Evidence map›Paper›PMID 32347439›Full record

ArticleMaternal and child health journal2020

Sexual Relationship Power and Socio-demographic Factors Predicting Contraceptive Use, Antenatal Visits and Sick Child Health Service Use in Northern Togo.

Elianna T Kaplowitz, Kevin P Fiori, Molly E Lauria, Sesso Gbeleou, Agnés Miziou, Etonam Sowu, Jennifer Schechter, Heidi E Jones

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03773913 (Integrated Community Based Health Systems Strengthening in Northern Togo), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 20% 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.

NCT03773913 unknown statusnot on this map

Integrated Community Based Health Systems Strengthening in Northern Togo: A Preliminary Mixed-Methods Study in Kozah District

TypeobservationalSponsorIntegrate HealthRan2015 to 2021Enrolled1,500ConditionsMaternal-Child Health Services, Health Service UtilizationArmsICBHSS model
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

8 authors at 4 institutions in 1 country.

Elianna T KaplowitzDepartment of Epidemiology and Biostatistics, City University of New York (CUNY) School of Public Health, New York, USA.
Kevin P FioriDepartment of Family & Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA. kfiori@integratehealth.org.
Molly E LauriaCommunity Health Systems Lab, Integrate Health/Santé Intégrée, Kara, Togo.
Sesso GbeleouIntegrate Health/Santé Intégrée, Kara, Togo.
Agnés MiziouIntegrate Health/Santé Intégrée, Kara, Togo.
Etonam SowuIntegrate Health/Santé Intégrée, Kara, Togo.
Jennifer SchechterIntegrate Health/Santé Intégrée, New York, NY, USA.
Heidi E JonesDepartment of Epidemiology and Biostatistics, City University of New York (CUNY) School of Public Health, New York, USA.
City University of New York · USAlbert Einstein College of Medicine · USIntegra (United States) · USIntegrity Systems (United States) · US

Funding

The Center of Excellence in Promoting LHS Operations and Research at Einstein/Montefiore (EXPLORE)K12HS026396 · AHRQ · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MARANTZ, PAUL R, RINKE, MICHAEL L · 2018 to 2022
$3.3M
AHRQ HHS K12 HS026396
6 · The paper itself

Abstract

introductionImplementation of community-based healthcare services offering effective contraception, antenatal care (ANC), and treatment for symptomatic children under five has reduced maternal and child mortality in Togo. However, understanding if women are utilizing these services differentially based on social or demographic factors is important. This study identifies whether sexual relationship and socio-demographic factors are associated with healthcare utilization in four health facility catchment areas.

methodsWe conducted a cross-sectional household survey of women aged 15-49 in four health facility catchment areas in 2016 (three rural sites, one urban site). We used multivariable Poisson regression to test whether socio-demographic factors and a validated sexual relationship power scale were associated with contraceptive use, ANC visits, and seeking treatment for symptomatic children under five.

resultsAmong women not pregnant or desiring pregnancy, older age, lower education, and single relationship status were associated with lower use of effective contraception. Among women who gave birth in two years preceding survey, low relationship power and low wealth quintile were associated with being less likely to attend at least four ANC visits. Women in rural sites were slightly more likely than women in the urban site to report seeking treatment for child under five with malaria, pneumonia, and/or diarrhea symptoms in last 2 weeks. DISCUSSION: Interventions in low-resource settings should explore ways to reach women with low health-service utilization to improve contraceptive use, ANC visits, and treatment for sick children. Furthermore, age, education, marital status, wealth status and sexual relationship power must be considered when targeting maternal health behaviors.

trial registrationClinicalTrials.gov Identifier: NCT03773913; Date of registration: 12 Dec. 2018.

Indexed as

Socioeconomic FactorsAdolescentAdultChildChild CareContraception BehaviorCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePregnancyPrenatal CareSexual BehaviorSick LeaveAntenatal careCare seekingChild mortalityContraceptionSexual relationship powerTogo

Identifiers

PMID32347439
PMCPMC7340338
OpenAlexW3018871718

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.