Evidence map›Paper›PMID 41937658›Full record

ArticleWomen's health (London, England)

"God gives the child": An abductive analysis of barriers to postnatal care using the Health Equity Implementation Framework.

Emilie Egger, Befikadu Bitewulign, Humberto Gonzalez Rodriguez, Haley Case, Abiyou Kiflie Alemayehu, Elizabeth C Rhodes, Abiy Seifu Estifanos, Kavita Singh, Dorka Woldesenbet Keraga, Marukh Zahid and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Emilie EggerDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-7265-0526
Befikadu BitewulignInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Humberto Gonzalez RodriguezDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
Haley CaseCDC Foundation, Atlanta, GA, USA.
Abiyou Kiflie AlemayehuInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Elizabeth C RhodesHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Abiy Seifu EstifanosCenter for Implementation Sciences (CIS) in Health, School of Public Health, Addis Ababa University, Ethiopia.
Kavita SinghCarolina Population Center, University of North Carolina at Chapel Hill, NC, USA.
Dorka Woldesenbet KeragaDepartment of Reproductive, Family, and Population Health, School of Public Health, Addis Ababa University, Ethiopia.ORCID 0000-0002-9638-4867
Marukh ZahidYale School of Public Health, Yale University, New Haven, CT, USA.
Hema MaggeDepartment of Reproductive, Family, and Population Health, School of Public Health, Addis Ababa University, Ethiopia.
Dara GleesonDepartment of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA.
Clare BarringtonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
Ashley HagamanDepartment of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostnatal care (PNC) is recommended as a means of preventing maternal mortality during the postpartum period, but many women in low- and middle-income countries do not access care during this period.

objectiveWe set out to examine sociocultural preferences that have been portrayed as barriers to care.

designWe designed a qualitative study using the Health Equity Implementation Framework (HEIF).

methodsWe performed an abductive analysis of 63 semi-structured interviews with women who had recently given birth in three regions of Ethiopia using the HEIF and an inductive-deductive codebook to understand why women in Ethiopia do not use recommended PNC.

resultsWe found that, in many cases, health providers do not consider women's cultural safety a primary need, but rather as a barrier to care. However, women's perceived refusal to participate in postnatal visits was, for many, an expression of agency and assertion of their needs for cultural safety.

conclusionWe propose adding cultural safety to HEIF as a process outcome so that implementers consider cultural needs in a dynamic manner that does not ask patients to choose between meeting their cultural needs and receiving necessary health care during the postnatal period.

Indexed as

Health EquityHealth Services AccessibilityPostnatal CareAdultEthiopiaFemaleHumansInterviews as TopicPregnancyQualitative ResearchabductiveEthiopiaimplementationmaternal healthpostnatal carequalitative

Identifiers

PMID41937658
PMCPMC13053962

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.