Evidence map›Paper›PMID 31072352›Full record

ArticleBMC public health2019

Integrating safer conception services into primary care: providers' perspectives.

Mariya C Patwa, Jean Bassett, Leah Holmes, Lillian Mutunga, Mutsa Mudavanhu, Thembisile Makhomboti, Annelies Van Rie, Sheree R Schwartz

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public 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
0.4field-weighted citation impact, top 38% 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, 7 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

8 authors at 2 institutions in 2 countries.

Mariya C PatwaJohns Hopkins Bloomber School of Public Health, 615 N Wolfe St. E7136, Baltimore, MD, USA.
Jean BassettWitkoppen Health and Welfare Centre, Johannesburg, South Africa.
Leah HolmesJohns Hopkins Bloomber School of Public Health, 615 N Wolfe St. E7136, Baltimore, MD, USA.
Lillian MutungaWitkoppen Health and Welfare Centre, Johannesburg, South Africa.
Mutsa MudavanhuWitkoppen Health and Welfare Centre, Johannesburg, South Africa.
Thembisile MakhombotiWitkoppen Health and Welfare Centre, Johannesburg, South Africa.
Annelies Van RieDepartment of Epidemiology and Social Medicine, University of Antwerp, Antwerpen, Belgium.
Sheree R SchwartzJohns Hopkins Bloomber School of Public Health, 615 N Wolfe St. E7136, Baltimore, MD, USA. sschwartz@jhu.edu.ORCID http://orcid.org/0000-0001-6090-2880
Bloomberg (United States) · USUniversity of Antwerp · BE

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Fogarty Global Health Fellows Coordinating CenterR25TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2012 to 2016
$6.9M
Center for AIDS Research, Johns Hopkins University P30AI094189FIC NIH HHS R25 TW009340Fogarty International Center R25TW009340NIAID NIH HHS P30 AI094189U.S. President's Emergency Plan for AIDS Relief AID-674-A-12-00033
6 · The paper itself

Abstract

backgroundIn 2012, South Africa adopted the Contraception and Fertility Planning guidelines to incorporate safer conception services into care for HIV-affected couples trying to conceive. These guidelines lacked clear implementation and training recommendations. The objective of this study was to investigate factors influencing integration of safer conception services in a clinical setting.

methodsTwenty in-depth interviews were conducted between October-November 2017 with providers and staff at Witkoppen Clinic in Johannesburg, where the Sakh'umndeni safer conception demonstration project had enrolled patients from July 2013-July 2017. Semi-structured interview guides engaged providers on their perspectives following the Sakh'umndeni project and possible integration plans to inform the translation of the stand-alone Sakh'umndeni services into a routine service. A grounded theory approach was used to code interviews and an adaptation of the Atun et al. (2010) 'Integration of Targeted Interventions into Health Systems' conceptual framework was applied as an analysis tool.

resultsFive themes emerged: (1) The need for safer conception training; (2) The importance of messaging and demand generation; (3) A spectrum of views around the extent of integration of safer conception services; (4) Limitations of family planning services as an integration focal point; and (5) Benefits and challenges of a "couples-based" intervention. In-depth interviews suggested that counselors, as the first point of contact, should inform patients about safer conceptions services, followed by targeted reinforcement of safer conception messaging by all clinicians, and referral to more intensively trained safer conception providers.

conclusionA safer conception counseling guide would facilitate consultations. While many providers felt that the services belonged in family planning, lack of HIV management skills, men and women trying to conceive within family planning may pose barriers.

Indexed as

Attitude of Health PersonnelContraceptionCounselingFamily Planning ServicesFertilizationGrounded TheoryHIV InfectionsHumansPatient SafetyPrimary Health CareReferral and ConsultationSouth AfricaAfer conceptionFamily planningHIVHIV preventionService integration

Identifiers

PMID31072352
PMCPMC6507034
OpenAlexW2947778693

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.