Evidence map›Paper›PMID 34635111›Full record

ArticleBMC women's health2021

Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation.

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

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.0field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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

25 authors at 15 institutions in 2 countries.

Hilary SchwandtWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA. hilary.schwandt@wwu.edu.
Angel BoulwareSpelman College, Atlanta, USA.
Julia CoreyWheaton College, Norton, USA.
Ana HerreraNorthwest Vista Community College, San Antonio, USA.
Ethan HudlerWhatcom Community College, Bellingham, USA.
Claudette ImbabaziINES, Ruhengeri, Rwanda.
Ilia KingXavier University, New Orleans, USA.
Jessica LinusUniversity of Maryland-Baltimore County, Baltimore, USA.
Innocent ManziINES, Ruhengeri, Rwanda.
Madelyn MerrittWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA.
Lyn MezierSUNY Oswego, Oswego, USA.
Abigail MillerWestern Washington University, 516 High Street MS9118, Bellingham, WA, 98225, USA.
Haley MorrisWestern Oregon University, Monmouth, USA.
Dieudonne MusemakweliINES, Ruhengeri, Rwanda.
Uwase MusekuraEastern Oregon University, La Grande, USA.
Divine MutuyimanaINES, Ruhengeri, Rwanda.
Chimene NtakarutimanaUniversity of Kentucky, Lexington, USA.
Nirali PatelArcadia University, Glenside, USA.
Adriana ScanteianuRutgers University, Newark, USA.
Biganette-Evidente ShemezaINES, Ruhengeri, Rwanda.
Gi'anna Sterling-DonaldsonDrexel University, Philadelphia, USA.
Chantal UmutoniINES, Ruhengeri, Rwanda.
Lyse UweraINES, Ruhengeri, 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.
INES-Ruhengeri · RWWestern Washington University · USArcadia University · USBerkeley City College · USDrexel University · USEastern Oregon University · USRutgers, The State University of New Jersey · USSpelman College · USState University of New York at Oswego · USUniversity of Kentucky · USUniversity of Maryland, Baltimore County · USWestern Oregon University · USWhatcom Community College · USWheaton College - Massachusetts · USXavier University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation.

methodsThis was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach.

resultsFamily planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods.

conclusionsThe strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.

Indexed as

Contraceptive AgentsFamily Planning ServicesContraceptionContraception BehaviorHumansRwandaContraceptive AgentsContraceptionRwandaStrategies to prevent discontinuationSwitching

Identifiers

PMID34635111
PMCPMC8504084
OpenAlexW3205503149

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.