Evidence map›Paper›PMID 30782201›Full record

ArticleReproductive health2019

"Confidence comes with frequent practice": health professionals' perceptions of using manual vacuum aspiration after a training program.

Maria Lisa Odland, Gladys Membe-Gadama, Ursula Kafulafula, Jon Øyvind Odland, Elisabeth Darj

Open access · goldAbstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

5 authors at 5 institutions in 4 countries.

Maria Lisa OdlandDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway. maria.l.odland@ntnu.no.ORCID http://orcid.org/0000-0003-4340-7145
Gladys Membe-GadamaQueen Elizabeth Central Hospital, Blantyre, Malawi.
Ursula KafulafulaKamuzu College of Nursing, Blantyre, Malawi.
Jon Øyvind OdlandDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Elisabeth DarjDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Kamuzu Central Hospital · MWNorwegian University of Science and Technology · NOQueen Elizabeth Central Hospital · MWUniversity of Malawi · MWUppsala University · SE

Funding

The Programme for Global Health and Vaccination Research (GLOBVAC) in conjunction with the Norwegian Research Council Project number 244672
6 · The paper itself

Abstract

backgroundMalawi has one of the highest maternal mortality rates in the world, with unsafe abortion as a major contributor. Curettage is most frequently used as the surgical method for treating incomplete abortions, even though it is costly for an impoverished health system and the less expensive and safe manual vacuum aspiration (MVA) method is recommended.

methodsThe aim of this 2016-17 study is to explore health worker's perception of doing MVA 1 year after an educational intervention. Focus group discussions were recorded, transcribed verbatim, and analyzed using content analysis for interpreting the findings. A knowledge, attitude and practice survey was administered to health professionals to obtain background information before the MVA training program was introduced.

resultsPrior to the training sessions, the participants demonstrated knowledge on abortion practices and had positive attitudes about participating in the service, but preferred curettage over MVA. The training was well received, and participants felt more confident in doing MVA after the intervention. However, focus group discussions revealed obstacles to perform MVA such as broken equipment and lack of support. Additionally, the training could have been more comprehensive. Still, the participants appreciated task-sharing and team work.

conclusionTraining sessions are considered useful in increasing the use of MVA. This study provides important insight on how to proceed in improving post-abortion care in a country where complications of unsafe abortion are common and the health system is low on resources.

Indexed as

Abortion, IncompleteAbortion, InducedAttitude of Health PersonnelFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansMalawiMaleHealth care providersIncomplete abortionsManual vacuum aspirationMVAPost-abortion care

Identifiers

PMID30782201
PMCPMC6381708
OpenAlexW2920819593

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.