Evidence map›Paper›PMID 33145775›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2021

Integration of family planning services into health care for HIV-positive women in Botswana.

Lois Hawkins, Alida M Gertz, Opelo Badubi, Ontiretse Sickboy, Aamirah Mussa, Tshego Maotwe, Paul G Whittaker, Courtney A Schreiber, Doreen Ramagola-Masire, Chelsea Morroni

Open access · bronzeAbstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 5 pooled it
0.1field-weighted citation impact, top 41% 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

7 citing papers in PubMed, 5 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  6. Article
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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

10 authors at 5 institutions in 4 countries.

Lois HawkinsBotswana-UPenn Partnership, Gaborone, Botswana.
Alida M GertzBotswana-UPenn Partnership, Gaborone, Botswana.
Opelo BadubiBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Ontiretse SickboyBotswana-UPenn Partnership, Gaborone, Botswana.
Aamirah MussaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Tshego MaotweBotswana Ministry of Health and Wellness, Gaborone, Botswana.
Paul G WhittakerDepartment of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Courtney A SchreiberDepartment of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Doreen Ramagola-MasireBotswana-UPenn Partnership, Gaborone, Botswana.
Chelsea MorroniBotswana-UPenn Partnership, Gaborone, Botswana.
Botswana Harvard AIDS Institute Partnership · BWBotswana Open University · BWUniversity of Botswana · BWUniversity of Pennsylvania · USMinistry of Health · BW

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
Afya Bora Consortium FellowshipFIC NIH HHS D43 TW010543NIMH NIH HHS 43NIMH NIH HHS DNIMH NIH HHS TW010543University of Pennsylvania Center for AIDS Research
6 · The paper itself

Abstract

objectiveTo create and assess a clinic model to address the unmet need for effective contraception among women living with HIV in Botswana, where half of all pregnancies are unintended and 30% of women of reproductive age are living with HIV.

methodsWe introduced family planning services into an HIV clinic in Gaborone, Botswana. Our intervention gave HIV providers brief training on contraceptive counseling plus the option of immediate referral of interested patients to an on-site contraception provider. We administered a survey to patients and providers before and after intervention. Patients were female, aged 18-45 years and using antiretrovirals.

resultsAt baseline, 6% of 141 patients discussed contraception with their HIV-care provider, compared with 61% of 107 post intervention (P < 0.001). At baseline, 6% of patients reported wanting to use long-acting reversible contraception (LARC). Post intervention, 45% of patients chose to meet with the contraception provider, and 29% wanted to use LARC (P < 0.001 versus baseline). All providers strongly agreed that they were better informed about contraception post intervention and were satisfied with their ability to counsel and refer women for contraception.

conclusionsProvision of on-site contraceptive services in this HIV clinic encouraged family planning discussions and increased interest in LARC.

Indexed as

AdultBotswanaContraceptionContraception BehaviorDelivery of Health CareFamily Planning ServicesFemaleHealth FacilitiesHIV InfectionsHumansLong-Acting Reversible ContraceptionPregnancyProspective StudiesReferral and ConsultationBotswanacontraceptionfamily planningHIVservice integration

Identifiers

PMID33145775
PMCPMC8084204
OpenAlexW3094702775

What OpenQuestion holds

Textmetadata
LicenceTDM
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.