Evidence map›Paper›PMID 34895267›Full record

ArticleReproductive health2021

Would you offer contraception to a 14-year-old girl? Perspectives of health students and professionals in Dar es Salaam, Tanzania.

Dorkasi L Mwakawanga, Ever Mkonyi, Stella E Mushy, Maria Trent, Zobeida Bonilla, Agnes F Massae, Gift G Lukumay, Lucy R Mgopa, Inari Mohammed, James Wadley and 3 more

Registry-linked trialOpen access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article 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 NCT03923582 (Training for Health Professionals in Tanzania), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.9field-weighted citation impact, top 5% 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.

NCT03923582 nacompletednot on this map

Training for Health Professionals in Tanzania

TypeinterventionalSponsorUniversity of MinnesotaRan2021 to 2022Enrolled412ConditionsHealth Knowledge, Attitudes, Practice, TrainingArmsComprehensive sexual health curriculum
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

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  3. Reaching Adolescent Girls and Young Women With HIV Self-Testing and Contraception at Girl-Friendly Drug Shops: A Randomized Trial in Tanzania.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
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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

13 authors at 4 institutions in 2 countries.

Dorkasi L MwakawangaSchool of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Ever MkonyiDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2nd St. #300, Minneapolis, MN, 55454, USA.
Stella E MushySchool of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Maria TrentSchools of Medicine and Public Health, Johns Hopkins University, Baltimore, MD, USA.
Zobeida BonillaDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2nd St. #300, Minneapolis, MN, 55454, USA.
Agnes F MassaeSchool of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Gift G LukumaySchool of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Lucy R MgopaSchool of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Inari MohammedDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2nd St. #300, Minneapolis, MN, 55454, USA.
James WadleySchool of Adult and Continuing Education, Lincoln University, Philadelphia, PA, USA.
Michael W RossDepartment of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.
Sebalda LeshabariSchool of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
B R Simon RosserDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2nd St. #300, Minneapolis, MN, 55454, USA. rosser@umn.edu.ORCID http://orcid.org/0000-0001-8862-531X
Muhimbili University of Health and Allied Sciences · TZUniversity of Minnesota · USJohns Hopkins University · USLincoln University - Pennsylvania · US

Funding

Training for Health ProfessionalsR01HD092655 · NICHD · UNIVERSITY OF MINNESOTA · PI Dickson Ally Mkoka, B R Simon Rosser · 2018 to 2026
$5.3M
NICHD NIH HHS R01 HD092655
6 · The paper itself

Abstract

backgroundRates of unplanned adolescent pregnancy and unsafe induced abortions are very high in Sub-Saharan African countries including Tanzania. Despite their availability and accessibility, modern family planning methods are reported to be critically underutilized by adolescents. This study is part of a broader study that aims to develop a curriculum that will be used in training health professionals by investigating the sexual health training needs of health providers and students in Tanzania.

aimThis study describes the perceptions of health professionals and students on the provision of contraceptives to adolescents.

methodsQualitative formative assessment type of research was conducted using 18 focus groups stratified among health professionals and students (midwives, nurses, and medical doctors). Study participants were presented with the theoretical scenario of a 14-year-old girl who sought contraceptive services at a family planning clinic. This theoretical scenario was used to determine how health professionals and students would handle the case. Thematic analysis guided the examination and determination of data results.

resultsThree main themes emerged from the data, including (1) knowledge about the provision of contraceptives to adolescents, (2) perception of the adolescents' right to contraceptive use, and (3) barriers to the provision of contraceptives to adolescents. Participants stated that having a baseline knowledge of contraceptive services for adolescents and their rights to contraceptives would trigger their decision on offering the contraceptive. On the other hand, being unaware of the reproductive health rights for adolescents, judgmental behavior of providers, as well as religious and cultural dynamics were all found to be major barriers for providers to offer contraceptive services to the 14-year-old adolescent girl in the theoretical scenario.

conclusionThese findings support the need for comprehensive sexual health education in Tanzanian health professional training programs.

Indexed as

Contraception BehaviorHealth Services AccessibilityAdolescentContraceptionFemaleHuman RightsHumansPregnancyStudentsTanzaniaAdolescentFamily planningHealth professionalsHealth studentsProvisionTanzania

Identifiers

PMID34895267
PMCPMC8665521
OpenAlexW4200467723

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.