Evidence map›Paper›PMID 39238363›Full record

Trial reportJournal of global health2024

Health workers' perspectives on the quality of maternal and newborn health care around the time of childbirth: Results of the Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) project in 12 countries of the World Health Organization European Region.

Emanuelle Pessa Valente, Ilaria Mariani, Arianna Bomben, Sandra Morano, Michael Gemperle, Marina Ruxandra Otelea, Céline Miani, Helen Elden, Antigoni Sarantaki, Raquel Costa and 32 more

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04847336 (IMAGINE EURO), which is not on this 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.

NCT04847336 unknown statusnot on this map

IMAGINE EURO (Improving MAternal Newborn carE In the EURO Region): Maternal and Newborn Health Service Preparedness, Quality and Resilience, Among Countries of the WHO European Region, During the COVID-19 Pandemic

TypeobservationalSponsorWHO Collaborating Centre for Maternal and Child Health, TriesteRan2020 to 2022Enrolled10,000ConditionsQuality of Care During ChildbirthArmsNo intervention is planned
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Experiences of disrespect and abuse during childbirth in the World Health Organization European region: A mixed-method study among 22 countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    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

42 authors.

Emanuelle Pessa ValenteWorld Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Ilaria MarianiWorld Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Arianna BombenWorld Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Sandra MoranoMedical School and Midwifery School, Genoa University, Genoa, Italy.
Michael GemperleInstitute of Midwifery and Reproductive Health, School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
Marina Ruxandra OteleaUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Romania.
Céline MianiDepartment of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.
Helen EldenInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Antigoni SarantakiDepartment of Midwifery, Faculty of Health and Care Sciences, University of West Attica, Athens, Greece.
Raquel CostaEPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Barbara BaranowskaDepartment of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland.
Martina König-BachmannHealth University of Applied Sciences Tyrol, Innsbruck, Austria.
Sigrun KongslienDepartment of Health and Care Sciences, UiT The Arctic University of Norway, Norway.
Daniela DrandićInternational Confederation of Midwives (ICM), Hague, Netherlands.
Virginie RozéeSexual and Reproductive Health and Rights Research Unit, Institut National d'Études Démographiques, Paris, France.
Antonella NespoliSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Alessia Abderhalden-ZellwegerSchool of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
Ioana NanuSocial Obstetrics and Paediatric Research Unit, National Institute for Mother and Child Health Alessandrescu Rusescu, Bucharest, Romania.
Stephanie Batram-ZantvoortDepartment of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.
Karolina LindenInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Dimitra MetallinouDepartment of Midwifery, Faculty of Health and Care Sciences, University of West Attica, Athens, Greece.
Heloísa DiasRegional Health Administration of the Algarve, IP (ARS - Algarve), Portugal.
Urszula Tataj-PuzynaDepartment of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland.
Elisabeth D'CostaMedical University of Innsbruck, Innsbruck, Austria.
Ingvild Hersoug NedbergDepartment of Health and Care Sciences, UiT The Arctic University of Norway, Norway.
Magdalena KurbanovićFaculty of Health Studies, University of Rijeka, Rijeka, Croatia.
Elise de La RochebrochardSexual and Reproductive Health and Rights Research Unit, Institut National d'Études Démographiques, Paris, France.
Simona FumagalliSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Susanne Grylka-BaeschlinInstitute of Midwifery and Reproductive Health, School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
Claudia Mariana HandraUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Romania.
Mehreen ZaighamObstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Institution of Clinical Sciences Lund, Lund University, Lund and Skane University Hospital, Malmö, Sweden.
Eirini OrovouDepartment of Midwifery, School of Health Sciences, University of Western Macedonia, Ptolemaida, Greece.
Catarina BarataInstituto de Ciências Sociais, Universidade de Lisboa, Lisboa, Portugal.
Beata SzlendakDepartment of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland.
Christoph ZenzmaierHealth University of Applied Sciences Tyrol, Innsbruck, Austria.
Eline Skirnisdottir VikDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Norway.
Alina LiepinaitienėFaculty of Natural Sciences, Department of Environmental Sciences, Vytautas Magnus University, Kaunas, Lithuania.
Zalka DrglinNational Institute of Public Health, Ljubljana, Slovenia.
Maryse ArendtProfessional association of the Lactation Consultants in Luxembourg, Luxembourg, Luxembourg.
Emma SacksDepartment of International Health, Johns Hopkins University, Baltimore, Maryland, USA.
Marzia LazzeriniWorld Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Health workers' (HWs') perspectives on the quality of maternal and newborn care (QMNC) are not routinely collected. In this cross-sectional study, we aimed to document HWs' perspectives on QMNC around childbirth in 12 World Health Organization (WHO) European countries. Methods: HWs involved in maternal/neonatal care for at least one year between March 2020 and March 2023 answered an online validated WHO standards-based questionnaire collecting 40 quality measures for improving QMNC. A QMNC index (score 0-400) was calculated as a synthetic measure. Results: Data from 4143 respondents were analysed. For 39 out of 40 quality measures, at least 20% of HWs reported a 'need for improvement', with large variations across countries. Effective training on healthy women/newborns management (n = 2748, 66.3%), availability of informed consent job aids (n = 2770, 66.9%), and effective training on women/newborns rights (n = 2714, 65.5%) presented the highest proportion of HWs stating 'need for improvement'. Overall, 64.8% (n = 2684) of respondents declared that HWs' numbers were insufficient for appropriate care (66.3% in Portugal and 86.6% in Poland), and 22.4% described staff censorship (16.3% in Germany and 56.7% in Poland). The reported QMNC index was low in all countries (Poland median (MD) = 210.60, interquartile range (IQR) = 155.71, 273.57; Norway MD = 277.86; IQR = 244.32, 308.30). The 'experience of care' domain presented in eight countries had significantly lower scores than the other domains (P < 0.001). Over time, there was a significant monthly linear decrease in the QMNC index (P < 0.001), lacking correlation with the coronavirus disease 2019 (COVID-19) pandemic trends (P > 0.05). Multivariate analyses confirmed large QMNC variation by country. HWs with <10 years of experience, HWs from public facilities, and midwives rated QMNC with significantly lower scores (P < 0.001). Conclusions: HWs from 12 European countries reported significant gaps in QMNC, lacking association with COVID-19 pandemic trends. Routine monitoring of QMNC and tailored actions are needed to improve health services for the benefit of both users and providers. Registration: ClinicalTrials.gov NCT04847336.

Indexed as

Attitude of Health PersonnelHealth PersonnelMaternal-Child Health ServicesAdultCross-Sectional StudiesEuropeFemaleHumansInfant, NewbornParturitionPregnancyQuality ImprovementQuality of Health CareSurveys and QuestionnairesWorld Health Organization

Identifiers

PMID39238363
PMCPMC11377968

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.