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Approaches towards improving the quality of maternal and newborn health services in South Asia: challenges and opportunities for healthcare systems

Overview of attention for article published in Globalization and Health, February 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (80th percentile)

Mentioned by

blogs
1 blog
twitter
3 tweeters

Citations

dimensions_citation
8 Dimensions

Readers on

mendeley
112 Mendeley
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Title
Approaches towards improving the quality of maternal and newborn health services in South Asia: challenges and opportunities for healthcare systems
Published in
Globalization and Health, February 2018
DOI 10.1186/s12992-018-0338-9
Pubmed ID
Authors

Naeem uddin Mian, Muhammad Adeel Alvi, Mariam Zahid Malik, Sarosh Iqbal, Rubeena Zakar, Muhammad Zakria Zakar, Shehzad Hussain Awan, Faryal Shahid, Muhammad Ashraf Chaudhry, Florian Fischer

Abstract

South Asia is experiencing a dismal state of maternal and newborn health (MNH) as the region has been falling behind in reducing the levels of maternal and neonatal mortality. Most of the efforts are focused on enhancing coverage of MNH services; however, quality remains a serious concern if the region is to achieve expected outcomes in terms of standardised MNH services within healthcare delivery systems. This research consists of a review of South Asian quality improvement (QI) approaches/interventions, specifically implemented for MNH improvement. A literature review of QI approaches/interventions was conducted using the PRISMA guidelines. Online databases, including PubMed, the Cochrane Library and Google Scholar, were searched. Primary studies published between 1998 and 2013 were considered. Studies were initially screened and selected based upon the selection criteria for data extraction. A thematic synthesis/analysis was performed to organise, group and interpret the key findings according to prominent themes. Thirty studies from six South Asian countries were included in the review. Findings from these selected studies were grouped under eight broad, cross-cutting themes, which emerged from a deductive approach, representing the most commonly employed QI approaches for improving MNH services within different geographical settings. These consist of capacity building of healthcare providers on clinical quality, clinical audits and feedback, financial incentives to beneficiaries, pay-for-performance, supportive supervision, community engagement, collaborative efforts and multidimensional interventions. Employing and documenting QI approaches is essential in order to measure the potential of an intervention, considering its cost-effectiveness, feasibility and acceptability to communities. This research concluded that QI approaches are very diverse and cross-cutting, because they are subject to the varied requirements of regional health systems. This high level of variability leads to implementation and knowledge-management challenges for MNH programme planners and managers in the countries of the South Asia region.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 112 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 112 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 19%
Student > Ph. D. Student 12 11%
Researcher 10 9%
Student > Bachelor 8 7%
Student > Doctoral Student 8 7%
Other 24 21%
Unknown 29 26%
Readers by discipline Count As %
Medicine and Dentistry 28 25%
Nursing and Health Professions 18 16%
Social Sciences 10 9%
Psychology 4 4%
Engineering 3 3%
Other 15 13%
Unknown 34 30%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 February 2018.
All research outputs
#1,741,530
of 12,476,917 outputs
Outputs from Globalization and Health
#293
of 645 outputs
Outputs of similar age
#67,013
of 339,984 outputs
Outputs of similar age from Globalization and Health
#1
of 1 outputs
Altmetric has tracked 12,476,917 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 645 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 16.5. This one has gotten more attention than average, scoring higher than 53% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 339,984 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 80% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them