{"id":"https://openalex.org/W4399439367","doi":"https://doi.org/10.2147/ijwh.s457529","title":"The Impact of Armed Conflict on Services and Outcomes Related to Maternal and Reproductive Health in North Wollo, Amhara, Ethiopia: A Qualitative Study","display_name":"The Impact of Armed Conflict on Services and Outcomes Related to Maternal and Reproductive Health in North Wollo, Amhara, Ethiopia: A Qualitative Study","publication_year":2024,"publication_date":"2024-06-01","ids":{"openalex":"https://openalex.org/W4399439367","doi":"https://doi.org/10.2147/ijwh.s457529","pmid":"https://pubmed.ncbi.nlm.nih.gov/38863520","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11166144"},"language":"en","primary_location":{"id":"doi:10.2147/ijwh.s457529","doi":"https://doi.org/10.2147/ijwh.s457529","is_oa":true,"landing_page_url":"https://doi.org/10.2147/ijwh.s457529","pdf_url":"https://www.dovepress.com/getfile.php?fileID=99805","source":{"id":"https://openalex.org/S2754457614","display_name":"International Journal of Women s Health","issn_l":"1179-1411","issn":["1179-1411"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Women's Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.dovepress.com/getfile.php?fileID=99805","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020283611","display_name":"Tsion Kokeb Kodo","orcid":"https://orcid.org/0000-0002-4523-8296","observed_orcids":["https://orcid.org/0000-0002-4523-8296"]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Tsion Kodo","raw_affiliation_strings":["Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-4523-8296","affiliations":[{"raw_affiliation_string":"Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078088970","display_name":"Atitegeb Abera Kidie","orcid":"https://orcid.org/0000-0002-3010-0438","observed_orcids":["https://orcid.org/0000-0002-3010-0438"]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Atitegeb Kidie","raw_affiliation_strings":["Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111223227","display_name":"Tilahun Merecho","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Tilahun Merecho","raw_affiliation_strings":["Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0003-4668-4770","affiliations":[{"raw_affiliation_string":"Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070369613","display_name":"Misganaw Guadie Tiruneh","orcid":"https://orcid.org/0000-0002-9543-9416","observed_orcids":["https://orcid.org/0000-0002-9543-9416"]},"institutions":[{"id":"https://openalex.org/I8764889","display_name":"University of Gondar","ror":"https://ror.org/0595gz585","country_code":"ET","type":"education","lineage":["https://openalex.org/I8764889"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Misganaw Tiruneh","raw_affiliation_strings":["Department of Health Systems and Policy, Institute of Public Health, College Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-9543-9416","affiliations":[{"raw_affiliation_string":"Department of Health Systems and Policy, Institute of Public Health, College Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia","institution_ids":["https://openalex.org/I8764889"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093355068","display_name":"Berihun Mulu Yayeh","orcid":"https://orcid.org/0009-0000-9413-7224","observed_orcids":["https://orcid.org/0009-0000-9413-7224"]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Berihun Yayeh","raw_affiliation_strings":["Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099420536","display_name":"Betel Getaneh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Betel Getaneh","raw_affiliation_strings":["Department of Midwifery, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Midwifery, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099420537","display_name":"Alexander Demesie","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Alexander Demesie","raw_affiliation_strings":["Department of Pharmacy, College of health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5098756907","display_name":"Zeru Seyoum Wendimagegn","orcid":"https://orcid.org/0009-0002-4879-3161","observed_orcids":["https://orcid.org/0009-0002-4879-3161"]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Zeru Wendimagegn","raw_affiliation_strings":["School of Medicine, College of health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, College of