Evidence map›Paper›PMID 42252121›Full record

ReviewBMJ paediatrics open2026

Reflections on a global partnership for perinatal quality improvement in Rwanda.

Lisine Tuyisenge, Jean-Petit Habonimana, Alexis Nsengiyumva, Francois Regis Cyiza, Emmanuel Manzi, Samson Desie, Alexandra Pledge, Sarah McMurtrie, Clemence Muzard-Banes, Marie Bontoux and 1 more

Abstract readReview
In one paragraph

Review in BMJ paediatrics 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. Review
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

11 authors.

Lisine TuyisengeRwanda Pediatric Association, Kigali, Rwanda.
Jean-Petit HabonimanaRwanda Pediatric Association, Kigali, Rwanda.
Alexis NsengiyumvaRwanda Pediatric Association, Kigali, Rwanda.
Francois Regis CyizaRwanda Biomedical Center, Kigali, Rwanda.
Emmanuel ManziUNICEF Rwanda, Kigali, Rwanda.
Samson DesieUNICEF Rwanda, Kigali, Rwanda.
Alexandra PledgeRCPCH, London, UK.
Sarah McMurtrieRCPCH Global, London, UK.
Clemence Muzard-BanesRCPCH Global, London, UK.
Marie BontouxRCPCH Global, London, UK.
Sebastian TaylorRCPCH Global, London, UK sebastian.taylor@rcpch.ac.uk.ORCID http://orcid.org/0009-0004-8749-912X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Between 2017 and 2023, the Royal College of Paediatrics and Child Health and the Rwanda Pediatric Association (its peer institution in Rwanda) collaborated with UNICEF, the Rwandan Ministry of Health and the Rwanda Biomedical Center to design and deliver a perinatal programme to improve clinical care and outcomes across multiple hospitals and selected primary health centres. Over the period, the programme showed measurable positive impact on quality of care and clinical outcomes. However, the persistence of preventable or avoidable mortality, in particular among newborns in hospital and health centres, highlights the influence of deeper systemic constraints on care quality and outcomes within the network of clinical care facilities, as well as in wider community-level determinants of health. Quantitative results are neither the only nor, arguably, the most important aspect of the kind of programme presented here. An equal value lies in qualitative understanding of how a programme of 'quality improvement' interventions, delivered continuously over time in multiple facilities through a professional partnership between equitably authoritative international and Rwandan counterparts, can reveal underlying structural factors that mediate the translation of clinical interventions into effective care systems.

Indexed as

International CooperationPerinatal CareQuality ImprovementFemaleHumansInfant, NewbornPregnancyRwandaChild HealthHealth PolicyHealth services researchLow and Middle Income CountriesNeonatology

Identifiers

PMID42252121
PMCPMC13250213

What OpenQuestion holds

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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.