Evidence map›Paper›PMID 36594001›Full record

ArticleAJOG global reports2023

Understanding variation in person-centered maternity care: Results from a household survey of postpartum women in 6 regions of Ethiopia.

Elizabeth K Stierman, Linnea A Zimmerman, Solomon Shiferaw, Assefa Seme, Saifuddin Ahmed, Andreea A Creanga

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

Article in AJOG global reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 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

6 authors at 2 institutions in 2 countries.

Elizabeth K StiermanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (Drs Stierman and Creanga).
Linnea A ZimmermanDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (Drs Zimmerman and Ahmed).
Solomon ShiferawSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia (Drs Shiferaw and Seme).
Assefa SemeSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia (Drs Shiferaw and Seme).
Saifuddin AhmedDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (Drs Zimmerman and Ahmed).
Andreea A CreangaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (Drs Stierman and Creanga).
Johns Hopkins University · USAddis Ababa University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective communication, respect and dignity, and emotional support are critical for a positive childbirth experience that is responsive to the needs and preferences of women.

objectiveThis study evaluated the performance of a person-centered maternity care scale in a large, representative household sample of postpartum women, and it describes differences in person-centered maternity care across individuals and communities in Ethiopia. STUDY

designThe study used data from 2019 and 2020 from a representative sample of postpartum women in 6 regions of Ethiopia. It measured person-centered maternity care using a scale previously validated in other settings. To assess the scale validity in Ethiopia, we conducted cognitive interviews, measured internal consistency, and evaluated construct validity. Then, we fit univariable and multivariable linear regression models to test for differences in mean person-centered maternity care scores by individual and community characteristics. Lastly, multilevel modeling separated variance in person-centered maternity care scores within and between communities.

resultsEffective communication and support of women's autonomy scored lowest among person-centered maternity care domains. Of 1575 respondents, 704 (44.7%) were never asked their permission before examinations and most said that providers rarely (n=369; 23.4%) or never (n=633; 40.2%) explained why procedures were done. Person-centered maternity care was significantly higher for women with greater wealth, more formal education, and those aged >20 years. Variation in person-centered maternity care scores between individuals within the same community (τ

conclusionEthiopian women reported widely varying maternity care experiences, with individuals residing within the same community reporting large differences in how they were treated by providers. Poor patient-provider communication and inadequate support of women's autonomy contributed most to poor person-centered maternity care.

Indexed as

Ethiopiahealthcare disparitiesobstetricsperson-centered maternity carequality of carerespectful maternity care

Identifiers

PMID36594001
PMCPMC9803839
OpenAlexW4313478584

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.