Evidence map›Paper›PMID 35031038›Full record

ArticleBMC public health2022

Prevalence and factors associated with utilisation of postnatal care in Sierra Leone: a 2019 national survey.

Quraish Sserwanja, Lilian Nuwabaine, Kassim Kamara, Milton W Musaba

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
14.8field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

4 authors at 3 institutions in 3 countries.

Quraish SserwanjaProgrammes Department, GOAL Global, Arkaweet Block 65 House No. 227, Khartoum, Sudan. qura661@gmail.com.ORCID 0000-0003-0576-4627
Lilian NuwabaineSchool of Nursing and Midwifery, Aga Khan University, Kampala, Uganda.
Kassim KamaraNational Disease Surveillance Programme, Ministry of Health and Sanitation, Free town, Sierra Leone.
Milton W MusabaDepartment of Obstetrics and Gynaecology, Mbale Regional Referral and Teaching Hospital, Mbale, Uganda.ORCID 0000-0003-4145-4044
Mbale Hospital · UGMinistry of Health · BBNile Valley University · SD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWithin Sub-Saharan Africa, some countries still report unacceptably high rates of maternal and perinatal morbidity and mortality, despite improvements in the utilisation of maternity care services. Postnatal care (PNC) is one of the recommended packages in the continuum of maternity care aimed at reducing maternal and neonatal mortality. This study aimed to determine the prevalence and factors associated with PNC utilisation in Sierra Leone.

methodsWe used Sierra Leone Demographic and Health Survey (UDHS) 2019 data of 7326 women aged 15 to 49 years. We conducted multivariable logistic regression to determine the factors associated with PNC utilisation, using SPSS version 25.

resultsOut of 7326 women, 6625 (90.4, 95% CI: 89.9-91.2) had at least one PNC contact for their newborn, 6646 (90.7, 95% CI: 90.2-91.5) had a postnatal check after childbirth and 6274 (85.6, 95% CI: 85.0-86.6) had PNC for both their babies and themselves. Delivery by caesarean section (aOR 8.01, 95% CI: 3.37-19.07), having a visit by a health field worker (aOR 1.80, 95% CI: 1.46-2.20), having had eight or more ANC contacts (aOR 1.37, 95% CI: 1.08-1.73), having tertiary education (aOR 2.71, 95% CI: 1.32-5.56) and having no big problems seeking permission to access healthcare (aOR 1.51, 95% CI: 1.19-1.90) were associated with higher odds of PNC utilisation. On the other hand, being resident in the Northern (aOR 0.48, 95% CI: 0.29-0.78) and Northwestern regions (aOR 0.54, 95% CI: 0.36-0.80), belonging to a female headed household (aOR 0.69, 95% CI: 0.56-0.85) and being a working woman (aOR 0.66, 95% CI: 0.52-0.84) were associated with lower odds of utilizing PNC.

conclusionFactors associated with utilisation of PNC services operate at individual, household, community and health system/policy levels. Some of them can be ameliorated by targeted government interventions to improve utilisation of PNC services.

Indexed as

Maternal Health ServicesCesarean SectionFemaleHumansInfant, NewbornPatient Acceptance of Health CarePostnatal CarePregnancyPrenatal CarePrevalenceSierra LeoneDHSPostnatal careSierra LeoneUtilisationWomen

Identifiers

PMID35031038
PMCPMC8760783
OpenAlexW4225792079

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.