Evidence map›Paper›PMID 30580261›Full record

ArticleBMJ open2018

Differences in family planning outcomes between military and general populations in Kinshasa, Democratic Republic of the Congo: a cross-sectional analysis.

Pierre Akilimali, Philip Anglewicz, Henri Nzuka Engale, Gilbert Kabanda Kurhenga, Julie Hernandez, Patrick Kayembe, Jane Bertrand

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

7 authors.

Pierre AkilimaliKinshasa School of Public Health, Universite de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Philip AnglewiczSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.ORCID 0000-0002-7967-3843
Henri Nzuka EngaleMedical Division, Congolese Armed Forces, Kinshasa, The Democratic Republic of the Congo.
Gilbert Kabanda KurhengaMedical Division, Congolese Armed Forces, Kinshasa, The Democratic Republic of the Congo.
Julie HernandezSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
Patrick KayembeKinshasa School of Public Health, Universite de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Jane BertrandSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.

Funding

UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
6 · The paper itself

Abstract

objectivesTo examine family planning outcomes among women living in military camps in Kinshasa, Democratic Republic of the Congo, and compare these outcomes with a representative sample of non-military women in Kinshasa.

participantsWomen of reproductive ages, 15-49 years. We compare two populations: women living in military camps and the general (non-military) population in Kinshasa. STUDY

designFor sampling, we used a two-stage cluster sampling design, where we first randomly selected enumeration areas (EA), and then randomly selected women within each EA (separately for each of the two populations). We administered a survey on contraceptive use and family planning to all participating women. We use bivariate and multivariate analysis to compare these populations for a range of family planning outcomes.

resultsWe find many statistically significant differences between women in military camps and general female population of Kinshasa. Although they do not have more children, women in military camps are less likely to be using contraception (all methods OR 0.24, 95% CI 0.11 to 0.53; modern methods OR 0.25, 95% CI 0.08 to 0.79; traditional methods OR 0.41, 95% CI 0.24 to 0.71) and less knowledgeable about many family planning methods (less likely to have heard of implants (OR 0.23, 95% CI 0.11 to 0.48), injectables (OR 0.19, 95% CI 0.08 to 0.44), condoms (OR 0.23, 95% CI 0.12 to 0.47), withdrawal (OR 0.05, 95% CI 0.02 to 0.17) and rhythm (OR 0.12, 95% CI 0.03 to 0.44) methods), while at the same time they are more likely to want to limit their births (OR 5.17, 95% CI 2.52 to 10.62), and less likely to have obtained their preferred family planning method (OR 0.14, 95% CI 0.03 to 0.64).

conclusionsWomen in military camps in Kinshasa appear to be an important and underserved population with regard to family planning. Our results suggest that women in military camps have limited access to modern family planning methods.

Indexed as

AdolescentAdultAge FactorsContraception BehaviorCross-Sectional StudiesDemocratic Republic of the CongoDeveloping CountriesFamily Planning ServicesFemaleHumansInterviews as TopicLogistic ModelsMilitary FacilitiesMilitary PersonnelOutcome Assessment, Health CareReference Valuescontraceptive useDemocratic Republic of Congofamily planningfertilitykinshasamilitary

Identifiers

PMID30580261
PMCPMC6318504

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LicenceCC BY
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Registered trials

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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.