Evidence map›Paper›PMID 38676402›Full record

Trial reportCommunity health equity research & policy2025

The Equity Impact of Universal Home Visits to Pregnant Women and Their Spouses in Bauchi State, Nigeria: Secondary Analysis From a Cluster Randomised Controlled Trial.

Anne Cockcroft, Loubna Belaid, Khalid Omer, Umaira Ansari, Amar Aziz, Yagana Gidado, Hadiza Mudi, Rilwanu Mohammed, Rakiya Sale, Neil Andersson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Community health equity research & policy, 2025. 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
–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

1 citing paper in PubMed.

  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

10 authors.

Anne CockcroftCIET-PRAM, Department of Family Medicine, McGill University, Montreal, QC, Canada.ORCID 0000-0002-1558-1106
Loubna BelaidÉcole Nationale d'Administration Publique, Montreal, Canada.
Khalid OmerCIET-PRAM, Department of Family Medicine, McGill University, Montreal, QC, Canada.
Umaira AnsariCentro de Investigácion de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Mexico.
Amar AzizCentro de Investigácion de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Mexico.
Yagana GidadoFederation of Muslim Women's Associations of Nigeria (FOMWAN), Bauchi, Nigeria.
Hadiza MudiFederation of Muslim Women's Associations of Nigeria (FOMWAN), Bauchi, Nigeria.
Rilwanu MohammedBauchi State Primary Health Care Development Agency, Bauchi, Nigeria.
Rakiya SaleBauchi State College of Nursing and Midwifery, Bauchi, Nigeria.
Neil AnderssonCIET-PRAM, Department of Family Medicine, McGill University, Montreal, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocio-economically disadvantaged women have poor maternal health outcomes. Maternal health interventions often fail to reach those who need them most and may exacerbate inequalities. In Bauchi State, Nigeria, a recent cluster randomised controlled trial (CRCT) showed an impressive impact on maternal health outcomes of universal home visits to pregnant women and their spouses. The home visitors shared evidence about local risk factors actionable by households themselves and the program included specific efforts to ensure all households in the intervention areas received visits. PURPOSE: To examine equity of the intervention implementation and its pro-equity impact. RESEARCH DESIGN AND STUDY SAMPLE: The overall study was a CRCT in a stepped wedge design, examining outcomes among 15,912 pregnant women. ANALYSIS: We examined coverage of the home visits (three or more visits) and their impact on maternal health outcomes according to equity factors at community, household, and individual levels.

resultsDisadvantaged pregnant women (living in rural communities, from the poorest households, and without education) were as likely as those less disadvantaged to receive three or more visits. Improvements in maternal knowledge of danger signs and spousal communication, and reductions in heavy work, pregnancy complications, and post-natal sepsis were significantly greater among disadvantaged women according to the same equity factors.

conclusionsThe universal home visits had equitable coverage, reaching all pregnant women, including those who do not access facility-based services, and had an important pro-equity impact on maternal health.

Indexed as

House CallsSpousesAdultFemaleHumansMaleMaternal Health ServicesNigeriaPregnancyPregnant PeopleRural PopulationSocioeconomic FactorsVulnerable PopulationsYoung Adulthealth equityhome visitsimplementation researchmaternal healthuniversal health coverage

Identifiers

PMID38676402
PMCPMC11577682

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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.