Evidence map›Paper›PMID 34292430›Full record

Trial reportAIDS and behavior2022

Understanding the Effect of a Healthcare Provider-Led Family Planning Support Intervention on Contraception use and Pregnancy Desires among Postpartum Women Living with HIV in Southwestern Uganda.

Esther C Atukunda, Lynn T Matthews, Angella Musiimenta, Amon Agaba, Josephine N Najjuma, Edward John Lukyamuzi, Angela Kaida, Celestino Obua, Godfrey R Mugyenyi

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 32% 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, 9 citations in OpenAlex.

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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 at 3 institutions in 3 countries.

Esther C AtukundaMbarara University of Science and Technology, Mbarara, Uganda. estheratukunda@gmail.com.ORCID http://orcid.org/0000-0002-0045-0138
Lynn T MatthewsDivision of Infectious Diseases and Center for Global Health, Massachusetts General Hospital, Boston, M, USA.
Angella MusiimentaMbarara University of Science and Technology, Mbarara, Uganda.
Amon AgabaMbarara University of Science and Technology, Mbarara, Uganda.
Josephine N NajjumaMbarara University of Science and Technology, Mbarara, Uganda.
Edward John LukyamuziMbarara University of Science and Technology, Mbarara, Uganda.
Angela KaidaFaculty of Health Sciences, Simon Fraser University, Burnaby, Vancouver, Canada.
Celestino Obua *Mbarara University of Science and Technology, Mbarara, Uganda.
Godfrey R Mugyenyi *Mbarara University of Science and Technology, Mbarara, Uganda.
Mbarara University of Science and Technology · UGSimon Fraser University · CAUniversity of Alabama at Birmingham · US

Funding

Mbarara University Research Training Initiative (MURTI)D43TW010128 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI OBUA, CELESTINO · 2015 to 2019
$3.5M
Patient-centered mobile technology interventions to improve maternal health in UgandaK43TW011004 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI ATUKUNDA, ESTHER CATHYLN · 2018 to 2022
$542k
FIC NIH HHS D43 TW010128FIC NIH HHS K43 TW011004National Institutes of Health, FOGARTY INTERNATIONAL CENTER K43TW011004NIMH NIH HHS D43 TW010128
6 · The paper itself

Abstract

Modern contraceptive prevalence among women living with HIV (WLWH) in Uganda is still low at 45%, and up to a third of women are likely to discontinue the method within the first year of initiation. This increases risks of unplanned pregnancies, perinatal HIV transmission and pregnancy complications. We aim to explore and explain the mechanism of effect of a family planning support intervention investigated in a randomized controlled trial conducted between October 2016 and June 2018 among 320 postpartum WLWH at a referral hospital in Southwestern Uganda that led to improved uptake, decreased contraception discontinuation and lowered pregnancy rates. Thirty WLWH and 10 of their primary sexual partners who participated in this trial were purposively selected and interviewed in the local language; interviews were digitally recorded. Translated transcripts were generated and coded. Coded data were iteratively reviewed and sorted to derive descriptive categories using an inductive content analytic approach. Up to 83% of women wanted to avoid pregnancy within the first year postpartum. Qualitative data showed that contraception uptake and use were influenced by: 1) Participant awareness and understanding of different methods available; 2) Participant perception of offered health services; 3) Healthcare provider (HCP) socio-cultural sensitivity to individual experiences and (mis)conceptions surrounding contraception; 4) Having tactile engagement, follow-up reminders and a reference to prompt action or discussions with partners. Supportive and culturally sensitive HCPs and systems facilitated information sharing leading to increased patient awareness and understanding of the contraceptive methods, and improved health user experience, care engagement, confidence and willingness to take up and continue using modern contraceptive methods.

Indexed as

Family Planning ServicesHIV InfectionsContraceptionContraception BehaviorFemaleHealth PersonnelHumansPostpartum PeriodPregnancyUgandaAdherence interventionFamily planning supportSocial supportUgandaWLWH

Identifiers

PMID34292430
PMCPMC8782928
OpenAlexW3184377990

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.