Evidence map›Paper›PMID 39030544›Full record

ArticleReproductive health2024

Structural barriers to maternity care in Cameroon: a qualitative study.

Alfonsus Adrian Hadikusumo Harsono, Christyenne Lily Bond, Comfort Enah, Mary Glory Ngong, Rahel Mbah Kyeng, Eric Wallace, Janet M Turan, Jeffery M Szychowski, Waldemar A Carlo, Lionel Neba Ambe and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

14 authors.

Alfonsus Adrian Hadikusumo HarsonoDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA. aharsono@uabmc.edu.
Christyenne Lily BondIntervention Research and Implementation Science (IRIS) Lab, College of Nursing, Florida State University, Tallahassee, FL, USA.
Comfort EnahSchool of Nursing, College of Health Sciences, University of Massachusetts Lowell, Massachusetts, USA.
Mary Glory NgongCameroon Baptist Convention Heath Services, Bamenda, Northwest Region, Cameroon.
Rahel Mbah KyengCameroon Baptist Convention Heath Services, Bamenda, Northwest Region, Cameroon.
Eric WallaceDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Janet M TuranSchool of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Jeffery M SzychowskiSchool of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Waldemar A CarloDivision of Neonatology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Lionel Neba AmbeRegional Delegation of Public Health, Bamenda, Northwest Region, Cameroon.
Gregory Halle-EkaneUniversity of Buea, Molyko, Buea, Cameroon.
Pius Tih MuffihCameroon Baptist Convention Heath Services, Bamenda, Northwest Region, Cameroon.
Alan Thevenet N TitaDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA.
Henna BudhwaniIntervention Research and Implementation Science (IRIS) Lab, College of Nursing, Florida State University, Tallahassee, FL, USA.

Funding

COVID-19 Administrative Supplement to K01: Adapting, Pilot Testing a Behavioral Intervention to Incorporate Advances in HIV Prevention for Black Young MSM in AlabamaK01MH116737 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUDHWANI, HENNA · 2019 to 2023
$899k
Medical Information Service via mobile Telephone (m-MIST TM) Provider Support to Improve Pregnancy OutcomesR21HD103061 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUDHWANI, HENNA, ENAH, COMFORT CHU · 2020 to 2021
$351k
NICHD NIH HHS R21 HD103061NIH HHS R21HD103061NIMH NIH HHS K01 MH116737NIMH NIH HHS K01MH116737
6 · The paper itself

Abstract

backgroundThe maternal mortality and perinatal mortality rate in Cameroon are among the highest worldwide. To improve these outcomes, we conducted a formative qualitative assessment to inform the adaptation of a mobile provider-to-provider intervention in Cameroon. We explored the complex interplay of structural barriers on maternity care in this low-resourced nation. The study aimed to identify structural barriers to maternal care during the early adaptation of the mobile Medical Information Service via Telephone (mMIST) program in Cameroon.

methodsWe conducted in-depth interviews and focus groups with 56 key stakeholders including previously and currently pregnant women, primary healthcare providers, administrators, and representatives of the Ministry of Health, recruited by purposive sampling. Thematic coding and analysis via modified grounded theory approach were conducted using NVivo12 software.

resultsThree main structural barriers emerged: (1) civil unrest (conflict between Ambazonian militant groups and the Cameroonian government in the Northwest), (2) limitations of the healthcare system, (3) inadequate physical infrastructure. Civil unrest impacted personal security, transportation safety, and disrupted medical transport system. Limitations of healthcare system involved critical shortages of skilled personnel and medical equipment, low commitment to evidence-based care, poor reputation, ineffective health system communication, incentives affecting care, and inadequate data collection. Inadequate physical infrastructure included frequent power outages and geographic distribution of healthcare facilities leading to logistical challenges.

conclusionDynamic inter-relations among structural level factors create barriers to maternity care in Cameroon. Implementation of policies and intervention programs addressing structural barriers are necessary to facilitate timely access and utilization of high-quality maternity care.

Indexed as

Health Services AccessibilityMaternal Health ServicesQualitative ResearchAdultCameroonFemaleFocus GroupsHealth PersonnelHumansMaternal MortalityPregnancyCameroonian WomenChildbirth CareFocus Group DiscussionsMaternal healthQualitative study

Identifiers

PMID39030544
PMCPMC11264682

What OpenQuestion holds

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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.