initiative, Inter-American Development Bank, Washington, DC, USA.
María Paola Zúñiga-BrenesSalud Mesoamerica Initiative, Inter-American Development Bank, San Jose, Costa Rica.
Pedro Bernal-LaraSalud Mesoamerica Initiative, Inter-American Development Bank, Washington, DC, USA.
Danny ColombaraSeattle & King County. Assessment, Policy Development, & Evaluation Unit, Seattle, WA, USA.
Alexandra SchaeferGlobal Center for Integrated Health of Women, Adolescents, and Children, University of Washington, Seattle, WA, USA.
Benito SalvatierraDepartamento de Salud, El Colegio de la Frontera Sur, San Cristóbal de las Casas, Chiapas, Mexico.
Julio César MateusUniversidad del Valle, Cali, Colombia.
Isabel CasasUniversidad del Valle, Cali, Colombia.
Giovanni FloresUNIMER, San Salvador, El Salvador.
Emma IriarteSalud Mesoamerica Initiative, Inter-American Development Bank, Washington, DC, USA.
Ali H MokdadInstitute for Health Metrics and Evaluation. Department of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Institute for Health Metrics and Evaluation · USUniversity of Washington · USInter-American Development Bank · USSeattle University · USUniversidad del Valle · COEl Colegio de la Frontera Sur · MXOffice of Adolescent Health · USRobert Koch Institute · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Salud Mesoamérica Initiative (SMI) is a public-private collaboration aimed to improve maternal and child health conditions in the poorest populations of Mesoamerica through a results-based aid mechanism. We assess the impact of SMI on the staffing and availability of equipment and supplies for delivery care, the proportion of institutional deliveries, and the proportion of women who choose a facility other than the one closest to their locality of residence for delivery.

methodsWe used a quasi-experimental design, including baseline and follow-up measurements between 2013 and 2018 in intervention and comparison areas of Guatemala, Nicaragua, and Honduras. We collected information on 8754 births linked to the health facility closest to the mother's locality of residence and the facility where the delivery took place (if attended in a health facility). We fit difference-in-difference models, adjusting for women's characteristics (age, parity, education), household characteristics, exposure to health promotion interventions, health facility level, and country.

resultsEquipment, inputs, and staffing of facilities improved after the Initiative in both intervention and comparison areas. After adjustment for covariates, institutional delivery increased between baseline and follow-up by 3.1 percentage points (β = 0.031, 95% CI -0.03, 0.09) more in intervention areas than in comparison areas. The proportion of women in intervention areas who chose a facility other than their closest one to attend the delivery decreased between baseline and follow-up by 13 percentage points (β = - 0.130, 95% CI -0.23, - 0.03) more than in the comparison group.

conclusionsResults indicate that women in intervention areas of SMI are more likely to go to their closest facility to attend delivery after the Initiative has improved facilities' capacity, suggesting that results-based aid initiatives targeting poor populations, like SMI, can increase the use of facilities closest to the place of residence for delivery care services. This should be considered in the design of interventions after the COVID-19 pandemic may have changed health and social conditions.

Indexed as

Delivery, ObstetricHealth PromotionHealth Services AccessibilityMaternal Health ServicesPrenatal CareAdolescentAdultFemaleGuatemalaHealth FacilitiesHondurasHumansMiddle AgedNicaraguaPregnancyPregnancy OutcomeEvaluationLow-income countriesMaternal and child health

Identifiers

PMID34979990
PMCPMC8720941
OpenAlexW4206685783

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.