health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5020283611"],"corresponding_institution_ids":["https://openalex.org/I4210159645"],"apc_list":{"value":2836,"currency":"USD","value_usd":2836},"apc_paid":{"value":2836,"currency":"USD","value_usd":2836},"fwci":9.6484,"has_fulltext":true,"cited_by_count":25,"citation_normalized_percentile":{"value":0.98578696,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"Volume 16","issue":null,"first_page":"1055","last_page":"1066"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14090","display_name":"Health and Conflict Studies","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14090","display_name":"Health and Conflict Studies","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.017100000753998756,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11863","display_name":"Gender, Security, and Conflict","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/armed-conflict","display_name":"armed conflict","score":0.9990000128746033},{"id":"https://openalex.org/keywords/maternal-health","display_name":"maternal health","score":0.9100000262260437},{"id":"https://openalex.org/keywords/reproductive-health","display_name":"reproductive health","score":0.9190000295639038},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.5860000252723694},{"id":"https://openalex.org/keywords/sexual-violence","display_name":"sexual violence","score":0.722000002861023},{"id":"https://openalex.org/keywords/unwanted-pregnancy","display_name":"unwanted pregnancy","score":0.8159999847412109},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.6819999814033508},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7889999747276306},{"id":"https://openalex.org/keywords/north-wollo-zone","display_name":"North Wollo","score":0.6420000195503235},{"id":"https://openalex.org/keywords/ethiopia","display_name":"Ethiopia","score":0.4860000014305115}],"concepts":[{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.5212464928627014},{"id":"https://openalex.org/C3019338729","wikidata":"https://www.wikidata.org/wiki/Q198","display_name":"Armed conflict","level":2,"score":0.4828689396381378},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.429604172706604},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3955673277378082},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.39267498254776},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3597062826156616},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2395469844341278},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.13809216022491455},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.12384837865829468},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0912787914276123},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.2147/ijwh.s457529","doi":"https://doi.org/10.2147/ijwh.s457529","is_oa":true,"landing_page_url":"https://doi.org/10.2147/ijwh.s457529","pdf_url":"https://www.dovepress.com/getfile.php?fileID=99805","source":{"id":"https://openalex.org/S2754457614","display_name":"International Journal of Women s Health","issn_l":"1179-1411","issn":["1179-1411"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Women's Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11166144","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11166144","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11166144/pdf/ijwh-16-1055.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Womens Health","raw_type":"Text"},{"id":"pmid:38863520","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38863520","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of women's health","raw_type":"Journal Article"},{"id":"pmh:oai:dovepress.com/93354","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/the-impact-of-armed-conflict-on-services-and-outcomes-related-to-mater-peer-reviewed-fulltext-article-IJWH","pdf_url":"https://www.dovepress.com/article/download/93354","source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:46fceac1e5b34b608f9d2c82bedefd80","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/46fceac1e5b34b608f9d2c82bedefd80","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Women's Health, Vol Volume 16, Pp 1055-1066 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.2147/ijwh.s457529","doi":"https://doi.org/10.2147/ijwh.s457529","is_oa":true,"landing_page_url":"https://doi.org/10.2147/ijwh.s457529","pdf_url":"https://www.dovepress.com/getfile.php?fileID=99805","source":{"id":"https://openalex.org/S2754457614","display_name":"International Journal of Women s Health","issn_l":"1179-1411","issn":["1179-1411"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Women's Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8046000003814697,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4399439367.pdf","grobid_xml":"https://content.openalex.org/works/W4399439367.