Evidence map›Paper›PMID 35410144›Full record

ArticleBMC pregnancy and childbirth2022

Referral care for high-risk pregnant women in rural Rajasthan, India: a qualitative analysis of barriers and facilitators.

Saachi Dalal, Ruchit Nagar, Rohaan Hegde, Surya Vaishnav, Hamid Abdullah, Jennifer Kasper

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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed, 1 synthesis or guideline 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

6 authors.

Saachi DalalWarren Alpert Medical School of Brown University, Providence, USA. saachi@khushibaby.org.
Ruchit NagarKhushi Baby, Udaipur, India.
Rohaan HegdeImperial College London, London, UK.
Surya VaishnavKhushi Baby, Udaipur, India.
Hamid AbdullahKhushi Baby, Udaipur, India.
Jennifer KasperDepartment of Global Health and Social Medicine, Brigham and Women's Hospital, Department of Pediatrics, Harvard Medical School, Boston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo qualitatively assess the barriers and facilitators to uptake of referral services amongst high-risk pregnant women in rural Rajasthan.

methodsA purposive sample of pregnant women with high-risk conditions requiring referral follow-up care (severe hypertension, moderate anemia, and severe anemia) were considered for inclusion. In-depth individual interviews were conducted in the local dialect, Mewari. Interviews were transcribed, coded, and organized for thematic generation as per the analytical framework described in the socio-ecological model.

results19 high risk pregnant women of low socioeconomic backgrounds across 15 villages were interviewed. Barriers to referral care included lack of transportation, household responsibilities, and limited awareness, education, and social support. The most prominent barrier was lack of accompaniment to the referral center by a family member or health worker. Facilitators included available husbands, engaged heath workers, supportive neighbors, and other female family members who shared past experiences.

conclusionsSocial support at the interpersonal and community level was key to overcoming referral care barriers faced by high-risk pregnant women in rural Rajasthan. Interventions that enhance social support may improve uptake of referral care services by high-risk pregnant women.

Indexed as

AnemiaPregnant PeopleFemaleHumansIndiaPregnancyQualitative ResearchReferral and ConsultationBarriersCommunity health workersFacilitatorsHigh risk pregnancyIndiaMaternal healthReferral careRural health

Identifiers

PMID35410144
PMCPMC9004167

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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.