The DOI matches its Crossref record; 46 of the 47 references it cites were found in a registry or an index.
Continuum of maternal and newborn health in Sierra Leone: a 2019 national survey
Open accessAbstract
Introduction: Globally, Sierra Leone has some of the worst maternal and child health indicators. The situation is worsened by a dearth of evidence about the level of continuum of care, an evidence-based intervention aimed at reducing maternal and perinatal morbidity and mortality. Hence this study aimed to assess the level of and factors associated with continuum of maternal and newborn care in Sierra Leone. Method: This study analyzed secondary data from the 2019 Sierra Leone Demographic Health Survey. Analysis was restricted to women who had a live birth in the 5 years preceding the survey (n = 7326). Complete continuum of care was considered when a woman reported having had at least eight antenatal care contacts, skilled birth attendance and mother and baby had at least one postnatal check-up. Bi-variable and multivariable logistic regression were performed using the statistical package for the social sciences software version 25. Results: Only 17.9% (95% CI: 17.4–19.1) of the women utilized complete continuum of care for maternal and newborn health services in Sierra Leone. About 22% (95% CI: 21.3–23.1) utilized 8 or more antenatal care contacts, 88% (95% CI: 87.9–89.4) had skilled birth attendance while 90.7% (95% CI: 90.2–91.5) and 90.4% (95% CI: 89.9–91.2) of mothers and neonates utilized postnatal care respectively. Having started antenatal care within the first trimester (aOR 1.71, 95% CI: 1.46–2.00), being resident in the Southern region (aOR 1.85, 95% CI: 1.23–2.80), belonging to richer wealth quintile (aOR 1.76, 95% CI: 1.27–2.44), using internet (aOR 1.49, 95% CI: 1.12–1.98) and having no big problems seeking permission to access healthcare (aOR 1.34, 95% CI: 1.06–1.69) were significantly associated with utilization of continuum of care. Conclusion: The overall completion of continuum of maternal care is low, with ANC being the lowest utilized component of continuum of care. These findings call for urgent attention for maternal health stakeholders to develop and implement tailored interventions prioritizing women empowerment, access to affordable internet services, timely initiation of ANC contacts, women in developed regions such as the Western and those from poor households.
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“Studies by Dickson et al. [36], Sserwanja et al. [37], and Fullah et al. [38] consistently identify financial barriers to access healthcare among reproductive-age women in Sierra Leone, thereby contributing to high maternal morbidity and mortality rates.”
From Financial barriers to healthcare access among reproductive-age women in Sierra Leone: evidence from demographic health surveys of 2008, 2013, and 2019 (2026) · cites this paper as [37]
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Zambia demographic and health survey, 1992
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Sub-Saharan Africa's Mothers, Newborns, and Children: Where and Why Do They Die?
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The Sustainable Development Goals Report 2022
United Nations Department of Economic and Social Affairs (2022) · The Sustainable development goals report · doi:10.18356/9789210018098 · Cited by 308
Sierra Leone Demographic and Health Survey 2008
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Timing and adequate attendance of antenatal care visits among women in Ethiopia
Yaya, S., Bishwajit, G., Ekholuenetale, M., Shah, V., Kadio, B., & Udenigwe, O. (2017) · PLoS ONE · doi:10.1371/journal.pone.0184934 · Cited by 190
Wang, W., & Hong, R. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0497-0 · Cited by 171
Iqbal, S., Maqsood, S., Zakar, R., Zakar, M. Z., & Fischer, F. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2111-9 · Cited by 162
Retention of health workers in rural Sierra Leone: findings from life histories
Wurie, H. R., Samai, M. H., & Witter, S. (2016) · Human Resources for Health · doi:10.1186/s12960-016-0099-6 · Cited by 152
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Cited by
Abdo, R. A., Demelash, M., Seid, A. M., & Mussema, A. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-06034-1 · Cited by 41
The continuum of care for maternal health in Africa: A systematic review and meta-analysis
Abdo, R. A., Gebre, S., Demelash, M., Belachew, T., Mohammed, A., Mussema, A., & Sultan, M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0305780 · Cited by 24
Sserwanja, Q., Musaba, M. W., Kamara, K., Mutisya, L. M., & Mukunya, D. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08594-y · Cited by 20
Self-citationAsnake, A. A., Abajobir, A. A., Seifu, B. L., Asgedom, Y. S., Melese, M., Bezie, M. M., & Negussie, Y. M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0302966 · Cited by 15
Shafiq, Y., Caviglia, M., Bah, Z., Tognon, F., Orsi, M., Kamara, A., Caracciolo, C., Moses, F., Manenti, F., Barone‐Adesi, F., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-076256 · Cited by 15
Metadata
- Authors
- Sserwanja, Q., Mutisya, L. M., Nuwabaine, L., Kamara, K., Mutebi, R. K., & Musaba, M. W.
- Affiliations
- Ministry of Health and Sanitation (SL)
- Mengo Hospital (UG)
- Mbale Hospital (UG)
- Corresponding author
- Sserwanja, Quraish
- Venue
- Archives of Public Health
- Published
- 2022-08-09
- Volume
- 80
- Issue
- 1
- Pages
- 186-186
- ISSN
- 0778-7367 (ISSN-L)
- 2049-3258
- PMC
- PMC9364565
- OpenAlex
- W4291709277
- Cited by
- 15
- References
- 47
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 1 · 2022: 2
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Archives of Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- continuum of care, maternal health, newborn health, prenatal care, skilled birth attendance, postpartum care, Sierra Leone, barriers to health care access, wealth inequality, internet use, first-trimester antenatal care, regional disparities, perinatal morbidity and mortality, health professions education, health care financing
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