Evidence mapPaperPMID 39357458Full record

ArticleMidwifery2025

Perspectives of health care providers on obstetric point-of-care ultrasound in lower-level health facilities in Kenya.

Lister N Onsongo, Sarah C Bett, Grace W Gachuiri, Stephen N Njuguna, Jacob W Masika, George O Otieno, Anthony K Wanyoro, Matthew S Haldeman, Dilys Walker, Nicole Santos and 1 more

Abstract read
In one paragraph

Article in Midwifery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. 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

11 authors.

Lister N OnsongoCommunity and Reproductive Health Nursing Department, School of Health Sciences- Kenyatta University, Kenya. Electronic address: onsongo.lister@ku.ac.ke.
Sarah C BettMedical-Surgical Nursing & Pre-clinical Sciences, School of Health Sciences-Kenyatta University, Kenya.
Grace W GachuiriMedical-Surgical Nursing & Pre-clinical Sciences, School of Health Sciences-Kenyatta University, Kenya.
Stephen N NjugunaMedical-Surgical Nursing & Pre-clinical Sciences, School of Health Sciences-Kenyatta University, Kenya.
Jacob W MasikaMedical-Surgical Nursing & Pre-clinical Sciences, School of Health Sciences-Kenyatta University, Kenya.
George O OtienoHealth Management and Informatics, School of Health Sciences-Kenyatta University, Kenya.
Anthony K WanyoroObstetrics and Gynecology Department, School of Health Sciences-Kenyatta University, Kenya.
Matthew S HaldemanGlobal Ultrasound Institute and Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Kenya.
Dilys WalkerInstitute for Global Health Sciences, University of California, San Francisco, United States.
Nicole SantosInstitute for Global Health Sciences, University of California, San Francisco, United States.
Grace K GithemoMedical-Surgical Nursing & Pre-clinical Sciences, School of Health Sciences-Kenyatta University, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltrasound technology has become integral in antenatal care for its diagnostic effectiveness and potential to improve maternal and neonatal outcomes. Despite its proven benefits, challenges persist in its widespread adoption, particularly in low-resource settings like Kenya.

aimThe aim of this study was to explore the perspectives of healthcare providers regarding the integration of obstetric point-of-care ultrasound into routine maternal services in low-level facilities Kenya.

methodsUsing a descriptive qualitative study embedded in a large scale implementation study 76 healthcare providers who had undergone obstetric point-ofcare ultrasound training and were providing maternal services were purposively sampled from healthcare facilities across eight counties. Data was collected using structured audiotaped interviews, which were transcribed, and analyzed using thematic analysis.

resultsFive main themes with several subthemes emerged from the analysis: (1) Clinical Decision-Making (2) Quality of Services, (3) Training, (4)Technology Issues, and (5) Sustainability. DISCUSSION: Findings from this study suggest that use of obstetric Point-of-Care Ultrasound in resource-limited primary care settings, can enhance clinical decision making and influence patient management, ultimately resulting in significant health outcomes.

conclusionEquipping health care providers with skills to conduct obstetric point of care ultrasound can lead to better-informed clinical decisions and ultimately contribute to improved health outcomes in underserved populations.

Indexed as

Health PersonnelPoint-of-Care SystemsQualitative ResearchAdultAttitude of Health PersonnelFemaleHealth FacilitiesHumansKenyaMiddle AgedPregnancyUltrasonography, PrenatalAntenatal careImplementationKenyaMaternal healthNurse/MidwivesObstetric Point of Care Ultrasound

Identifiers

PMID39357458
PMCPMC11619753

What Socratic holds

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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.