Evidence map›Paper›PMID 33794871›Full record

ArticleBMC health services research2021

"… the way we welcome them is how we will lead them to love family planning.": family planning providers in Rwanda foster compassionate relationships with clients despite workplace challenges.

Hilary M Schwandt, Angel Boulware, Julia Corey, Ana Herrera, Ethan Hudler, Claudette Imbabazi, Ilia King, Jessica Linus, Innocent Manzi, Madelyn Merritt and 15 more

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In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

25 authors.

Hilary M SchwandtWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA. hilary.schwandt@wwu.edu.
Angel BoulwareSpelman College, 350 Spelman Ln SW, Atlanta, GA, 30314, USA.
Julia CoreyWheaton College, 26 E Main St, Norton, MA, 02766, USA.
Ana HerreraNorthwest Vista Community College, 3535 N Ellison Dr., San Antonio, TX, 78251, USA.
Ethan HudlerWhatcom Community College, 237 W Kellogg Rd, Bellingham, WA, 98226, USA.
Claudette ImbabaziINES, Ruhengeri, Musanze, Rwanda.
Ilia KingXavier University, 1 Drexel Dr, New Orleans, LA, 70125, USA.
Jessica LinusUMBC, 1000 Hilltop Cir, Baltimore, MD, 21250, USA.
Innocent ManziINES, Ruhengeri, Musanze, Rwanda.
Madelyn MerrittWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA.
Lyn MezierSUNY Oswego, 7060 NY-104, Oswego, NY, 13126, USA.
Abigail MillerWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA.
Haley MorrisWestern Oregon University, 345 Monmouth Ave N, Monmouth, OR, 97361, USA.
Dieudonne MusemakweliINES, Ruhengeri, Musanze, Rwanda.
Uwase MusekuraEastern Oregon University, One University Blvd, La Grande, OR, 97850, USA.
Divine MutuyimanaINES, Ruhengeri, Musanze, Rwanda.
Chimene NtakarutimanaUniversity of Kentucky, Lexington, KY, 40506, USA.
Nirali PatelArcadia University, 450 S Easton Rd, Glenside, PA, 19038, USA.
Adriana ScanteianuRutgers, New Brunswick, NJ, USA.
Biganette-Evidente ShemezaINES, Ruhengeri, Musanze, Rwanda.
Giànna Sterling-DonaldsonDrexel University, 3141 Chestnut St, Philadelphia, PA, 19104, USA.
Chantal UmutoniINES, Ruhengeri, Musanze, Rwanda.
Lyse UweraINES, Ruhengeri, Musanze, Rwanda.
Madeleine ZeilerWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA.
Seth FeinbergWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRwanda has markedly increased the nation's contraceptive use in a short period of time, tripling contraceptive prevalence in just 5 years between 2005 and 2010. An integral aspect of family planning programs is the interactions between family planning providers and clients. This study aims to understand the client-provider relationship in the Rwandan family planning program and to also examine barriers to those relationships.

methodsThis qualitative study in Rwanda utilized convenience sampling to include eight focus group discussions with family planning providers, both family planning nurses and community health workers, as well as in-depth interviews with 32 experienced modern contraceptive users. Study participants were drawn from the two districts in Rwanda with the highest and lowest modern contraceptive rates, Musanze and Nyamasheke, respectively Data analysis was guided by the thematic content approach, Atlas.ti 8 was utilized for coding the transcripts and collating the coding results, and Microsoft Excel for analyzing the data within code.

resultsData analysis revealed that, despite workplace related challenges - including inadequate staffing, training, and resources, relationships between providers and clients are strong. Family planning providers work hard to understand, learn from, and support clients in their initiation and sustained use of contraceptives.

conclusionGiven the existing context of purposeful efforts on the part of family planning providers to build relationships with their clients, if the current level of government support for family planning service provision is enhanced, Rwanda will likely sustain many current users of contraception and engage even more Rwandans in contraceptive services in the future.

Indexed as

Family Planning ServicesLoveContraceptionHumansRwandaWorkplace

Identifiers

PMID33794871
PMCPMC8017655

What OpenQuestion holds

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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.