Evidence map›Paper›PMID 30665470›Full record

ArticleReproductive health2019

Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data.

Christina J Atchison, Jenny A Cresswell, Saidi Kapiga, Mussa Kelvin Nsanya, Emily E Crawford, Mohammed Mussa, Christian Bottomley, James R Hargreaves, Aoife M Doyle

Open access · goldAbstract readComparative Study
In one paragraph

Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 24 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Christina J AtchisonLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK. c.atchison@nhs.net.
Jenny A CresswellLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK.
Saidi KapigaLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK.
Mussa Kelvin NsanyaMwanza Intervention Trials Unit, Mwanza, Tanzania.
Emily E CrawfordBinomial Optimus Limited, Abuja, Nigeria.
Mohammed MussaMMA Development Consultancy, Addis Ababa, Ethiopia.
Christian BottomleyLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK.
James R HargreavesLondon School of Hygiene and Tropical Medicine, Department of Social and Environmental Health Research, London, UK.
Aoife M DoyleLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK.
London School of Hygiene & Tropical Medicine · GBAfrican Field Epidemiology Network · NGEnvironmental Health · GBMwanza Intervention Trials Unit · TZ

Funding

Gates Foundation OPP1134172Medical Research Council MR/K012126/1Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

backgroundAdolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive use characteristics of married women aged 15 to 19 years living in three sub-national settings.

methodsCross-sectional baseline surveys of married women aged 15 to 19 years were conducted in Oromia (Ethiopia), Nasarawa (Northern Nigeria), and Mwanza (Tanzania) between August 2017 and February 2018. We also interviewed the husbands of a sub-group of married respondents to measure spousal acceptance and support for adolescent women to use modern contraception. A clustered sampling design was used in all three countries. We produced descriptive statistics on the socio-demographic and sexual and reproductive health characteristics of married women aged 15 to 19 years by study setting.

resultsIn Oromia, Nasarawa and Mwanza, 31.4% (327/1198), 27.4% (1321/4816) and 7.5% (15/201) of married women surveyed had no education, and 68.3, 81.3 and 83.1% had ever been pregnant, respectively. Unmet need for modern contraception was 20.5, 21.9 and 32.0% in married women in Oromia, Nasarawa and Mwanza, made up almost entirely of unmet need for spacing. The vast majority of married women surveyed in Oromia (89.1%) and Mwanza (90.1%) had seen or heard about contraception in the last 12 months, compared to 30.1% of those surveyed in Nasarawa. Modern contraceptive prevalence (mCPR) was highest in married women aged 15 to 19 years in Oromia (47.2%), followed by Mwanza (19.4%) and Nasarawa (8.7%). Of those using a modern method of contraception in Oromia, 93.4% were using injectables or long-acting methods, compared to 49.4% in Nasarawa and 69.6% in Mwanza.

conclusionsOverall, unmet need for modern contraception is high among married women aged 15 to 19 years across the three settings. mCPR for married women aged 15 to 19 years is low in Nasarawa and Mwanza. Ultimately, no single intervention will suit all situations, but improving the quality, analyses and utilisation of subnational data can help decision-makers design more context specific interventions.

Indexed as

FertilityAdolescentContraceptionContraception BehaviorCross-Sectional StudiesEthiopiaFamily Planning ServicesFemaleHumansNigeriaSexual BehaviorSocioeconomic FactorsTanzaniaYoung AdultAdolescentsAfricaContraceptionFamily planningReproductive health

Identifiers

PMID30665470
PMCPMC6341518
OpenAlexW2918527750

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.