Evidence map›Paper›PMID 31088518›Full record

ArticleReproductive health2019

Prevalence and correlates of postabortion long-acting reversible contraceptive (LARC) use among young women (24 and below) in Nepal: Strategy in the search for improvements.

Suresh Mehata, Navaraj Bhattarai, Jamie Menzel, Mukta Shah, Pratik Khanal, Shadie Tofigh, Mukti Nath Khanal, Shibesh Chandra Regmi, Kathryn Andersen

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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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Suresh MehataIpas Nepal, Baluwatar, Do Cha Marg, Ward No.: 04, Kathmandu, 44600, Nepal.
Navaraj BhattaraiIpas Nepal, Baluwatar, Do Cha Marg, Ward No.: 04, Kathmandu, 44600, Nepal.
Jamie MenzelIpas, P.O. Box 9990, Chapel Hill, NC, 27515, USA.
Mukta ShahIpas Nepal, Baluwatar, Do Cha Marg, Ward No.: 04, Kathmandu, 44600, Nepal.
Pratik KhanalInstitute of Medicine, Kathmandu, Nepal.
Shadie TofighIpas, P.O. Box 9990, Chapel Hill, NC, 27515, USA.
Mukti Nath KhanalMinistry of Health, Ram Shah Path, Kathmandu, 44600, Nepal.
Shibesh Chandra RegmiIpas Nepal, Baluwatar, Do Cha Marg, Ward No.: 04, Kathmandu, 44600, Nepal.
Kathryn AndersenIpas, P.O. Box 9990, Chapel Hill, NC, 27515, USA. andersenk@ipas.org.ORCID http://orcid.org/0000-0003-0125-8129

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostabortion contraceptive use differs across countries, suggesting the need for country-level research to identify barriers and suggest appropriate interventions. This study aimed to identify the prevalence and correlates of postabortion long-acting reversible contraceptive (LARC) use among women aged 24 or younger in Nepal.

methodsThis is a cohort study using Health Management Information System (HMIS) data where individual case records of women seeking induced abortion or postabortion care were documented using structured HMIS 3.7 records. Analysis was performed on the individual case records of 20,307 women 24 years or younger who received induced abortion or postabortion care services in the three-year period from July 2014 to June 2017 at 433 public and private health facilities.

findingsOverall, LARC uptake during the study period was 11% (IUD: 3% and implant: 8%). The odds of LARC acceptance was higher for young women (24 and below) who belonged to Brahmin/Chhetri (AOR = 1.23; 95% CI: 1.02-1.47) and Janajatis (AOR = 1.20; 95% CI: 1.01-1.43) as compared to Dalits; young women who had an induced abortion (AOR = 3.75; 95% CI: 1.75-8.06) compared with postabortion care; and those receiving service from public sector health facilities (AOR = 4.00; 95% CI: 2.06-7.75) compared with private sector health facilities.

conclusionThe findings from this study indicate the need to focus on barriers to acceptance of LARC among several groups of young women (24 and below) receiving abortion care in Nepal: Dalits, Madhesis and Muslims; nulliparous women; and those receiving services at private sector health facilities.

Indexed as

Long-Acting Reversible ContraceptionAbortion, InducedAftercareCohort StudiesContraception BehaviorFemaleHumansNepalPregnancyPregnancy, UnplannedYoung AdultHealth management information systemInduced abortionLong-acting reversible contraceptivesNepalPostabortion care

Identifiers

PMID31088518
PMCPMC6518755

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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.