Evidence map›Paper›PMID 30691443›Full record

ArticleBMC women's health2019

What contraception do women use after experiencing complications from abortion? an analysis of cohort records of 18,688 postabortion care clients in Tanzania.

Colin Baynes, J Kahwa, G Lusiola, F Mwanga, J Bantambya, L Ngosso, M Hiza

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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

7 authors at 2 institutions in 2 countries.

Colin BaynesEngenderHealth, 440 Ninth Avenue, New York City, NY, 10001, United States. CBaynes@engenderhealth.org.ORCID 0000-0002-9028-3467
J KahwaEngenderHealth, Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box 78167, Dar es Salaam, Tanzania.
G LusiolaEngenderHealth, Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box 78167, Dar es Salaam, Tanzania.
F MwangaEngenderHealth, Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box 78167, Dar es Salaam, Tanzania.
J BantambyaEngenderHealth, Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box 78167, Dar es Salaam, Tanzania.
L NgossoEngenderHealth, Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box 78167, Dar es Salaam, Tanzania.
M HizaMinistry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), PO Box 9083, Dar es Salaam, Tanzania.
EngenderHealth · USMinistry of Health, Community Development, Gender, Elderly and Children · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe family planning component of postabortion care (PAC) is critical, as it helps women to prevent unintended pregnancies and reduce future incidence of life-threatening unsafe abortion. In Tanzania, PAC was recently decentralized from tertiary-level district hospitals to primary health care dispensaries in four regions of the country. This analysis describes interventions used to improve access to high quality PAC services during decentralization; examines results and factors that contribute to PAC clients' voluntary uptake of contraception; and develops recommendations for improving postabortion contraceptive services.

methodsThis analysis uses service delivery statistics of 18,688 PAC clients compiled from 120 facilities in Tanzania between 2005 and 2014.

resultsThis study suggests that efforts to integrate postabortion family planning into treatment for incomplete abortion contributed to higher postabortion contraceptive uptake (86%). Results indicate that variables associated with significant differences in contraceptive uptake were facility level, age, gestational age at the time of treatment, and uterine evacuation technology used.

conclusionThe experience of expanding PAC services in Tanzania suggests that integrating contraceptive services with treatment for abortion complications can increase family planning use.

Indexed as

Abortion, IncompleteAbortion, InducedAdultAftercareCohort StudiesContraceptionContraception BehaviorContraceptive AgentsFamily Planning ServicesFemaleHumansPregnancyPregnancy, UnplannedQuality of Health CareTanzaniaYoung AdultContraceptive AgentsContraceptive uptakeDecentralizationFamily planningPostabortion careTanzania

Identifiers

PMID30691443
PMCPMC6350325
OpenAlexW2927154307

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.