Evidence map›Paper›PMID 41887631›Full record

ArticleBMJ open2026

Mapping the implementation of neonatal care guidelines in sub-Saharan Africa: a protocol for a scoping review of rates, barriers, facilitators and strategies using Tanzania as a case study.

Manji Nyaganya Isack, Dickson Ally Mkoka, Xianlan Zheng

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Manji Nyaganya IsackDepartment of Nursing, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, International Science and Technology Cooperation Base of Child Development and Critical Disorders, 400010, Chongqing, Chongqing, China.ORCID http://orcid.org/0009-0009-8073-9377
Dickson Ally MkokaDepartment of Clinical Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Dar es Salaam, Tanzania.
Xianlan ZhengDepartment of Nursing, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, International Science and Technology Cooperation Base of Child Development and Critical Disorders, 400010, Chongqing, Chongqing, China zhengxianlan@vip.163.com.ORCID http://orcid.org/0009-0002-2224-4922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSub-Saharan Africa (SSA) bears the highest global burden of neonatal mortality, a problem continued by the widespread 'know-do gap', the failure to translate evidence-based guidelines into practice. Tanzania's 2019 national neonatal care guideline illustrates this challenge, as its impact remains unevaluated despite stagnant mortality rates. A systematic mapping of implementation evidence, including its rates, determinants and improvement strategies, is urgently needed to identify gaps and inform actionable policies across SSA. METHODS AND ANALYSIS: This scoping review will be conducted in accordance with the Joanna Briggs Institute methodology. We will systematically search six electronic databases (MEDLINE (PubMed), Embase, CINAHL (EBSCOhost), Web of Science, Cochrane Library and African Journals Online) and the grey literature from 1 January 2000 to 31 December 2025. Two reviewers will independently screen records using PCC criteria (Population: healthcare workers/systems; Concept: guideline implementation; Context: SSA/Tanzania). Data will be charted and analysed using descriptive statistics and deductive thematic analysis guided by the Consolidated Framework for Implementation Research and the Expert Recommendations for Implementing Change taxonomy. ETHICS AND DISSEMINATION: Ethical approval is not required as this synthesis uses published data. Findings will be disseminated through a peer-reviewed journal manuscript, conference presentations, integration into a PhD thesis and tailored outputs for policymakers (policy brief) and frontline workers (clinical implementation brief) in Tanzania.

trial registrationThis protocol is registered with the Open Science Framework (https://doi.org/10.17605/OSF.IO/3FMBG).

Indexed as

Guideline AdherencePractice Guidelines as TopicAfrica South of the SaharaHumansInfant MortalityInfant, NewbornResearch DesignScoping Reviews as TopicTanzaniaAfrica South of the SaharaClinical ProtocolsGuideline AdherenceHealth policyImplementation ScienceNEONATOLOGY

Identifiers

PMID41887631
PMCPMC13034287

What OpenQuestion holds

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LicenceCC BY-NC
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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.