Evidence map›Paper›PMID 39288131›Full record

ArticlePloS one2024

Factors contributing to delays in accessing health facility-based maternal delivery services in Sierra Leone, 2018: A community-based cluster survey.

Gbessay Saffa, Charles Keimbe, Andrew Bangalie, Amara Alhaji Sheriff, Babah Jalloh, Doris Bah, Fatmata Bangura, Francis Tamba, Henry Bangura, Isha Sesay and 6 more

Abstract read
In one paragraph

Article in PloS one, 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
–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

16 authors.

Gbessay SaffaMinistry of Health, Sierra Leone.
Charles KeimbeMinistry of Health, Sierra Leone.
Andrew BangalieMinistry of Health, Sierra Leone.
Amara Alhaji SheriffMinistry of Health, Sierra Leone.
Babah JallohMinistry of Health, Sierra Leone.
Doris BahMinistry of Health, Sierra Leone.
Fatmata BanguraMinistry of Health, Sierra Leone.
Francis TambaMinistry of Health, Sierra Leone.
Henry BanguraMinistry of Health, Sierra Leone.
Isha SesayMinistry of Health, Sierra Leone.
Kassim KamaraMinistry of Health, Sierra Leone.
Sahr GborieMinistry of Health, Sierra Leone.
Hale TekaMekelle University, College of Health Sciences, Mekelle, Ethiopia.
Eric IkoonaICAP at Columbia University in Sierra Leone, Sierra Leone.
Adel Hussein EldumaAfrican Field Epidemiology Network, Field Epidemiology Training Program, Sierra Leone.ORCID 0009-0003-0143-9015
Gebrekrstos Negash GebruAfrican Field Epidemiology Network, Field Epidemiology Training Program, Sierra Leone.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith a Maternal Mortality Ratio (MMR) of 516 deaths per 100,000 live-births, Sierra Leone hosts one of the highest maternal mortalities in globally. National data indicates that over 98% of maternal deaths are related to delays in accessing obstetric services. This study sought to examine factors contributing to delays in accessing maternal delivery services as perceived by women in Sierra Leone.

methodsWe conducted a community-based survey among women who delivered from May 1, 2017 to June 30, 2018, in four districts of Sierra Leone. Delay one was defined as perceived delays in deciding to seek facility-based delivery. Delay two was defined as perceived delays reaching the health facility for delivery services. Data on participants' socio-demographics, delay one, delay two, three and determinants of delays one and two and three were collected using questionnaires. We calculated frequencies and proportions for factors contributing to delays as well as Prevalence Odds Ratios (POR) to identify risk factors for the delays.

resultsA total of 614 mothers were interviewed, median age 28 years (range, 14-52 years). The prevalence of Delay One was 23.3% (143/614), and Delay Two was 26.9% (165/614). Mother with secondary education were associaited with delay one (aPOR = 2.3; 95% CI:1.14, 4.46). These was an association between perceived delay-two and previous pregnancy-related complications (aPOR = 1.6; 95% CI:1.071, 2.538) and poor condition of roads (POR = 2.34; 95%CI, 1.15, 4.77). Additinally, there was an association between delay-three and previous-related complication during last pregnancy (aPOR = 1.9; 95% CI: 1.055, 3.67).

conclusionsThis study revealed a high prevalence of perceived delays one and two for mothers to access obstetric services. Delays were mainly related to transport difficulties, low knowledge of pregnancy-related complications, and costly obstetric services. A practical strategy for birth preparedness and readiness to reduce delays is urgently needed.

Indexed as

Health Services AccessibilityMaternal Health ServicesAdolescentAdultDelivery, ObstetricFemaleHealth FacilitiesHumansMaternal MortalityMiddle AgedPregnancySierra LeoneSurveys and QuestionnairesYoung Adult

Identifiers

PMID39288131
PMCPMC11407616

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LicenceCC BY
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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.