Evidence map›Paper›PMID 40439489›Full record

ArticleInternational health2026

Geographical disparities in maternal healthcare and mortality in the Philippines: a 10-year comparison.

Francis Sarial Ganancial, Roditt Cruz-Delfino, Vivian Chia-Rong Hsieh

Abstract readComparative Study
In one paragraph

Article in International health, 2026. 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
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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Francis Sarial GanancialDepartment of Public Health, China Medical University, Taichung 406040, Taiwan.
Roditt Cruz-DelfinoGraduate School, Notre Dame of Marbel University, City of Koronadal 9506, South Cotabato, Philippines.
Vivian Chia-Rong HsiehDepartment of Public Health, China Medical University, Taichung 406040, Taiwan.ORCID 0000-0001-9635-0897

Funding

China Medical University CMU113-S-54National Science and Technology Council MOST 110-2410-H-039-003
6 · The paper itself

Abstract

backgroundAlthough the Philippines launched its Maternal, Neonatal, and Child Health and Nutrition strategy in 2008 to reduce maternal mortality, its impact on maternal health services (MHS) utilization and maternal mortality ratio (MMR) remains unclear. This study examines MHS utilization trends and their association with MMR across the Philippines from 2010 to 2019.

methodsWe conducted an ecological study using panel data in the Philippines during 2010-2019. Secondary analyses took place on datasets from the Department of Health and the Philippine Statistics Authority. Multivariate analyses were performed to investigate the association between MHS utilization and MMR.

resultsFrom 2010 to 2019, national mean MMR declined from 74.85 to 57.19 deaths per 100 000 live births. Facility-based deliveries increased by 39.57% and births attended by medical doctors by 19.01%. Results from fixed-effects models revealed no significant association between MHS utilization and change in MMR over the 10-y period. However, utilization of antenatal care in Luzon (β=-1.528, p=0.005) and postpartum care in Mindanao (β=-1.604, p=0.020) was attributable to MMR reduction in 2019.

conclusionsWhile a national decline in MMR was observed from 2010 to 2019, significant regional disparities in MMR existed. The impact of MHS utilization varied over time and location.

Indexed as

Healthcare DisparitiesMaternal Health ServicesMaternal MortalityAdultFemaleHumansPhilippinesPregnancyPrenatal CareYoung Adultgeographical disparitiesmaternal healthmaternal health service utilizationmaternal mortalityPhilippines

Identifiers

PMID40439489
PMCPMC12766459

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