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1988277976","https://openalex.org/W2055795844","https://openalex.org/W2099722019","https://openalex.org/W2126637272","https://openalex.org/W2562952212","https://openalex.org/W2576182912","https://openalex.org/W2600570599","https://openalex.org/W2755297236","https://openalex.org/W2920416143","https://openalex.org/W3034555923","https://openalex.org/W3097755857","https://openalex.org/W3126132518","https://openalex.org/W3133490754","https://openalex.org/W3204541044","https://openalex.org/W4221087223","https://openalex.org/W4322740150","https://openalex.org/W4367291563","https://openalex.org/W4381162789","https://openalex.org/W4391262660","https://openalex.org/W4391512425"],"related_works":["https://openalex.org/W1988277976","https://openalex.org/W4367291563","https://openalex.org/W4403410880","https://openalex.org/W3085611360","https://openalex.org/W2055795844","https://openalex.org/W4387906169","https://openalex.org/W4399976644","https://openalex.org/W3034555923","https://openalex.org/W2761166264","https://openalex.org/W4377086572"],"abstract_inverted_index":{"Introduction:":[0],"Armed":[1,244],"conflict":[2,79,97],"is":[3,21,62,265],"a":[4,10],"public":[5,66,271],"health":[6,15,20,57,67,107,186,219,229,256,272,280],"problem":[7],"that":[8],"poses":[9],"serious":[11],"challenge":[12],"to":[13,43,55,64,73,85,103,238,254,274,278],"the":[14,23,44,47,56,75,93,179,190,201,235,255,279,284],"system.":[16,286],"Maternal":[17,27],"and":[18,37,60,82,87,100,105,112,122,130,141,156,184,197,200,209,217,227,240,251,259,269,283],"reproductive":[19,88,106,185,218,226,241,260,285],"among":[22],"most":[24],"affected":[25],"areas.":[26],"death":[28],"rates":[29],"were":[30,134,173],"highest":[31],"in":[32,46,108,150],"conflict-affected":[33],"countries.":[34],"Sexual":[35],"violence":[36],"rape":[38],"are":[39],"commonplaces,":[40],"which":[41],"contributes":[42],"rise":[45],"number":[48],"of":[49,58,77,95,182,192,195,203,205,257,281],"unwanted":[50],"pregnancies.":[51],"Reliable":[52],"data":[53],"related":[54,84,102,253,277],"mothers":[59,258,282],"reproduction":[61],"required":[63],"inform":[65],"policies.":[68],"Therefore,":[69],"this":[70],"study":[71,118],"aimed":[72],"assess":[74],"impact":[76,94],"armed":[78,96],"on":[80,98,249],"services":[81,99,250,276],"outcomes":[83,101],"maternal":[86,104,183,216,239],"health.":[89],"Objective:":[90],"To":[91],"explore":[92],"North":[109],"Wollo,":[110],"Amhara,":[111],"Ethiopia":[113],"by":[114],"2022.":[115],"Methods:":[116],"This":[117,188],"used":[119],"an":[120],"institutional":[121],"community-based":[123],"exploratory":[124],"design.":[125],"Six":[126],"focus":[127],"group":[128],"discussions":[129],"44":[131],"in-depth":[132],"interviews":[133],"conducted":[135],"with":[136],"healthcare":[137],"professionals,":[138],"administrators,":[139],"women,":[140],"Non":[142],"Governmental":[143],"Organization":[144],"workers.":[145],"Each":[146],"item":[147],"was":[148,154,167,178,214,234],"recorded":[149],"audio,":[151],"verbatim":[152],"transcription":[153],"made":[155],"converted":[157],"into":[158],"English.":[159],"By":[160],"using":[161],"OpenCode":[162],"version":[163],"4.03":[164],"thematic":[165],"analyses":[166],"performed.":[168],"Results:":[169],"Three":[170],"overarching":[171],"themes":[172],"identified.":[174],"The":[175,211,231],"first":[176],"theme":[177,213,233],"inadequate":[180],"standards":[181],"services.":[187,242],"includes":[189,222],"breakdown":[191],"infrastructure,":[193],"shortages":[194],"medicines":[196],"medical":[198],"supplies,":[199],"lack":[202],"sterility":[204],"available":[206],"limited":[207,236],"materials":[208],"procedures.":[210],"second":[212],"poor":[215,223],"status.":[220],"It":[221],"pregnancy,":[224],"delivery,":[225],"fertility-related":[228],"outcomes.":[230],"last":[232],"access":[237],"Conclusion:":[243],"conflicts":[245],"have":[246],"enormous":[247],"effects":[248,264],"results":[252],"processes.":[261],"Addressing":[262],"these":[263],"essential":[266],"for":[267],"designing":[268],"implementing":[270],"measures":[273],"improve":[275]},"counts_by_year":[{"year":2026,"cited_by_count":13},{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2024-06-08T00:00:00"}