Evidence map›Paper›PMID 36522709›Full record

ArticleBMC pregnancy and childbirth2022

Experiences of mothers and significant others in accessing comprehensive healthcare in the first 1000 days of life post-conception during COVID-19 in rural Uganda.

Mary-Grace Nakate, Sean Mackay, Eunice Ndirangu-Mugo, Valerie Fleming

Open access · goldAbstract 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 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

4 authors at 3 institutions in 3 countries.

Mary-Grace NakateSchool of Nursing and Midwifery, Aga Khan University, Col. Muammar Gaddafi Road, P.O. Box 8842, Kampala, Uganda. grace.nakate@aku.edu.ORCID http://orcid.org/0000-0001-9740-8448
Sean MackaySchool of Nursing and Allied Health, Liverpool John Moores University, 79 Tithebarn St, Liverpool, L2 3ET, UK.ORCID http://orcid.org/0000-0003-1044-2438
Eunice Ndirangu-MugoSchool of Nursing and Midwifery, Aga Khan University, EA 3Rd Floor Sunny Plaza Wangapala Road, P.O Box 39340-00623, Nairobi, Kenya.ORCID http://orcid.org/0000-0001-8594-0808
Valerie FlemingSchool of Nursing and Allied Health, Liverpool John Moores University, 79 Tithebarn St, Liverpool, L2 3ET, UK.ORCID http://orcid.org/0000-0002-4672-4843
Liverpool John Moores University · GBAga Khan University · TZAga Khan University Nairobi · KE

Funding

Global Challenges Research Fund (GCRF) LIMU/01t2020
6 · The paper itself

Abstract

backgroundCOVID-19 presented an unprecedented global public health challenge because of its rapid and relentless spread, and many countries instituted lockdowns to prevent the spread of infection. Although this strategy may have been appropriate to reduce infection, it presented unintended difficulties in rural Uganda, especially in maternal and born newborn care. For example, some services were suspended, meaning the nearest health facility was at a considerable distance. This study explored the experiences of mothers and their significant others of comprehensive care in the first 1000 days of life post-conception during the COVID-19 pandemic in Bunghokho-Mutoto sub-county, Mbale District, Uganda.

methodsA qualitative exploratory descriptive design was used with data collected in semi-structured interviews. Mothers (pregnant or with a child under 2 years) and their significant others were purposively recruited for this study. The sample size (N = 14) was determined by data saturation. DATA: were analysed using thematic analysis.

resultsOne theme emerged "Increasing barriers to healthcare", which encompassed six sub-themes: accessing healthcare, distressing situations, living in fear, making forced choices, navigating the gatekeepers, and 'coping with increased poverty.

conclusionThis study found that the COVID-19 pandemic increased barriers to accessing healthcare services in the region. Participants' narratives emphasised the lack of access to expert care and the shortage of skilled health workers, especially midwives.

Indexed as

COVID-19MothersChildCommunicable Disease ControlComprehensive Health CareFemaleHealth Services AccessibilityHumansInfant, NewbornPandemicsPregnancyQualitative ResearchUgandaCOVID-19 pandemicExperiences of COVID-19First 1000 days of lifeUganda

Identifiers

PMID36522709
PMCPMC9754309
OpenAlexW4311804559

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.