Evidence map›Paper›PMID 35270836›Full record

ArticleInternational journal of environmental research and public health2022

Determinants of Utilization of Institutional Delivery Services in Zambia: An Analytical Cross-Sectional Study.

Mamunur Rashid, Mohammad Rocky Khan Chowdhury, Manzur Kader, Anne-Sofie Hiswåls, Gloria Macassa

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

5 authors.

Mamunur RashidDepartment of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden.ORCID 0000-0001-7558-4168
Mohammad Rocky Khan ChowdhuryDepartment of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, University of Monash, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
Manzur KaderInstitute of Environmental Medicine, Karolinska Institute, Solnavägen 1, 17177 Solna Stockholm, Sweden.ORCID 0000-0001-8181-648X
Anne-Sofie HiswålsDepartment of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden.ORCID 0000-0003-0500-1638
Gloria MacassaDepartment of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden.ORCID 0000-0003-4415-7942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Institutional delivery at birth is an important indicator of improvements in maternal health, which remains one of the targets of sustainable development goals intended to reduce the maternal mortality ratio. The purpose of the present study was to identify the determinants of utilization of institutional delivery in Zambia. A population-based cross-sectional study design was used to examine 9841 women aged 15-49 years from the 2018 Zambia Demographic and Health Survey. A multiple logistic regression was applied to calculate odds ratios (ORs) with 95% confidence intervals (CIs) to identify determinants of utilization of institutional delivery. Sociodemographic factors were significantly associated with institutional delivery: woman's (OR: 1.76; 95% CI: 1.04-2.99) and husband's (OR: 1.83; 95% CI: 1.09-3.05) secondary/higher education, higher wealth index (OR: 2.31; 95% CI: 1.27-4.22), and rural place of residence (OR: 0.55; 95% CI: 0.30-0.98). Healthcare-related factors were also significantly associated with institutional delivery: 5-12 visits to antenatal care (OR: 2.33; 95% CI: 1.66-3.26) and measuring blood pressure (OR: 2.15; 95% CI: 1.32-2.66) during pregnancy. To improve institutional delivery and reduce maternal and newborn mortality, policymakers and public health planners should design an effective intervention program targeting these factors.

Indexed as

Delivery, ObstetricMaternal Health ServicesCross-Sectional StudiesFemaleHealth FacilitiesHumansInfant, NewbornPregnancyPrenatal CareZambiaAfricadeterminantsplace of deliveryskilled birth attendants

Identifiers

PMID35270836
PMCPMC8910152

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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.