ArticlePLOS global public health2025
Beyond facility-based births: Is Uganda delivering effective maternal and newborn care? An analysis of the 2022 demographic health survey and 2023 harmonized health facility assessment survey.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Missed opportunity for initiation of modern contraception and associated factors among postpartum women in Kabale municipality, Southwestern Uganda: a cross-sectional study.BMC public health · 2026Article
- Uganda's Mandatory Newborn Sickle Cell Disease Screening Programme: Translating a Decade of Evidence into Differentiated Implementation.Pediatric health, medicine and therapeutics · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Maternal and newborn studies in Uganda have primarily focused on measuring contact coverage, such as the proportion of facility-based births. However, this is inadequate and may overestimate the benefits of services provided to women and newborns if the quality of care in the facilities is not considered. Effective coverage of care addresses this limitation and adjusts for the quality of services. This study assessed the effective coverage of maternal and newborn care for facility-based births in Uganda using the 2022 Uganda Demographic and Health Survey (DHS) and the 2023 Harmonized Health Facility Assessment (HHFA). The analysis included 5,618 women who had a live birth in the two years preceding the DHS, and 636 facilities providing childbirth care from the HHFA. Facility readiness was assessed using four domains: human resources, equipment, amenities, and drugs and supplies. Crude coverage was calculated as the percentage of facility births. Two measures of effective coverage were estimated: intervention coverage as a percentage of women who received all ten selected recommended interventions for their most recent birth, and readiness-adjusted coverage as a product of crude coverage and facility readiness using an ecological linking method by region. 85.9% of the women gave birth in a facility, but only 14.0% received all ten interventions. Readiness was highest in government hospitals (81.9%) and lowest in lower government health centers (46.4%). Only 47.8% of women gave birth in a ready facility. Readiness-adjusted coverage varied across regions, with the lowest in Kampala (40.9%) and the highest in the North-Eastern (61.4%). These Findings indicate a large gap between crude and effective coverage, disproportionately affecting regions and lower-level health centers, highlighting a need to enhance the capacity of lower-level health centers to deliver quality maternal and newborn care.
Identifiers
What OpenQuestion holds
Registered trials
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.