ArticleContraception and reproductive medicine2016
Association between contraceptive implant knowledge and intent with implant uptake among postpartum Malawian women: a prospective cohort study.
Article in Contraception and reproductive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01893021 (Family Planning Knowledge, Attitudes, and Practices of HIV+ and HIV- Postpartum Malawian Women), which is not on this map. Cited by 5 papers.
What it found
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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.
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.
Family Planning Knowledge, Attitudes, and Practices of HIV+ and HIV- Postpartum Malawian Women
Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Knowledge, attitude and acceptability for long-acting reversible contraceptive (LARC) methods among women attending contraception counselling sessions: A cross-sectional study.Journal of family medicine and primary care · 2025Article
- Getting Intentional about Intention to Use: A Scoping Review of Person-Centered Measures of Demand.Studies in family planning · 2022Article
- Mapping evidence on postpartum modern family planning service uptake among women in Ethiopia: A scoping review.Frontiers in global women's health · 2022Article
- Cross-sectional assessment of government health center needs to implement long-acting reversible contraception services in rural Rwanda.BMC women's health · 2021Article
- A Comparison of Breastfeeding Exclusivity and Duration Rates Between Immediate Postpartum Levonorgestrel Versus Etonogestrel Implant Users: A Prospective Cohort Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding MedicineArticle
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundLong-acting reversible contraception (LARC) can assist women with birth spacing and reduce unintended pregnancies. Sub-Saharan Africa has low uptake of the two available methods of LARC, the subdermal implant and intrauterine contraception (IUC). Our primary objectives were to: 1) calculate the incidence of LARC use among postpartum Malawian women, and 2) assess if LARC knowledge and intent to use LARC were associated with LARC uptake.
methodsThis study was a prospective cohort study of 634 postpartum women who were recruited from the postpartum ward of Bwaila Hospital in Lilongwe, Malawi. Study participants completed a baseline survey in the postpartum ward. Follow-up telephone surveys about contraceptive use were conducted at 3, 6, and 12 months postpartum. Cox proportional hazards regression analysis was performed to evaluate if implant knowledge and intent to use implant were associated with implant uptake.
resultsOne hundred thirty-seven implant and 10 IUC placements were reported over 12 months of follow-up; given the low rate of IUC uptake, further analysis was only done for implant uptake. The incidence rate for implant uptake was 35.6 per 100 person-years (95 % CI 30.0, 42.2). Correct implant knowledge (adjusted HR = 1.69; 95 % CI 1.06, 2.68) and intent to use implant (adjusted HR 1.95; 95 % CI 1.28, 2.98) were both associated with implant uptake.
conclusionsMore women reported implant use than IUC use in our study. Correct implant knowledge and intent to use implant were both associated with implant uptake, with a stronger association for intent. Interventions to increase LARC uptake should focus on improving LARC knowledge and removing barriers to LARC.
trial registrationClinical Trial Registration #: NCT01893021.
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