Evidence map›Paper›PMID 42755599›Full record

Articlenpj women's health2026

Development and validation of a person-centered antenatal care scale for low- and middle-income countries.

Patience A Afulani, Hawa Malechi, Daniel Enos Sekwo, Jaffer Okiring, Moro Ali, Osamuedeme J Odiase, Beryl Ogolla, Joyceline Kinyua, Linnet Ongeri, Raymond A Aborigo

Abstract read
In one paragraph

Article in npj women's health, 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

10 authors.

Patience A AfulaniDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, CA USA.
Hawa MalechiDepartment of Obstetrics and Gynecology, University for Development Studies, Tamale, Ghana.
Daniel Enos SekwoNavrongo Health Research Center, Navrongo, Ghana.
Jaffer OkiringGlobal Programs for Research and Training, Kampala, Uganda.
Moro AliNavrongo Health Research Center, Navrongo, Ghana.
Osamuedeme J OdiaseDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, CA USA.
Beryl OgollaGlobal Programs for Research and Training, Nairobi, Kenya.
Joyceline KinyuaKenya Medical Research Institute, Nairobi, Kenya.
Linnet OngeriKenya Medical Research Institute, Nairobi, Kenya.
Raymond A AborigoNavrongo Health Research Center, Navrongo, Ghana.

Funding

Caring for Providers to Improve Patient Experience (CPIPE) StudyR01HD110370 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Patience A Afulani · 2023 to 2026
$2.5M
NICHD NIH HHS R01 HD110370
6 · The paper itself

Abstract

We aimed to develop and validate a tool to comprehensively measure person-centered antenatal care (PCANC) in low- and middle-income countries (LMICs). We followed standard procedures for scale development, including literature review, expert reviews, cognitive interviews, and pretesting to ensure content validity. Questions were iteratively revised at each stage and administered in surveys with pregnant and postpartum women in Ghana and Kenya. The survey data were used for psychometric analysis, resulting in a 36-item PCANC scale with three subscales: "dignity and respect," "communication and autonomy," and "responsive and supportive care." The Cronbach's alpha is 0.90 for the full scale and >0.7 for each subscale. The summative PCANC scores correlate with global measures of antenatal care quality, satisfaction, and future care location, suggesting good criterion validity. The PCANC scale has high validity and reliability and will facilitate efforts to measure and improve respectful and responsive antenatal care in LMICs.

Indexed as

Health careMedical research

Identifiers

PMID42755599
PMCPMC13581594

What OpenQuestion holds

Textmetadata
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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.