Evidence map›Paper›PMID 29318602›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2018

Effect of family planning interventions on couple years of protection in Malawi.

Clara Lemani, Nenani Kamtuwanje, Billy Phiri, Ilene S Speizer, Kavita Singh, Olive Mtema, Ndidza Chisanu, Jennifer H Tang

Abstract readComparative Study
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Use of family planning information by primary healthcare clinic managers in South Africa.Health information management : journal of the Health Information Management Association of Australia · 2025
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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.

Clara LemaniUniversity of North Carolina Project-Malawi, Lilongwe, Malawi.
Nenani KamtuwanjeUniversity of North Carolina Project-Malawi, Lilongwe, Malawi.
Billy PhiriUniversity of North Carolina Project-Malawi, Lilongwe, Malawi.
Ilene S SpeizerDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kavita SinghDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Olive MtemaHealth Policy Project, Lilongwe, Malawi.
Ndidza ChisanuFamily Planning Association of Malawi, Lilongwe, Malawi.
Jennifer H TangDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

objectiveThe primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP).

methodsA prospective quasi-experimental design was used to compare CYP and uptake of long-acting reversible contraception (LARC) between two intervention facilities (Area 25 Health Center and Kasungu District Hospital) and two nonintervention facilities (Mkanda Health Center and Dowa District Hospital). The interventions included community mobilization and demand generation for family planning, and training and mentoring of providers in LARC insertion. Monthly data were collected from 1 year prior to intervention implementation until 2 years thereafter.

resultsFrom the pre-intervention year to the second post-intervention year, CYP increased by 175.1% at Area 25, whereas it decreased by 33.8% at Mkanda. At Kasungu and Dowa, CYP increased by 90.7% and 64.4%, respectively. Uptake of LARC increased by 12.2% at Area 25 r, 6.2% at Kasungu, and 2.9% at Dowa, but decreased by 3.8% at Mkanda.

conclusionsThe interventions led to an increase in CYP and LARC uptake. Future family planning programs should sensitize communities about family planning and train providers to provide all contraceptives so that women can make informed decisions and use the contraceptive of their choice.

Indexed as

Family Planning ServicesAdolescentAdultCommunity Health CentersFemaleHospitals, DistrictHumansLong-Acting Reversible ContraceptionMalawiProspective StudiesYoung AdultAfricaCouple years of protectionFamily planningLong-acting reversible contraceptionMalawi

Identifiers

PMID29318602
PMCPMC5873398

What OpenQuestion holds

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LicenceCC BY
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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.