Evidence map›Paper›PMID 35762835›Full record

ArticleGlobal health action2022

Barriers and strategies needed to improve maternal health services among pregnant adolescents in Uganda: a qualitative study.

Samuel Nambile Cumber, Catherine Atuhaire, Vivian Namuli, Malin Bogren, Helen Elden

Open access · goldAbstract read
In one paragraph

Article 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 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
11.4field-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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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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 at 4 institutions in 3 countries.

Samuel Nambile CumberInstitute of Health and Care Sciences; The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-9115-597X
Catherine AtuhaireFaculty of Medicine, Department of Nursing, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID 0000-0002-6028-7491
Vivian NamuliSection for Epidemiology and Social Medicine; Department of Public Health, Institute of Medicine (EPSO), The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Malin BogrenInstitute of Health and Care Sciences; The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-2432-8097
Helen EldenInstitute of Health and Care Sciences; The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-0000-0476
University of Gothenburg · SEMbarara University of Science and Technology · UGSahlgrenska University Hospital · SEUniversity of the Free State · ZA

Funding

Multi-morbidity in Uganda Research Capacity Initiative (MURCI) at Mbarara University of Science and TechnologyD43TW011632 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI BAJUNIRWE, FRANCIS · 2020 to 2024
$1.2M
FIC NIH HHS D43 TW011632
6 · The paper itself

Abstract

backgroundIn Uganda, the uptake of maternal health services is very low, with only 41.1% of pregnant adolescent girls attending the eight antenatal visits that are recommended by the World Health Organisation. Uptake of maternal health services is essential in reducing the current level of adolescent pregnancies as well as its adverse effects on adolescent mothers and their babies, such as preterm deliveries, prolonged labour, death during pregnancy, and childbirth. No previous study has described pregnant adolescents' experiences with maternal health services in Uganda.

objectiveThis study aimed to describe the barriers and strategies needed to improve maternal health services among pregnant adolescents in Uganda.

methodsData were collected in the Naguru Teenage Information and Health Centre in Uganda through individual interviews involving 31 pregnant adolescents. The transcribed interviews were inductively analysed through content analysis.

resultsThe pregnant adolescents described difficulty in reaching, as well as lack of financial support to visit, the Naguru Teenage Information and Health Centre, which is a clinic providing youth friendly services. Feelings of being discriminated against and disrespected by health workers, and lack of privacy when receiving health services was major barriers that hindered their access to maternal health services. Pregnant adolescents' access to these services can be enhanced by improving health workers' working conditions, accelerating community and health worker awareness on ways to mitigate these barriers, and developing policies that encourage men's involvement in maternal health services.

conclusionAdolescents in Uganda face considerable barriers to accessing improved and quality maternal health services. To mitigate these barriers, according to the adolescents, considerable efforts are required to tackle health workers' working conditions and sensitise the community on the importance of, as well as securing the availability of, maternal health services for pregnant adolescents. Future research should focus on pregnant adolescents who receive family support.

Indexed as

Maternal Health ServicesPregnancy in AdolescenceAdolescentFemaleHealth Services AccessibilityHumansInfant, NewbornMalePregnancyPregnant PeopleUgandaAdolescentsexperiencesmaternal health servicespregnancy

Identifiers

PMID35762835
PMCPMC9246142
OpenAlexW4283662583

What OpenQuestion holds

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LicenceCC BY
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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.