Evidence map›Paper›PMID 25771719›Full record

ArticleReproductive health2015

Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi.

Paul Kawale, Deborah Mindry, Ann Phoya, Perry Jansen, Risa M Hoffman

Abstract read
In one paragraph

Article in Reproductive health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. HIV and Sexual Dysfunction in Men.Journal of clinical medicine · 2021
    Review
  14. Article
  15. HIV/AIDS knowledge among Iranian Health Care Workers.Journal of preventive medicine and hygiene · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Paul KawalePublic Health Department, Nkhoma Hospital, Nkhoma, Malawi. paul.kawale@gmail.com.
Deborah MindryCenter for Culture and Health, University of California, Los Angeles, CA, USA. dmindry@ucla.edu.
Ann PhoyaSector Wide Approach Secretariat, Ministry of Health, Lilongwe, Malawi. phoyaann@yahoo.com.
Perry JansenPartners In Hope Medical Center, Lilongwe, Malawi. director@pihmalawi.com.
Risa M HoffmanDavid Geffen School of Medicine at the University of California, Los Angeles, Division of Infectious Diseases, Los Angeles, California, USA. RHoffman@mednet.ucla.edu.

Funding

PEPFAR
6 · The paper itself

Abstract

backgroundThere is limited understanding of health care providers' attitudes towards HIV-infected individuals' reproductive choices, as well as knowledge about safer conception. Our study objective was to explore provider-level factors that serve as barriers and/or facilitators to the provision of reproductive and safer conception services for men and women living with HIV.

methodsTwenty-five providers were interviewed in four focus group discussions about their attitudes regarding childbearing by HIV-infected clients, reproductive health and HIV knowledge, and views and knowledge of safer conception.

resultsProviders reported ambivalence about supporting childbearing among their clients with HIV. They raised concerns about HIV-infected individuals having children, and in certain cases expressed judgment that people with HIV should not have children because of these concerns. Providers lack specific knowledge about safer conception strategies and have low level of knowledge of reproductive health, the efficacy of PMTCT, and the risks of pregnancy for HIV-infected women.

conclusionsProviders in our setting have complex attitudes about HIV-infected clients having children and lack knowledge to appropriately counsel clients about reproductive health and safer conception. Our findings highlight need for further research in this area as well as the need for provider training in reproductive health and safer conception.

Indexed as

Attitude of Health PersonnelContraceptionFemaleHealth PersonnelHealth Services Needs and DemandHIV InfectionsHIV SeropositivityHumansInfectious Disease Transmission, VerticalMalawiMalePregnancyPregnancy Complications, InfectiousProfessional-Patient RelationsQualitative ResearchReproductive Health

Identifiers

PMID25771719
PMCPMC4355153

What OpenQuestion 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 OpenQuestion graph.