Evidence map›Paper›PMID 32771028›Full record

ArticleReproductive health2020

Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives.

Adam Silumbwe, Theresa Nkole, Margarate N Munakampe, Joanna Paula Cordero, Cecilia Milford, Joseph Mumba Zulu, Petrus S Steyn

Abstract read
In one paragraph

Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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  4. Prevalence of teenage pregnancy and its associated factors among adolescent girls in Ghana.The Journal of the Egyptian Public Health Association · 2026
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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

7 authors.

Adam SilumbweDepartment of Health Policy and Management, School of Public Health, University of Zambia, P.O Box 50110, Lusaka, Zambia. adamsilumbwe@gmail.com.ORCID http://orcid.org/0000-0002-1905-5293
Theresa NkoleDepartment of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
Margarate N MunakampeDepartment of Health Policy and Management, School of Public Health, University of Zambia, P.O Box 50110, Lusaka, Zambia.
Joanna Paula CorderoUNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) and Department of Sexual and Reproductive Health and Research (SRH), Geneva, World Health Organization, Geneva, Switzerland.
Cecilia MilfordMRU (MatCH Research Unit), Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Durban, South Africa.
Joseph Mumba ZuluDepartment of Health Promotion, School of Public Health, University of Zambia, Lusaka, Zambia.
Petrus S SteynUNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) and Department of Sexual and Reproductive Health and Research (SRH), Geneva, World Health Organization, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundAlthough community participation has been identified as being important for improved and sustained health outcomes, designing and successfully implementing it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision, remains challenging. Zambian participants in a multi-country project (the UPTAKE project) took part in the development of an intervention involving community and healthcare provider participation in FP/C services provision and uptake. This study reports key thematic areas identified by the study participants as critical to facilitating community participation in this intervention.

methodsThis was an exploratory qualitative research study, conducted in Kabwe District, Central Province, in 2017. Twelve focus group discussions were conducted with community members (n = 114), two with healthcare providers (n = 19), and ten in-depth interviews with key community and health sector stakeholders. Data were analyzed using a thematic analysis approach.

resultsFour thematic categories were identified by the participants as critical to facilitating community participation in FP/C services. Firstly, accountability in the recruitment of community participants and incorporation of community feedback in FP/C. programming. Secondly, engagement of existing community resources and structures in FP/C services provision. Thirdly, building trust in FP/C methods/services through credible community-based distributors and promotion of appropriate FP/C methods/services. Fourthly, promoting strategies that address structural failures, such as the feminisation of FP/C services and the lack FP/C services that are responsive to adolescent needs.

conclusionsUnderstanding and considering community members' and healthcare providers' views regarding contextualized and locally relevant participatory approaches, facilitators and challenges to participation, could improve the design, implementation and success of participatory public health programmes, including FP/C.

Indexed as

Community ParticipationHealth Services AccessibilityStakeholder ParticipationAdolescentAdultContraceptionContraceptive AgentsFamily Planning ServicesFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSex EducationContraceptive AgentsAccountabilityCommunityContraceptivesFamily planningMotivationParticipationProgramsStrategiesTrust

Identifiers

PMID32771028
PMCPMC7414747

What OpenQuestion holds

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LicenceCC BY
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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.