Evidence map›Paper›PMID 35506937›Full record

ReviewGlobal health action2022

Strategies to increase rural maternal utilization of skilled health personnel for childbirth delivery in low- and middle-income countries: a narrative review.

Jeanette R Nelson, Rebekah H Ess, Ty T Dickerson, Lisa H Gren, L Scott Benson, Stephen O Manortey, Stephen C Alder

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 2 countries.

Jeanette R NelsonCenter for Business, Health, and Prosperity, David Eccles School of Business, University of Utah, Salt Lake City, Utah, USA.
Rebekah H EssDepartment of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Ty T DickersonDepartment of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Lisa H GrenDepartment of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
L Scott BensonDepartment of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Stephen O ManorteyEnsign Global College, Kpong, Ghana.
Stephen C AlderCenter for Business, Health, and Prosperity, David Eccles School of Business, University of Utah, Salt Lake City, Utah, USA.
University of Utah · USGlobal College · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkilled attendance at birth is considered key to accomplishing Sustainable Development Goal (SDG) 3.1 aimed at reducing maternal mortality. Many maternal deaths can be prevented if a woman receives care by skilled health personnel. Maternal utilization of skilled health delivery services in rural areas in low- and middle-income countries is 70% compared to 90% in urban areas. Previous studies have found community-based interventions may increase rural maternal uptake of skilled health delivery services, but evidence is lacking on which strategies are most effective.

objectiveTo review the effectiveness of community-based strategies to increase rural maternal utilization of skilled health personnel for childbirth delivery in low-and middle-income countries.

methodsWe conducted a narrative review. PubMed, CINAHL, Cochrane Library, and PsycINFO databases were searched for articles from database inception through 13 November 2019. Key search terms were pre-determined. Information was extracted on studies meeting our inclusion criteria: cluster and randomized trials, rural setting, reproductive aged women, community engagement, low- and middle-income countries. Studies were considered effective if statistically significant (p < 0.05). A narrative synthesis was conducted.

resultsTen cluster randomized trials out of 5,895 candidate citations met the inclusion criteria. Strategies included home-based visits, women's groups, and combined approaches. Out of the ten articles, only three studies were found to significantly increase maternal uptake of skilled health personnel for delivery, and each used a different strategy. The results are inconclusive as to which strategies are most effective. Limitations of this review include heterogeneity and generalizability of studies.

conclusionsThis research suggests that different strategies may be effective at improving maternal utilization of skilled health personnel for delivery in certain rural settings while ineffective in others. More research is warranted to better understand the context in which strategies may be effective and under what conditions.

Indexed as

Developing CountriesMaternal Health ServicesAdultFemaleHealth PersonnelHumansInfant, NewbornMaternal MortalityParturitionPregnancycommunity-baseddeveloping countryInterventionmaternal health servicespregnancy

Identifiers

PMID35506937
PMCPMC9090426
OpenAlexW4229014293

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.