Evidence map›Paper›PMID 25947033›Full record

ArticleHealthcare policy = Politiques de sante2015

Barriers and facilitators to family planning access in Canada.

Jennifer Hulme, Sheila Dunn, Edith Guilbert, Judith Soon, Wendy Norman

Open access · greenAbstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
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

35 citing papers in PubMed, 54 citations in OpenAlex.

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  3. Barriers to contraception access and use among youth: A scoping review in high-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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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 at 4 institutions in 1 country.

Jennifer HulmeResident Physician, McGill University, Montreal, QC.
Sheila DunnClinician Researcher and Associate Professor, Department of Family and Community Medicine, University of Toronto, Toronto, ON.
Edith GuilbertSenior Medical Advisor, National Institute of Public Health of Quebec, Clinical Professor, Department of Obstetrics and Gynaecology, Laval University, Québec, QC.
Judith SoonAssistant Professor, UBC Faculty of Pharmaceutical Sciences, Director, Community Pharmacist Research Network, University of British Columbia, Vancouver, BC.
Wendy NormanAssistant Professor, Department of Family Practice and Midwifery, University of British Columbia, Vancouver, BC.
University of British Columbia · CAMcGill University Health Centre · CAUniversité Laval · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContraceptives are underutilized in Canada, and nearly one in three Canadian women will have an abortion in her lifetime. To help delineate a national family planning research agenda, the authors interviewed healthcare providers and organizational stakeholders to explore their perspective on barriers to contraception across regions of Canada.

methodsSemi-structured interviews were conducted based on validated frameworks for assessing family planning access and quality. The authors purposefully selected 14 key stakeholders from government agencies, professional organizations and non-governmental organizations for in-person interviews. Fifty-eight healthcare providers and representatives of stakeholder organizations in reproductive health who self-selected through an online survey were also interviewed. Transcripts were analyzed for repeated and saturated themes.

resultsCost was the most important barrier to contraception. Sexual health education was reported as inconsistent, even within provinces. Regional differences were highlighted, including limited access to family physicians in rural Canada and throughout Quebec. Physician bias and outdated practices were cited as significant barriers to quality. New immigrants, youth, young adults and women in small rural, Northern and Aboriginal communities were all identified as particularly vulnerable. Informants identified multiple opportunities for health policy and system restructuring, including subsidized contraception, and enhancing public and healthcare provider education. Sexual health clinics were viewed as a highly successful model. Task-sharing and expanded scope of practice of nurses, nurse practitioners and pharmacists, alongside telephone and virtual healthcare consultations, were suggested to create multiple points of entry into the system.

conclusionResults underscore the need for a national strategic approach to family planning health policy and health services delivery in Canada.

Indexed as

Family Planning PolicyHealth PolicyAdultCanadaFamily Planning ServicesFemaleHealth Services AccessibilityHumansMaleMiddle AgedQuality of Health CareRural Health ServicesYoung Adult

Identifiers

PMID25947033
PMCPMC4748342
OpenAlexW2992239064

What OpenQuestion holds

Textmetadata
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.