Evidence map›Paper›PMID 38108364›Full record

ArticleJournal of pediatric rehabilitation medicine2023

Folic acid prescription practice for high-risk prevention of spina bifida at a tertiary care hospital in Addis Ababa, Ethiopia.

Bethelehem Yesehak, Amanda Dorsey, Kibruyisfaw Zewdie, Vijaya Kancherla, Yordanos Ashagre

Open access · diamondAbstract read
In one paragraph

Article in Journal of pediatric rehabilitation medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Timeliness of surgical repair among infants with myelomeningocele in a tertiary care hospital in Addis Ababa, Ethiopia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Observational
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 2 institutions in 2 countries.

Bethelehem YesehakAddis Ababa University, Addis Ababa, Ethiopia.
Amanda DorseyDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Kibruyisfaw ZewdieAddis Ababa University, Addis Ababa, Ethiopia.
Vijaya KancherlaDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Yordanos AshagreZewditu Memorial Hospital, Addis Ababa, Ethiopia.
Addis Ababa University · ETEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMothers who have had a pregnancy affected by spina bifida are advised to take 4-5 mg/day folic acid pills to prevent recurrence. The folic acid prescription pattern was examined for high-risk mothers whose children received spina bifida surgery in an urban Ethiopian hospital.

methodsData were analyzed from a large Ethiopian urban tertiary care hospital that provided spina bifida care. General practitioners recorded 5 mg/day folic acid prescriptions administered to mothers of infants with spina bifida born between January 2019 and June 2022.

resultsAmong 500 baby-mother pairs, 340 (68%) received a 120-day prescription for 5 mg/day folic acid pills. Of these 340 mothers, 331 (97%) received their folic acid prescription at their child's first or second patient encounter. Almost all mothers (94%) had documentation of only one prescription for the study duration. The percentage of mothers receiving at least one prescription varied by the baby's year of birth (2019:75%; 2020:92%; 2021:46%; Jan 2022 -June 2022:79%).

conclusionThis prioritization of spina bifida recurrence prevention demonstrates feasibility for other healthcare centers in low-income countries. Sustained funds to provide women with free folic acid pills can favor high compliance and uptake of this prevention intervention.

Indexed as

Folic AcidSpinal DysraphismChildEthiopiaFemaleHumansInfantPregnancyTertiary Care CentersFolic Acidcongenital anomaliesfolic acidhigh risk preventionNeural tube defectsspina bifida

Identifiers

PMID38108364
PMCPMC10789352
OpenAlexW4389815194

What OpenQuestion holds

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LicenceCC BY-NC
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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.