Evidence map›Paper›PMID 39516857›Full record

SynthesisBMC pregnancy and childbirth2024

Factors influencing the uptake of antenatal care in Uganda: a mixed methods systematic review.

Kiran Bhutada, Mahima Venkateswaran, Maureen Atim, Susan Munabi-Babigumira, Victoria Nankabirwa, Flavia Namagembe, J Frederik Frøen, Eleni Papadopoulou

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Kiran BhutadaGlobal Health Cluster, Division for Health Services, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, Norway.
Mahima VenkateswaranGlobal Health Cluster, Division for Health Services, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, Norway.
Maureen AtimMakerere University School of Public Health, New Mulago Gate Rd, Kampala, Uganda.
Susan Munabi-BabigumiraDepartment of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Victoria NankabirwaCentre for Intervention Science in Maternal and Child Health (CISMAC), University of Bergen, Bergen, Norway.
Flavia NamagembeMakerere University School of Public Health, New Mulago Gate Rd, Kampala, Uganda.
J Frederik FrøenGlobal Health Cluster, Division for Health Services, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, Norway.
Eleni PapadopoulouGlobal Health Cluster, Division for Health Services, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, Norway. EleniZoumpoulia.Papadopoulou@fhi.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2016, the World Health Organization (WHO) recommended increasing antenatal care (ANC) visits from four to eight to reduce maternal morbidity and mortality. However, many low-middle income countries (LMICs), including Uganda, struggle to achieve even the basic four ANC visits. To further improve ANC attendance, understanding the perceptions and beliefs of end users is crucial. This systematic review explores the perceptions, experiences, and behavior of pregnant or previously pregnant women, their families and healthcare workers on ANC attendance in Uganda.

methodsThe review includes qualitative and quantitative studies published from January 2012 to September 2022. Outcomes include early initiation of ANC visits and any attendance or utilization of routine ANC services. The Critical Appraisal Skills Programme (CASP) checklist was used to assess the quality of included studies.

resultsWe searched 7 databases, identified 725 references and assessed 107 in full text for eligibility based on selected inclusion criteria. Forty-seven studies were eligible and are included in this review. Quantitative findings highlight socioeconomic factors like occupation, wealth index, and marital status as key determinants of ANC uptake and timely uptake of care, favoring higher wealth, younger age, marriage, and media access. Qualitative evidence reveals challenges to ANC attendance including financial constraints, cultural beliefs, gendered decision-making, and geographical distance from healthcare facilities. Potential solutions involve financially empowering women, providing reliable ANC equipment and medication, and community engagement and education.

conclusionsThis review offers valuable insights for policymakers and healthcare providers seeking to tailor interventions that address the unique needs and challenges faced by pregnant women, their families, and healthcare workers in Uganda. By doing so, it may enhance ANC accessibility and quality, ultimately aligning with the WHO's recommendation of eight ANC contacts (ANC8) and contributing to reducing maternal morbidity and mortality rates.

Indexed as

Patient Acceptance of Health CarePrenatal CareAdultFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansPregnancySocioeconomic FactorsUgandaANC guidelinesAntenatal careBarriersDelivery of health careHealthcare utilizationHealth workersImplementationMaternity careRespectful careUganda

Identifiers

PMID39516857
PMCPMC11545493

What OpenQuestion holds

Textmetadata
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.