Evidence map›Paper›PMID 34766908›Full record

ArticleJMIR formative research2021

Formative Study of Mobile Phone Use for Family Planning Among Young People in Sierra Leone: Global Systematic Survey.

Emeka Chukwu, Sonia Gilroy, Kojo Addaquay, Nki Nafisa Jones, Victor Gbadia Karimu, Lalit Garg, Kim Eva Dickson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06307002 (Evaluating the Impact of a Contraception Education Game), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
7.5field-weighted citation impact, top 3% 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.

NCT06307002 nacompletednot on this mapstarted 2024, after this paper: background citation

Evaluating the Impact of a Contraception Education Game: What's My Method? on Contraceptive Self-efficacy and Clinical Outcomes in Barbados

TypeinterventionalSponsorQuinnipiac UniversityRan2024 to 2024Enrolled70ConditionsContraception BehaviorArmsPlaying a contraception education videogame
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 27 citations in OpenAlex.

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  8. The Impact of Technology on Adolescent Sexual and Reproductive Needs.International journal of environmental research and public health · 2022
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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

7 authors at 2 institutions in 2 countries.

Emeka ChukwuDepartment of Computer Information System, Faculty of Information and Communications Technology (ICT), Msida, Malta.ORCID https://orcid.org/0000-0003-3474-8108
Sonia GilroyUnited Nations Population Fund Country Office, Freetown, Sierra Leone.ORCID https://orcid.org/0000-0003-2817-5710
Kojo AddaquayUnited Nations Population Fund Country Office, Freetown, Sierra Leone.ORCID https://orcid.org/0000-0002-6792-9514
Nki Nafisa JonesUnited Nations Population Fund Country Office, Freetown, Sierra Leone.ORCID https://orcid.org/0000-0002-9666-3428
Victor Gbadia KarimuNational Secretariat for the Reduction of Teenage Pregnancy, New England, Freetown, Sierra Leone.ORCID https://orcid.org/0000-0003-2714-9238
Lalit GargDepartment of Computer Information System, Faculty of Information and Communications Technology (ICT), Msida, Malta.ORCID https://orcid.org/0000-0002-3868-0481
Kim Eva DicksonUnited Nations Population Fund Country Office, Freetown, Sierra Leone.ORCID https://orcid.org/0000-0002-6754-6994
United Nations Population Fund · USUniversity of Malta · MT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeenage pregnancy remains high with low contraceptive prevalence among adolescents (aged 15-19 years) in Sierra Leone. Stakeholders leverage multiple strategies to address the challenge. Mobile technology is pervasive and presents an opportunity to reach young people with critical sexual reproductive health and family planning messages.

objectiveThe objectives of this research study are to understand how mobile health (mHealth) is used for family planning, understand phone use habits among young people in Sierra Leone, and recommend strategies for mobile-enabled dissemination of family planning information at scale.

methodsThis formative research study was conducted using a systematic literature review and focus group discussions (FGDs). The literature survey assessed similar but existing interventions through a systematic search of 6 scholarly databases. Cross-sections of young people of both sexes and their support groups were engaged in 9 FGDs in an urban and a rural district in Sierra Leone. The FGD data were qualitatively analyzed using MAXQDA software (VERBI Software GmbH) to determine appropriate technology channels, content, and format for different user segments.

resultsOur systematic search results were categorized using Grading of Recommended Assessment and Evaluation (GRADE) into communication channels, audiovisual messaging format, purpose of the intervention, and message direction. The majority of reviewed articles report on SMS-based interventions. At the same time, most intervention purposes are for awareness and as helpful resources. Our survey did not find documented use of custom mHealth apps for family planning information dissemination. From the FGDs, more young people in Sierra Leone own basic mobile phones than those that have feature capablilities or are smartphone. Young people with smartphones use them mostly for WhatsApp and Facebook. Young people widely subscribe to the social media-only internet bundle, with the cost ranging from 1000 leones (US $0.11) to 1500 leones (US $0.16) daily. Pupils in both districts top-up their voice call and SMS credit every day between 1000 leones (US $0.11) and 5000 leones (US $0.52).

conclusionsmHealth has facilitated family planning information dissemination for demand creation around the world. Despite the widespread use of social and new media, SMS is the scalable channel to reach literate and semiliterate young people. We have cataloged mHealth for contraceptive research to show SMS followed by call center as widely used channels. Jingles are popular for audiovisual message formats, mostly delivered as either push or pull only message directions (not both). Interactive voice response and automated calls are best suited to reach nonliterate young people at scale.

Indexed as

chatbotcontraceptivesFacebookfamily planninginteractive voice responseIVRshort message serviceSierra LeoneSMStext messageWhatsAppyoung people

Identifiers

PMID34766908
PMCPMC8663572
OpenAlexW3156609853

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.