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The spillover effect of midwife attrition from the Nigerian midwives service scheme

Overview of attention for article published in BMC Health Services Research, April 2018
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)
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Title
The spillover effect of midwife attrition from the Nigerian midwives service scheme
Published in
BMC Health Services Research, April 2018
DOI 10.1186/s12913-018-3106-x
Pubmed ID
Authors

Daniel O. Erim, Harrison E. Offiong, Christine Kim, Folasade A. Bello, Jeremy Moulton, Stephanie B. Wheeler, Harsha Thirumurthy

Abstract

The Nigerian Midwives Service Scheme (MSS) increased use of antenatal services at rural public sector clinics. However, it is unclear if women who would not have otherwise sought care, or those who would have sought care in rural private sector clinics caused this change. Additionally, it is also unclear if the reported midwife attrition was associated with a spillover of the scheme's effect on urban areas. We sought to answer these two questions using data from two nationally representative surveys. We used an interrupted time series model to assess trends in the use of obstetric (i.e. antenatal and delivery) services among rural and urban respondents in the 2008 and 2013 Nigerian demographic and health surveys. We found that the MSS led to a 5-percentage point increase in the use of antenatal services at rural public sector clinics, corroborating findings from a previous study. This change was driven by women who would not have sought care otherwise. We also found that there was a 4-percentage point increase in the use of delivery services at urban public sector clinics, and a concurrent 4-percentage point decrease in urban home deliveries. These changes are most likely explained by midwives' attrition and exemplify a spillover of the scheme's effect. Midwife attrition from the Nigerian MSS was associated with a spillover of the scheme's effect on the use of delivery services, on urban areas.

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

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 75 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 20%
Researcher 7 9%
Student > Ph. D. Student 7 9%
Student > Bachelor 5 7%
Student > Doctoral Student 4 5%
Other 12 16%
Unknown 25 33%
Readers by discipline Count As %
Medicine and Dentistry 14 19%
Nursing and Health Professions 13 17%
Social Sciences 9 12%
Economics, Econometrics and Finance 3 4%
Arts and Humanities 2 3%
Other 5 7%
Unknown 29 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 01 May 2018.
All research outputs
#12,958,590
of 23,045,021 outputs
Outputs from BMC Health Services Research
#4,297
of 7,719 outputs
Outputs of similar age
#156,023
of 326,557 outputs
Outputs of similar age from BMC Health Services Research
#137
of 210 outputs
Altmetric has tracked 23,045,021 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,719 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
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 326,557 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 210 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.