Evidence map›Paper›PMID 36261798›Full record

ArticleBMC public health2022

Birth registration coverage according to the sex of the head of household: an analysis of national surveys from 93 low- and middle-income countries.

Andrea Wendt, Franciele Hellwig, Ghada E Saad, Cheikh Faye, Ties Boerma, Aluisio J D Barros, Cesar G Victora

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

Article in BMC public health, 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
3.8field-weighted citation impact, top 7% 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, 11 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

7 authors at 4 institutions in 4 countries.

Andrea WendtInternational Center for Equity in Health, Postgraduate Program of Epidemiology, Federal University of Pelotas, Pelotas, Brazil. awendt@equidade.org.
Franciele HellwigInternational Center for Equity in Health, Post-Graduation Program in Epidemiology, Federal University of Pelotas, 1160 Marechal Deodoro St, 3rd floor., Pelotas, RS, Brazil.
Ghada E SaadFaculty of Health Sciences, Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon.
Cheikh FayeAfrican Population and Health Research Center, Nairobi, Kenya.
Ties BoermaUniversity of Manitoba, Winnipeg, Canada.
Aluisio J D BarrosInternational Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil.
Cesar G VictoraInternational Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil.
Universidade Federal de Pelotas · BRAfrican Population and Health Research Center · KEAmerican University of Beirut · LBUniversity of Manitoba · CA

Funding

Bill & Melinda Gates Foundation INV-007594Wellcome Trust
6 · The paper itself

Abstract

backgroundWithin-country inequalities in birth registration coverage (BRC) have been documented according to wealth, place of residence and other household characteristics. We investigated whether sex of the head of household was associated with BRC.

methodsUsing data from nationally-representative surveys (Demographic and Health Survey or Multiple Indicator Cluster Survey) from 93 low and middle-income countries (LMICs) carried out in 2010 or later, we developed a typology including three main types of households: male-headed (MHH) and female-led with or without an adult male resident. Using Poisson regression, we compared BRC for children aged less than 12 months living the three types of households within each country, and then pooled results for all countries. Analyses were also adjusted for household wealth quintiles, maternal education and urban-rural residence.

resultsBRC ranged from 2.2% Ethiopia to 100% in Thailand (median 79%) while the proportion of MHH ranged from 52.1% in Ukraine to 98.3% in Afghanistan (median 72.9%). In most countries the proportion of poor families was highest in FHH (no male) and lowest in FHH (any male), with MHH occupying an intermediate position. Of the 93 countries, in the adjusted analyses, FHH (no male) had significantly higher BRC than MHH in 13 countries, while in eight countries the opposite trend was observed. The pooled analyses showed t BRC ratios of 1.01 (95% CI: 1.00; 1.01) for FHH (any male) relative to MHH, and also 1.01 (95% CI: 1.00; 1.01) for FHH (no male) relative to MHH. These analyses also showed a high degree of heterogeneity among countries.

conclusionSex of the head of household was not consistently associated with BRC in the pooled analyses but noteworthy differences in different directions were found in specific countries. Formal and informal benefits to FHH (no male), as well as women's ability to allocate household resources to their children in FHH, may explain why this vulnerable group has managed to offset a potential disadvantage to their children.

Indexed as

Developing CountriesIncomeAdultChildFemaleHumansParturitionPovertyPregnancySocioeconomic FactorsBirth certificatesFamily characteristicsGender equityHealth equityHealth status disparities

Identifiers

PMID36261798
PMCPMC9583473
OpenAlexW4306845825

What OpenQuestion holds

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LicenceCC BY
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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.