Evidence map›Paper›PMID 26530029›Full record

ArticleBMC women's health2015

"Every method seems to have its problems"- Perspectives on side effects of hormonal contraceptives in Morogoro Region, Tanzania.

Joy J Chebet, Shannon A McMahon, Jesse A Greenspan, Idda H Mosha, Jennifer A Callaghan-Koru, Japhet Killewo, Abdullah H Baqui, Peter J Winch

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 66 citations in OpenAlex.

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  14. Home-Based Sexuality Education in Ghana: The Perspectives of Adolescents and Parents.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
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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

8 authors at 3 institutions in 3 countries.

Joy J ChebetDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA. joychebbet@gmail.com.
Shannon A McMahonDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA. shannon.mcmahon@jhu.edu.
Jesse A GreenspanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA. jgreensp@jhsph.edu.
Idda H MoshaDepartment of Behavioural Sciences, Muhimbili University of Health and Allied Sciences, P.O. Box 65015, Dar es Salaam, Tanzania. ihmosha@yahoo.co.uk.
Jennifer A Callaghan-KoruDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA. jcallag1@jhu.edu.
Japhet KillewoDepartment of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, P.O. Box 65015, Dar es Salaam, Tanzania. jkillewo@yahoo.co.uk.
Abdullah H BaquiDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA. abaqui@jhu.edu.
Peter J WinchDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA. pwinch@jhu.edu.
Johns Hopkins University · USMuhimbili University of Health and Allied Sciences · TZHeidelberg University · DE

Funding

Preventing HIV in newborns and infants: the experience of Tanzanian mothersF31MH095653 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MCMAHON, SHANNON · 2012 to 2014
$109k
NIMH NIH HHS F31 MH095653NIMH NIH HHS F31MH095653
6 · The paper itself

Abstract

backgroundFamily planning has been shown to be an effective intervention for promoting maternal, newborn and child health. Despite family planning's multiple benefits, women's experiences of - or concerns related to - side effects present a formidable barrier to the sustained use of contraceptives, particularly in the postpartum period. This paper presents perspectives of postpartum, rural, Tanzanian women, their partners, public opinion leaders and community and health facility providers related to side effects associated with contraceptive use.

methodsQualitative interviews were conducted with postpartum women (n = 34), their partners (n = 23), community leaders (n = 12) and health providers based in both facilities (n = 12) and communities (n = 19) across Morogoro Region, Tanzania. Following data collection, digitally recorded data were transcribed, translated and coded using thematic analysis.

resultsRespondents described family planning positively due to the health and economic benefits associated with limiting and spacing births. However, side effects were consistently cited as a reason that women and their partners choose to forgo family planning altogether, discontinue methods, switch methods or use methods in an intermittent (and ineffective) manner. Respondents detailed side effects including excessive menstrual bleeding, missed menses, weight gain and fatigue. Women, their partners and community leaders also described concerns that contraceptives could induce sterility in women, or harm breastfeeding children via contamination of breast milk. Use of family planning during the postpartum period was viewed as particularly detrimental to a newborn's health in the first months of life.

conclusionsTo meet Tanzania's national target of increasing contraceptive use from 34 to 60 % by 2015, appropriate counseling and dialogue on contraceptive side effects that speaks to pressing concerns outlined by women, their partners, communities and service providers are needed.

Indexed as

Health Knowledge, Attitudes, PracticeContraception BehaviorContraceptive AgentsContraceptives, Oral, HormonalFemaleHumansInfant HealthInfant, NewbornMaternal HealthPostpartum PeriodRural PopulationTanzaniaContraceptive AgentsContraceptives, Oral, Hormonal

Identifiers

PMID26530029
PMCPMC4632271
OpenAlexW1904800052

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.