Evidence map›Paper›PMID 30198796›Full record

ArticleThe European journal of contraception & reproductive health care : the official journal of the European Society of Contraception2018

Experiences with the levonorgestrel-releasing intrauterine system in Kenya: qualitative interviews with users and their partners.

Geeta Nanda, Kate Rademacher, Marsden Solomon, Sarah Mercer, Jim Wawire, Rose Ngahu

Open access · hybridAbstract read
In one paragraph

Article in The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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  5. A non-inferiority analysis of hemoglobin levels in postpartum IUD users in Bangladesh.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 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

6 authors at 2 institutions in 2 countries.

Geeta Nandaa Family Health International (FHI 360) , Washington , DC , USA.ORCID http://orcid.org/0000-0002-3848-7462
Kate Rademacherb Family Health International (FHI 360) , Durham , NC , USA.
Marsden Solomonc Family Health International (FHI 360) , Nairobi , Kenya.
Sarah Mercerd Austin, TX, USA, formerly with Family Health International (FHI 360) , Durham , NC , USA.
Jim Wawiree Family Health Options Kenya (FHOK) , Nairobi , Kenya.
Rose Ngahue Family Health Options Kenya (FHOK) , Nairobi , Kenya.
Family Health International 360 · USFamily Health Options Kenya · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe levonorgestrel-releasing intrauterine system (LNG-IUS) is an underused contraceptive method in sub-Saharan Africa. A recent market assessment in Kenya found that if a more affordable version of the method were available it may increase demand and uptake of the method. We therefore aimed to examine attitudes and perceptions around the LNG-IUS and experiences of method use, including exploring attributes such as bleeding changes, contraceptive-related amenorrhoea and perceived non-contraceptive benefits.

methodsQualitative interviews were conducted among 29 women who were current or recent users of the LNG-IUS, and among a subset (n = 9) of their husbands/partners.

resultsOur findings indicate that women's main reason for choosing the LNG-IUS for contraception was their perception that the method had fewer side effects compared with other contraceptive methods. Women had favourable attitudes towards using the LNG-IUS. Husbands were also very positive about their partner's use of the method.

conclusionUnderstanding the motivations and experiences of early adopters of the LNG-IUS can help inform the development of demand creation and communication strategies to influence uptake and continuation of the LNG-IUS both in Kenya and perhaps more broadly. Communication efforts that emphasise the positive attributes of the LNG-IUS could help promote wider use of the method, especially if new, more affordable product(s) become available.

Indexed as

Contraception BehaviorLong-Acting Reversible ContraceptionAdolescentAdultAttitude to HealthContraceptionContraceptive Agents, FemaleFemaleHumansIntrauterine Devices, MedicatedKenyaLevonorgestrelMaleNeeds AssessmentSexual PartnersSocial PerceptionContraceptive Agents, FemaleLevonorgestrelKenyaLARClevonorgestrel-releasing intrauterine systemLNG-IUSlong-acting reversible contraceptionMirenapartner perspective

Identifiers

PMID30198796
PMCPMC6191886
OpenAlexW2892243281

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.