ArticleBMJ open2022
Effect of a multifaceted intervention on the utilisation of primary health for maternal and child health care in rural Nigeria: a quasi-experimental study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Integrated maternal, newborn and child-health strategies and interventions for reducing maternal and child mortality in Nigeria: a systematic review.BMC public health · 2026Pooled it
- Barriers and facilitators of messaging platforms as a means of maternal support and care in rural communities: A systematic review.PloS one · 2025Pooled it
- Impact of community-based health insurance in low- and middle-income countries: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Exploring the patterns of availability and provision of sexual and reproductive health services to young people in primary healthcare centers in Ebonyi state, Nigeria.BMC health services research · 2025Article
- The impact of strengthened ward development committees on utilisation of reproductive maternal and child health services in Bayelsa State, Nigeria.BMC public health · 2025Article
- Impact of a Mobile Money-Based Conditional Cash Transfer Intervention on Health Care Utilization in Southern Madagascar: Mixed-Methods Study.JMIR mHealth and uHealth · 2025Article
- Understanding urban-rural inequality in early maternal discharge following facility-based vaginal delivery in Nigeria: A multivariate decomposition analysis.PLOS global public health · 2025Article
- Interventions for adolescent mental, sexual and reproductive health in West Africa: A scoping review.Public health in practice (Oxford, England) · 2024Article
- Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on Igala women.BMC pregnancy and childbirth · 2024Article
- Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review.International journal of environmental research and public health · 2024Article
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- Understanding communication in community engagement for maternal and newborn health programmes in low- and middle-income countries: a realist review.Health policy and planning · 2023Article
- Texting for life: a mobile phone application to connect pregnant women with emergency transport and obstetric care in rural Nigeria.BMC pregnancy and childbirth · 2023Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this study was to determine the effectiveness of a set of multifaceted interventions designed to increase the access of rural women to antenatal, intrapartum, postpartum and childhood immunisation services offered in primary healthcare facilities.
designThe study was a separate sample pretest-post-test quasi-experimental research.
settingThe research was conducted in 20 communities and primary health centres in Esan South East and Etsako East Local Government Areas in Edo State in southern Nigeria
participantsRandomly selected sample of ever married women aged 15-45 years.
interventionsSeven community-led interventions implemented over 27 months, consisting of a community health fund, engagement of transport owners on emergency transport of pregnant women to primary health centres with the use of rapid short message service (SMS), drug revolving fund, community education, advocacy, retraining of health workers and provision of basic equipment. PRIMARY AND SECONDARY OUTCOME MEASURES: The outcome measures included the number of women who used the primary health centres for skilled pregnancy care and immunisation of children aged 0-23 months.
resultsAfter adjusting for clustering and confounding variables, the odds of using the project primary healthcare centres for the four outcomes were significantly higher at endline compared with baseline: antenatal care (OR 3.87, CI 2.84 to 5.26 p<0.001), delivery care (OR 3.88, CI 2.86 to 5.26), postnatal care (OR 3.66, CI 2.58 to 5.18) and childhood immunisation (OR 2.87, CI 1.90 to 4.33). However, a few women still reported that the cost of services and gender-related issues were reasons for non-use after the intervention.
conclusionWe conclude that community-led interventions that address the specific concerns of women related to the bottlenecks they experience in accessing care in primary health centres are effective in increasing demand for skilled pregnancy and childcare in rural Nigeria.
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