Evidence map›Paper›PMID 39595713›Full record

ArticleInternational journal of environmental research and public health2024

Midwife-Led Mobile Antenatal Clinic: An Innovative Approach to Improve Utilization of Services in Pwani, Tanzania.

Beatrice E Mwilike, Joanne Welsh, Kasusu K Nyamuryekung'e, Alex J Nyaruchary, Andrea B Pembe, Mechthild M Gross

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 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

6 authors.

Beatrice E MwilikeDepartment of Community Health Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam 11103, Tanzania.
Joanne WelshMaternal and Newborn Health, Cambridge CB24, UK.
Kasusu K Nyamuryekung'eDepartment of Community Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam 11103, Tanzania.
Alex J NyarucharyDepartment of Community Health Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam 11103, Tanzania.
Andrea B PembeDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, Dar es Salaam 11103, Tanzania.
Mechthild M GrossMidwifery Research and Education Unit, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0001-6348-0054

Funding

Lower Saxony Ministry of Science and Culture, Hannover, Germany 15/50117-78/21 (8)
6 · The paper itself

Abstract

Participating in antenatal clinics is a major determinant in reducing poor maternal and neonatal birth outcomes. We aimed to evaluate the utilization of antenatal clinic (ANC) services provided by a mobile clinic led by skilled midwives and determine the acceptability in the Pwani region, Tanzania. For a year, the mobile clinic, nicknamed "Mkunga Kitaani" and equipped with necessary tools and staff, served seven villages in the Kisarawe district that lacked health facilities. The research was conducted using a descriptive study design, incorporating both qualitative and quantitative methods. Qualitative and quantitative data were collected through 12 interviews and 214 medical records among pregnant women, respectively. The results show that approximately 17% of the women initiated ANC early, while 36% made their visit during their third trimester. Participants generally preferred the mobile clinic over traditional facilities due to its provision of comprehensive care. However, challenges such as clinic unreliability during the rainy season and limited availability of tests, including obstetric ultrasounds, were noted. Despite hurdles, the study highlighted increased ANC access and community engagement, suggesting potential for expansion to other underserved rural areas. The findings underscore the importance of innovative approaches to ANC delivery in regions with limited healthcare infrastructure.

Indexed as

MidwiferyMobile Health UnitsPrenatal CareAdolescentAdultFemaleHumansMaternal Health ServicesPatient Acceptance of Health CarePregnancyTanzaniaYoung Adultantenatal caremidwifery-ledmobile clinicSub-Saharan Africautilization

Identifiers

PMID39595713
PMCPMC11594219

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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.