Evidence map›Paper›PMID 33740975›Full record

Trial reportBMC women's health2021

Predictors of postpartum family planning in Rwanda: the influence of male involvement and healthcare experience.

Pamela Williams, Nicole Santos, Hana Azman-Firdaus, Sabine Musange, Dilys Walker, Felix Sayinzoga, Yea-Hung Chen

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  6. Article
  7. Factors associated with postpartum family planning use in Rwanda.Contraception and reproductive medicine · 2024
    Article
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  11. 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

7 authors at 4 institutions in 2 countries.

Pamela WilliamsInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA. williamsgpamela@gmail.com.ORCID 0000-0001-9787-1272
Nicole SantosInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
Hana Azman-FirdausGlobal Health Sciences, AIDS Research Institute and Cochrane HIV/AIDS Group, University of California San Francisco, San Francisco, CA, USA.
Sabine MusangeSchool of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Dilys WalkerInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
Felix SayinzogaMaternal, Child and Community Health Division, Rwanda Ministry of Health, Rwanda Biomedical Center, Kigali, Rwanda.
Yea-Hung ChenCenter for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA.
University of California, San Francisco · USRwanda Biomedical Center · RWSan Francisco Department of Public Health · USUniversity of Rwanda · RW

Funding

Bill and Melinda Gates Foundation DW OPP1107312
6 · The paper itself

Abstract

backgroundStrengthened efforts in postpartum family planning (PPFP) is a key priority to accelerate progress in reproductive, maternal, newborn, and child health outcomes. This secondary data analysis explores factors associated with PPFP uptake in Rwanda. The purpose of this study was to explore variables that may influence PPFP use for postpartum women in Rwanda including health facility type, respectful maternity care, locus of control, and mental health status.

methodsThis secondary analysis of data from a cluster randomized control trial used information abstracted from questionnaires administered to women (≥ 15 years of age) at two time points-one during pregnancy (baseline) and one after delivery of the baby (follow-up). The dependent variable, PPFP uptake, was evaluated against the independent variables: respectful care, locus of control, and mental health status. These data were abstracted from linked questionnaires completed from January 2017 to February 2019. The sample size provided 97% power to detect a change at a 95% significance level with a sample size of 640 at a 15% effect size. Chi-square testing was applied for the bivariate analyses. A logistic regression model using the generalized linear model function was performed; odds ratio and adjusted (by age group and education group) odds ratio with 95% confidence interval were reported.

resultsOf the 646 respondents, although 92% reported not wanting another pregnancy within the next year, 72% used PPFP. Antenatal care wait time (p =  < 0.01; Adj OR (Adj 95% CI) 21-40 min: 2.35 (1.46,3.79); 41-60 min: 1.50 (0.84,2.69); 61-450 min: 5.42 (2.86,10.75) and reporting joint healthcare decision-making between the woman and her partner (male) (p = 0.04; Adj OR (Adj 95% CI) husband/partner: 0.59 (0.35,0.97); mother and partner jointly: 1.06 (0.66,1.72) were associated with PPFP uptake.

conclusionsThese results illustrate that partner (male) involvement and improved quality of maternal health services may improve PPFP utilization in Rwanda.

Indexed as

Family Planning ServicesMaternal Health ServicesChildDelivery of Health CareFemaleHealth FacilitiesHumansInfant, NewbornMalePostpartum PeriodPregnancyRwandaBirth spacingMale involvementMaternal healthPostpartum family planningReproductive health

Identifiers

PMID33740975
PMCPMC7980651
OpenAlexW3137636998

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.