Evidence map›Paper›PMID 34781969›Full record

Trial reportReproductive health2021

Effect of pregnancy tests on demand for family planning: evidence from a randomized controlled trial in Uganda.

Akito Kamei, Ryoko Sato, Rebecca Thornton

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03975933 (Pregnancy Testing in Northern Uganda), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03975933 naunknown statusnot on this map

Pregnancy Testing in Northern Uganda

TypeinterventionalSponsorUniversity of Illinois at Urbana-ChampaignRan2019 to 2020Enrolled1,033ConditionsPregnancy TestsArmsPregnancy test at Baseline, Free pregnancy test for the future use, Pregnancy test for the future use with randomzied price
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

3 authors.

Akito KameiUniversity of Chicago, Chicago, USA.
Ryoko SatoHarvard University, 677 Huntington Ave, Boston, MA, 02115, USA. ryokos1226@gmail.com.
Rebecca ThorntonUniversity of Illinois at Urbana-Champaign, Urbana, USA.

Funding

Bill and Melinda Gates Foundation Gates grand challenge explorations grant
6 · The paper itself

Abstract

backgroundUnmet need for family planning and unintended pregnancies are high in developing countries. Home pregnancy tests help women determine their pregnancy status earlier and the confirmation of a negative pregnancy status can facilitate the adoption of family planning. This study provides the first experimental evidence of the effect of access to pregnancy tests on women's demand for modern family planning.

methodsA randomized controlled trial was conducted among 810 women of reproductive age in northern Uganda. During a baseline survey, women were randomly allocated to either: (1) an offer to take a hCG urine pregnancy test during the survey (on-the-spot pregnancy test) (N = 170), (2) an offer of a home pregnancy test kit to be used at any time in the future (future-use pregnancy test) (N = 163), (3) offers of both on-the-spot and future-use pregnancy tests (N = 153), or (4) a control group (N = 324). Future-use pregnancy tests were offered either for free, or randomly assigned prices. Approximately 4 weeks after the baseline survey, a follow-up survey was conducted; modern contraception methods were made available at no charge at local community outreach centers.

resultsWhen offered a free, on-the-spot pregnancy test, 62 percent of women accepted (N = 200). Almost all, 97 percent (N = 69), of women offered a free future-use pregnancy test strip, accepted it. Purchases of future-use pregnancy tests declined with price. The offer of either on-the-spot, future-use tests, or both, have no overall large or statistically significant effects on the take-up of modern family planning.

conclusionDemand for pregnancy tests is high and access to pregnancy tests has the potential to facilitate the demand for family planning. At the same time, more research is needed to understand underlying beliefs about pregnancy status and risk that guide behaviors ultimately important for maternal and neonatal health. Trial registration The study was pre-registered in July 2018 for AEA RCT registry (AEARCTR-0003187) and clinicaltrials.gov (NCT03975933). Registered 05 June 2019, https://clinicaltrials.gov/ct2/show/record/NCT03975933.

Indexed as

Family Planning ServicesPregnancy TestsContraceptionContraception BehaviorFemaleHumansPregnancyPregnancy, UnplannedUgandaFamily planningPregnancy testsRandomized controlled trialUgandaUnmet needs of contraception

Identifiers

PMID34781969
PMCPMC8591838

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.