Evidence map›Paper›PMID 33315904›Full record

SynthesisPloS one2020

Postpartum modern contraception utilization and its determinants in Ethiopia: A systematic review and meta-analysis.

Bizuneh Wakuma, Getu Mosisa, Werku Etafa, Diriba Mulisa, Tadesse Tolossa, Getahun Fetensa, Merga Besho, Mohammed Gebre, Reta Tsegaye

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06521138 (The Effect of Transtheoretical Model-Based Antenatal and Postnatal Motivational Interviewing on Contraceptive Self-Efficacy, Contraceptive Attitude and Contraceptive Use), which is not on this map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 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.

NCT06521138 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effect of Transtheoretical Model-Based Antenatal and Postnatal Motivational Interviewing on Contraceptive Self-Efficacy, Contraceptive Attitude and Contraceptive Use: A Randomized Controlled Trial

TypeinterventionalSponsorGazi UniversityRan2024 to 2024Enrolled72ConditionsSupportive CareArmsMotivational interviewing group, Control group
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines 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.

Bizuneh WakumaSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.ORCID 0000-0002-2550-6759
Getu MosisaSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.
Werku EtafaSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.
Diriba MulisaSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.
Tadesse TolossaDepartment of Public Health, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.
Getahun FetensaSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.
Merga BeshoSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.
Mohammed GebreDepartment of Pharmacy, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Reta TsegayeSchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContraceptive use is the best and most cost-effective strategy to reduce feto-maternal adverse effects of short birth intervals. More than two-thirds of women in developing countries who do not want to conceive are not using contraception methods. Although there were various primary studies in different parts of the country, there is no nationally representative evidence on postpartum modern contraception utilization and its determinants in Ethiopia.

objectiveThis review was aimed to determine the best available pieces of evidence to pool the magnitude of postpartum modern contraception utilization and find out its determinants.

methodsPublished studies were extensively searched by using electronic databases and unpublished studies were identified from the digital library. All observational studies conducted on the magnitude of postpartum modern contraception utilization and its determinants in Ethiopia were included. Data were extracted on the Microsoft Excel spreadsheet and analyzed using STATA 14.1 version. A random-effects model was used to estimate the pooled magnitude of postpartum modern contraception utilization with a 95% confidence interval (CI). Inverse variance (I2) was used to identify the presence of heterogeneity and forest plot was used to estimate the pooled magnitude of postpartum contraception utilization. The presence of publication bias was assessed by funnel plots and Egger's statistical tests. Sub-group analysis was computed to minimize underlying heterogeneity.

findingsIn this review, 19 primary studies were included. The pooled magnitude of postpartum modern contraception utilization in Ethiopia was 45.79% (95%CI 36.45%, 55.13%). The review found that having more than four Antenatal care visits(ANC), having postnatal care visit (PNC), having a formal education, history of family planning use, history of counseling on family planning, and having greater than four alive children as significant determinants of postpartum modern contraception utilization.

conclusionThe magnitude of postpartum modern contraception utilization in Ethiopia was low. ANC visit, PNC visit, maternal educational status, history of previous family planning use, counseling on family planning, and number of alive children were found to be significant determinants of postpartum modern contraception utilization. Therefore, strengthening focused ANC and PNC services to encourage women in utilizing modern contraception during the postnatal period is needed.

Indexed as

ContraceptionFamily Planning ServicesEthiopiaHumansPostnatal CarePostpartum PeriodPrenatal Care

Identifiers

PMID33315904
PMCPMC7735615

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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.