Evidence map›Paper›PMID 38489854›Full record

ArticleMidwifery2024

Who is most vulnerable? Factors associated with presenting to antenatal care without a male partner in Northern Tanzania.

Saumya S Sao, Jessica N Coleman, Linda Minja, Rimel N Mwamba, Godfrey A Kisigo, Haika Osaki, Jenny Renju, Blandina T Mmbaga, Melissa H Watt

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

Article in Midwifery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

9 authors at 5 institutions in 4 countries.

Saumya S SaoDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA; Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: saosaumya@gmail.com.
Jessica N ColemanDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Linda MinjaKilimanjaro Clinical Research Institute, Moshi, Tanzania.
Rimel N MwambaDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA; University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Godfrey A KisigoDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania; London School of Hygiene and Tropical Medicine, London, UK.
Haika OsakiKilimanjaro Clinical Research Institute, Moshi, Tanzania; University of Copenhagen, Copenhagen, Denmark.
Jenny RenjuKilimanjaro Clinical Research Institute, Moshi, Tanzania; London School of Hygiene and Tropical Medicine, London, UK.
Blandina T MmbagaDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Melissa H WattDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA.
Duke University · USJohns Hopkins University · USKilimanjaro Christian Medical Centre · TZLondon School of Hygiene & Tropical Medicine · GBUniversity of Copenhagen · DK

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
A stigma reduction intervention at time of entry into antenatal care to improve PMTCT services in TanzaniaR21TW011053 · FIC · UNIVERSITY OF UTAH · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2018 to 2019
$424k
FIC NIH HHS R21 TW011053NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

objectiveMale engagement in pregnancy care can be beneficial for maternal and child health outcomes. In Tanzania, pregnant women are strongly encouraged to present to their first antenatal care (ANC) appointment with a male partner, where they jointly test for HIV. For some, this presents a barrier to ANC attendance. The objectives of this study were to identify factors associated with presenting to ANC with a male partner using a cross-sectional design and to assess whether women presenting without partners had significantly delayed presentation.

methodsPregnant women (n = 1007) attending a first ANC appointment in Moshi, Tanzania were surveyed. Questions captured sociodemographic characteristics and measures of psychosocial constructs.

resultsJust over half (54%) of women presented to care with a male partner. Women were more likely to present with a male partner if they were younger than 25 years old, married, Muslim, attending ANC for their first pregnancy, and testing for HIV for the first time. Women presenting to ANC with a male partner were significantly more likely to attend ANC earlier in their pregnancy than those presenting without male partners.

conclusionPolicy change allowing women to present to care with other supportive family members could promote earlier presentation to first ANC. Unmarried women may be at a disadvantage in presenting to ANC when policies mandate attendance with a male partner. Male partners of multiparous women should be encouraged to provide pregnancy support even after first pregnancies, and a wholistic emphasis (beyond HIV testing) on first ANC could encourage male engagement beyond the initial appointment.

Indexed as

Prenatal CareAdolescentAdultCross-Sectional StudiesFemaleHumansMalePatient Acceptance of Health CarePregnancyPregnant PeopleSexual PartnersSurveys and QuestionnairesTanzaniaVulnerable PopulationsAntenatal careHIV careMale engagementPregnancyTanzania

Identifiers

PMID38489854
PMCPMC11129849
OpenAlexW4392301188

What OpenQuestion holds

Textmetadata
LicenceTDM
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.