SynthesisPrimary health care research & development2023
Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature.
Synthesis in Primary health care research & development, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Burden of Dengue in Pregnant Individuals: A Systematic Literature Review.The American journal of tropical medicine and hygiene · 2026Pooled it
- Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi.PloS one · 2025Trial
- Factors associated with early obstetric ultrasound uptake at a tertiary hospital in Northern Uganda: a cross-sectional study.BMJ open · 2026Article
- Birth Weight in Infants with a Cleft Lip and/or Palate: A Systematic Review and Meta-Analysis.The Journal of pediatrics · 2026Article
- Article
- Clinical, social, and occupational determinants of severe preeclampsia: a multifactorial case-control study on maternal health inequities in Peru.BMC pregnancy and childbirth · 2026Article
- Article
- Artificial intelligence and the future of maternal and newborn health in low-income countries: advancing equity, early detection, and health system resilience.Frontiers in public health · 2026Review
- A mixed-methods evaluation of outreach service provision by the "Strengthening Migrant Access to Reproductive Health in Thailand" Initiative, 2020-2024.Frontiers in global women's health · 2026Article
- Ninety-one years of midwifery continuity of care in low and middle-income countries: a scoping review.BMC health services research · 2025Article
- Prenatal tests in Brazil: prevalence and associated factors according to the Brazilian National Health Survey.Revista da Escola de Enfermagem da U S P · 2025Article
- Mixed study on barriers of access to prevention, diagnosis and treatment of gestational malaria in pregnant women at risk from an endemic region of Colombia.Malaria journal · 2024Article
- COVID-19 Public Health Restrictions and New Mothers' Mental Health: A Qualitative Scoping Review.Qualitative health research · 2024Article
- Association between maternal and child health care and neonatal death in Angola: a secondary analysis of Angola Demographic Health Survey 2015-16.Tropical medicine and health · 2024Article
- Article
- Neurological disorders in pregnant women in low- and middle-income countries-Management gaps, impacts, and future prospects: A review perspective.Women's health (London, England)Review
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
backgroundAppropriate prenatal care (PNC) is essential for improving maternal and infant health; nevertheless, millions of women in low- and middle-income countries (LMICs) do not receive it properly. The objective of this review is to identify and summarize the qualitative studies that report on health system-related barriers in PNC management in LMICs.
methodsThis systematic review was conducted in 2022. A range of electronic databases including PubMed, Web of Knowledge, CINHAL, SCOPUS, Embase, and Science Direct were searched for qualitative studies conducted in LMICs. The reference lists of eligible studies also were hand searched. The studies that reported health system-related barrier of PNC management from the perspectives of PNC stakeholders were considered for inclusion. Study quality assessment was performed applying the Critical Appraisal Skills Programme (CASP) checklist, and thematic analyses performed.
resultsOf the 32 included studies, 25 (78%) were published either in or after 2013. The total population sample included 1677 participants including 629 pregnant women, 122 mothers, 240 healthcare providers, 54 key informed, 164 women of childbearing age, 380 community members, and 88 participants from other groups (such as male partners and relatives). Of 32 studies meeting inclusion criteria, four major themes emerged: (1) healthcare provider-related issues; (2) service delivery issues; (3) inaccessible PNC; and (4) poor PNC infrastructure.
conclusionThis systematic review provided essential findings regarding PNC barriers in LMICs to help inform the development of effective PNC strategies and public policy programs.
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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 Socratic graph.