Evidence map›Paper›PMID 39585866›Full record

ArticlePloS one2024

Effectiveness of a community-based intervention package in maternal health service utilization: A cross-sectional quasi-experimental study in rural Ghana.

Hirotsugu Aiga, Yoshito Kawakatsu, Nobuhiro Kadoi, Emmanuel Obeng, Frank Tabi Addai, Frederick Ofosu, Kazuki Fujishima, Mayumi Omachi, Etsuko Yamaguchi

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

9 authors.

Hirotsugu AigaSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID 0000-0001-5910-3379
Yoshito KawakatsuDepartment of Nursing, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
Nobuhiro KadoiHuman Development Department, Japan International Cooperation Agency (JICA), Tokyo, Japan.
Emmanuel ObengGhana Country Office, The Japanese Organization for International Cooperation in Family Planning (JOICFP), Suhum, Eastern Region, Ghana.
Frank Tabi AddaiGhana Country Office, The Japanese Organization for International Cooperation in Family Planning (JOICFP), Suhum, Eastern Region, Ghana.ORCID 0009-0003-6162-4116
Frederick OfosuSuhum Municipal Health Directorate, Ghana Health Service (GHS), Suhum, Eastern Region, Ghana.
Kazuki FujishimaInternational Program, The Japanese Organization for International Cooperation in Family Planning (JOICFP), Tokyo, Japan.
Mayumi OmachiInterfaculty Initiative in Planetary Health, Nagasaki University, Nagasaki, Japan.
Etsuko YamaguchiInternational Program, The Japanese Organization for International Cooperation in Family Planning (JOICFP), Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe examined the effectiveness of a community-based intervention package that targeted pregnant women for increasing utilization of maternal health services. The intervention package was implemented in Suhum Municipality, Ghana, from March 2019 to April 2022. The package consisted of: (i) maternal health education by female and male peers; (ii) training existing health workers on maternal health; and (iii) strengthening the local community health management committees.

methodsA cross-sectional household survey was conducted in May 2022. We sampled four groups of women: (i) intervention at baseline; (ii) intervention at follow-up; (iii) control at baseline; and (iv) control at follow-up. Three outcome variables were set, i.e., the proportions of women having utilized: (i) at least four antenatal care (ANC) services; (ii) facility-based delivery (FBD) services; and (iii) post-partum care (PPC) services. To estimate the effectiveness of the intervention package in increasing the service coverages, both crude and adjusted difference-in-differences (DID) estimates were calculated. Significance levels were set at the values of 0.10, 0.05, and 0.01, since the aforementioned service coverages had already been too high to have room for an increase at the significance level of 0.05.

resultsThe proportion of women completing at least four ANC services displayed significant DID in both crude and adjusted analyses. The proportions of women utilizing facility-based delivery services and post-partum care services did not display significant DID.

conclusionsOf the three outcome variables set, only the proportion of women having utilized at least four ANC services significantly increased in the intervention group, compared with the control group. Ghana has been in the transition process of shifting the minimum number of ANC visits from four to eight. Thus, nationwide scaling up of the intervention package is expected to help the transition be smooth by increasing the number of ANC visits.

Indexed as

Maternal Health ServicesPrenatal CareRural PopulationAdolescentAdultCross-Sectional StudiesFemaleGhanaHumansMaleMaternal HealthMiddle AgedPatient Acceptance of Health CarePregnancyYoung Adult

Identifiers

PMID39585866
PMCPMC11588241

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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.