Evidence map›Paper›PMID 38515927›Full record

ArticleDialogues in health2022

Improving maternal and child health outcomes through a community involvement strategy in Kabula location, Bungoma County, Kenya.

Fabian Esamai, Ann Mwangi, Mabel Nangami, John Tabu, David Ayuku, Edwin Were

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Article in Dialogues in 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
–field-weighted citation impact
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.

  1. 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

6 authors.

Fabian EsamaiDept of Child Health and Paediatrics, School of Medicine College of health Sciences Moi University, Kenya.
Ann MwangiDept of Behavioural Sciences, School of Medicine College of Health Sciences Moi University, P. O Box 4606, 30100 Eldoret, Kenya.
Mabel NangamiDept of health management and Health Policy, School of Public Health, College of health Sciences, Moi University, P. O Box 4606, 30100 Eldoret, Kenya.
John TabuSenior Lecturer, Dept of Disaster Risk Management, School of Public health, College of Health Sciences, Moi University, P. O Box 4606, 30100 Eldoret, Kenya.
David AyukuClinical Psychology, Dept of behavioural Sciences, School of Medicine College of Health Sciences Moi University, P. O Box 4606, 30100 Eldoret, Kenya.
Edwin WereDept of Reproductive Health, School of Medicine College of health Sciences Moi University, P. O Box 4606, 30100 Eldoret, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Maternal, fetal and neonatal mortality are higher in low-income compared to high-income countries due to weak health systems including poor access and utilization of health services. Despite enormous recent improvements in maternal, neonatal and under five children health indicators, more rapid progress is needed to meet the targets including the Sustainable Development Goal 3(SDG). In Kenya these indicators are still high and comprehensive systems are needed to attain these goals. Objective: To facilitate innovative partnerships in health care provision and to assess trends in access, utilization and quality of Maternal and Child Health care through the health systems approach using community owned initiatives including use of community owned resourse persons (CORPs), establishment of Community Based Organisations (CBOs) and Income Generating Activities(IGAs). Study site: This was implemented in Kabula location, Bungoma County, Kenya between January 2016 and April 2019. Study population: Pregnant women, newborns and under-five children living in Kabula location identified by Community Owned Resource Persons (CORPs). Methods: A prospective study to show trends in maternal, neonatal and infant outcomes through the implementation of community owned initiatives. Findings: General, under five and antenatal clinic attendance increased four fold in 2016,2017 and 2018. There was a 76% full immunization coverage with 97% BCG and 84% Polio coverage respectively among children studied. There was an 87% facility delivery rate among the pregnant women enrolled in the study. Conclusions: Trends in Maternal and under-five health indicators in Kabula showed improvements over the study period following the implementation of the community owned initiatives and community participation. Recommendations: The community owned initiatives as implemented in this study is useful in primary care and universal health coverage programs in health care delivery systems in LMICs.

Indexed as

Community owned resource personsCommunity ownershipCommunity participationEnhanced health careHealth systemsMaternalNeonatal

Identifiers

PMID38515927
PMCPMC10954023

What OpenQuestion holds

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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.