Evidence map›Paper›PMID 40010811›Full record

ArticleBMJ open2025

Postdischarge health information tools and information needs for mothers of vulnerable newborns in low- and middle-income countries: a scoping review.

Asma Rababeh, Chris Paton, Gulraj Grewal, Jackson Michuki Maina, Mike English, Dorothy Oluoch, Sebastian S Fuller, Chrysanthi Papoutsi

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2025. 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

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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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

8 authors.

Asma RababehNuffield Department of Medicine, Health Systems Collaborative, University of Oxford, Oxford, UK asma.rababeh@some.ox.ac.uk.ORCID http://orcid.org/0000-0002-1614-3896
Chris PatonNuffield Department of Medicine, Health Systems Collaborative, University of Oxford, Oxford, UK.
Gulraj GrewalNuffield Department of Medicine, Health Systems Collaborative, University of Oxford, Oxford, UK.
Jackson Michuki MainaHealth Services Unit, KEMRI-Wellcome Trust Research Programme Nairobi, Nairobi, Kenya.ORCID http://orcid.org/0000-0001-6874-8929
Mike EnglishNuffield Department of Medicine, Health Systems Collaborative, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-7427-0826
Dorothy OluochHealth Services Unit, KEMRI-Wellcome Trust Research Programme Nairobi, Nairobi, Kenya.ORCID http://orcid.org/0000-0002-2283-321X
Sebastian S FullerNuffield Department of Medicine, Health Systems Collaborative, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-9284-6630
Chrysanthi PapoutsiNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe postdischarge period is crucial for vulnerable newborns at risk of morbidity, readmission and mortality in low- and middle-income countries (LMICs). Addressing gaps in care during this period could improve outcomes. This review consolidates evidence on caregiver information needs and relevant information tools used in postdischarge care for vulnerable newborns in LMICs.

designScoping review using the methodological framework developed by Arksey and O'Malley. DATA SOURCES: We searched six databases for relevant articles published in English between 2001 and 2021. Additional articles were identified through citation and reference checking. ELIGIBILITY CRITERIA: Articles on postdischarge care for newborns in LMICs, excluding economic and technical development studies, discharge to other healthcare facilities (rather than to home) and maternal-focused studies. DATA EXTRACTION AND SYNTHESIS: Data extraction followed Arksey and O'Malley's data charting method. Using a descriptive synthesis approach, heterogeneous data were collated in narrative format.

resultsFrom 5190 articles, 22 were included. Only a small number of articles discussed caregiver challenges, like receiving insufficient information at discharge which led to uncertainty in caring for vulnerable newborns. Caregivers had a number of needs in relation to maternal and newborn care, including in terms of coordination of follow-up care. Although a number of tools have been used to support relevant needs (for postnatal care in general rather than specifically for postdischarge care of vulnerable newborns), these have shown mixed effectiveness due to challenges with completeness, lack of training and support, supply chain issues and cultural barriers to adoption, such as preference for alternative providers.

conclusionOur understanding of postdischarge information needs for those looking after vulnerable newborns in LMICs remains limited. More effective use of information tools could help address some of these needs and contribute towards reducing neonatal mortality rates.

Indexed as

MothersPatient DischargeCaregiversDeveloping CountriesFemaleHumansInfant, NewbornVulnerable PopulationsBIOTECHNOLOGY & BIOINFORMATICSInformation Storage and RetrievalINTENSIVE & CRITICAL CAREPAEDIATRICSPostpartum PeriodPrimary Health Care

Identifiers

PMID40010811
PMCPMC11865766

What OpenQuestion holds

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Registered trials

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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.