Evidence map›Paper›PMID 40846832›Full record

ArticleNature communications2025

Patterns of maternal and child health services utilization and associated socioeconomic disparities in sub-Saharan Africa.

Claire Najjuuko, Ziqi Xu, Samuel Kizito, Chenyang Lu, Fred M Ssewamala

Abstract read
In one paragraph

Article in Nature communications, 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. Article
  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

5 authors.

Claire NajjuukoDivision of Computational and Data Science, Washington University in St. Louis, St. Louis, MO, USA. c.najjuuko@wustl.edu.ORCID http://orcid.org/0009-0007-1911-0508
Ziqi XuAI for Health Institute, Washington University in St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-4286-095X
Samuel KizitoInternational Center for Child Health and Development, Washington University in St. Louis, St. Louis, MO, USA.
Chenyang LuAI for Health Institute, Washington University in St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-1709-6769
Fred M SsewamalaAI for Health Institute, Washington University in St. Louis, St. Louis, MO, USA.

Funding

Strengthening Child Health Research Capacity in Resource Constrained Settings: Researcher Resilience Training (RRT)R25MH118935 · NIMH · WASHINGTON UNIVERSITY · PI SEAN JOE, Mary McKernan McKay · 2018 to 2026
$1.5M
NIMH NIH HHS R25 MH118935
6 · The paper itself

Abstract

Under-five mortality remains a global health issue, especially in sub-Saharan Africa, where preventable conditions largely drive the high mortality rates. Understanding the heterogeneity in utilization of reproductive, maternal, newborn, and child health services is crucial for reducing under-five mortality. Here we show that among 9307 under-five mortality cases across 31 sub-Saharan African countries (2014-2024), maternal and child health service utilization falls into three distinct patterns-lowest, medium, and highest. Socioeconomic status strongly predicts subgroup membership: higher maternal education, employment, urban residence, and wealth are associated with lower odds of being in the lowest utilization group. Inequality indices further reveal disparities by education, wealth, residence, and employment. Our findings show a strong link between socioeconomic status and maternal and child health services utilization. To address under-five mortality in sub-Saharan Africa, targeted strategies are needed to improve access and uptake of essential health services among socioeconomically disadvantaged groups.

Indexed as

Child Health ServicesHealthcare DisparitiesMaternal-Child Health ServicesMaternal Health ServicesPatient Acceptance of Health CareAdultAfrica South of the SaharaChild MortalityChild, PreschoolFemaleHealth Services AccessibilityHumansInfantInfant MortalityInfant, NewbornMale

Identifiers

PMID40846832
PMCPMC12373940

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.