Evidence map›Paper›PMID 31751377›Full record

ArticlePloS one2019

The impact of "male clinics" on health-seeking behaviors of adult men in rural Kenya.

Justine Dowden, Ivy Mushamiri, Eric McFeely, Donald Apat, Jilian Sacks, Yanis Ben Amor

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.7field-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

24 citing papers in PubMed, 31 citations in OpenAlex.

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  4. A cross-sectional survey of men's attitudes towards public health services and their utilisation practices in Limpopo Province, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
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  10. Public Men's Clinic: Men's experiences of healthcare professionals and environment.African journal of primary health care & family medicine · 2025
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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

6 authors at 3 institutions in 2 countries.

Justine DowdenCenter for Sustainable Development, Earth Institute, Columbia University, New York, NY, United States of America.ORCID 0000-0002-6315-8054
Ivy MushamiriDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States of America.
Eric McFeelyCenter for Sustainable Development, Earth Institute, Columbia University, New York, NY, United States of America.ORCID 0000-0002-3642-1857
Donald ApatColumbia Global Centers East and Southern Africa, Nairobi, Kenya.ORCID 0000-0002-0641-9676
Jilian SacksCenter for Sustainable Development, Earth Institute, Columbia University, New York, NY, United States of America.ORCID 0000-0003-4815-4693
Yanis Ben AmorCenter for Sustainable Development, Earth Institute, Columbia University, New York, NY, United States of America.ORCID 0000-0003-1278-8715
Earth Island Institute · USColumbia Global Center · KEColumbia University · US

Funding

Global HIV Implementation Science Research Training Grant RenewalT32AI114398 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Yael R Hirsch-Moverman · 2014 to 2026
$4.1M
NIAID NIH HHS T32 AI114398
6 · The paper itself

Abstract

backgroundIn most parts of the world, men access health services less frequently than women, and this trend is unrelated to differences in need for services. While male involvement in healthcare as partners or fathers has been extensively studied, less is known about the health-seeking behavior of men as clients themselves. This interventional research study aimed to determine how the introduction of male-friendly clinics impacted male care-seeking behavior and to describe the reasons for accessing services among men in rural Kenya. METHODS AND

findingsWe questioned men to assess utilization and perceptions of existing health clinics, then designed and evaluated a "male clinics" intervention where dedicated male health workers were hired for one year to offer routine, free services exclusively to men within existing healthcare facilities. Results were compared between data from Male Clinics in specific health facilities, the same facilities concurrently, nearby control facilities concurrently, and intervention facilities historically. Costs of services, distance to facilities, and quality of care were the main barriers to healthcare access reported. The number of total visits was significantly higher than control groups (p<0·0001). In the intervention group, 18·6% of visits were for a checkup compared to almost none in control groups. The most common diagnoses overall were upper respiratory tract infections, malaria and injury. A major limitation of this study is the non-comparability in information captured using the Male Clinic registers compared to control registers.

conclusionsCosts and quality of services deter men from seeking healthcare. The introduction of male-friendly health services could encourage men to seek preventive care and increase service uptake.

Indexed as

Health BehaviorAdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesHealth Services AccessibilityHumansKenyaMaleMen's HealthMiddle AgedPatient Acceptance of Health CareQualitative ResearchQuality of Health CareRural Health Services

Identifiers

PMID31751377
PMCPMC6872147
OpenAlexW2991002574

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.