Evidence map›Paper›PMID 34991651›Full record

ArticleReproductive health2022

Introducing the hormonal Intrauterine Device in Madagascar, Nigeria, and Zambia: results from a pilot study.

Kendal Danna, Grace Jaworski, Bakoly Rahaivondrafahitra, Francia Rasoanirina, Anthony Nwala, Masauso Nqumayo, Gina Smith, Pierre Moon, Ashley Jackson, Sarah Thurston and 1 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 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
2.8field-weighted citation impact, top 10% 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, 14 citations in OpenAlex.

  1. Trial
  2. 'Global health action · 2026
    Observational
  3. Observational
  4. Review
  5. Article
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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

11 authors at 2 institutions in 2 countries.

Kendal DannaPopulation Services International (PSI), 1120 19th St NW #600, Washington, DC, 20036, USA.ORCID http://orcid.org/0000-0003-2681-9834
Grace JaworskiPopulation Services International (PSI), 1120 19th St NW #600, Washington, DC, 20036, USA.
Bakoly RahaivondrafahitraPSI Madagascar: Immeuble Arboretum-ex Village Des Jeux de la Francophonie Ankorondrano, 101, Antananarivo, Madagascar.
Francia RasoanirinaPSI Madagascar: Immeuble Arboretum-ex Village Des Jeux de la Francophonie Ankorondrano, 101, Antananarivo, Madagascar.
Anthony NwalaSociety for Family Health (SFH) Nigeria, Justice Ifeyinwa Nzeako House, #8 Port Harcourt Crescent, Area 11, Garki, Abuja, Nigeria.
Masauso NqumayoSFH Zambia, Plot No. 549 Ituna Rd, Ridgeway, Lusaka, Zambia.
Gina SmithSFH Zambia, Plot No. 549 Ituna Rd, Ridgeway, Lusaka, Zambia.
Pierre MoonPopulation Services International (PSI), 1120 19th St NW #600, Washington, DC, 20036, USA.
Ashley JacksonPopulation Services International (PSI), 1120 19th St NW #600, Washington, DC, 20036, USA.
Sarah ThurstonPopulation Services International (PSI), 1120 19th St NW #600, Washington, DC, 20036, USA.
Amanda KalamarPopulation Services International (PSI), 1120 19th St NW #600, Washington, DC, 20036, USA. amkalamar@gmail.com.ORCID http://orcid.org/0000-0003-4383-1659
Population Services International · USSociety for Family Health Nigeria · NG

Funding

United States Agency for International Development AID-OAA-A-13-00088United States Agency for International Development AID-OAA-A-14-00037
6 · The paper itself

Abstract

backgroundThe hormonal Intrauterine Device (IUD) is a highly effective contraceptive option growing in popularity and availability in many countries. The hormonal IUD has been shown to have high rates of satisfaction and continuation among users in high-income countries. The study aims to understand the profiles of clients who choose the hormonal IUD in low- and middle-income countries (LMICs) and describe their continuation and satisfaction with the method after 12 months of use.

methodsA prospective longitudinal study of hormonal IUD acceptors was conducted across three countries-Madagascar, Nigeria, and Zambia-where the hormonal IUD had been introduced in a pilot setting within the of a broad mix of available methods. Women were interviewed at baseline immediately following their voluntary hormonal IUD insertion, and again 3 and 12 months following provision of the method. A descriptive analysis of user characteristics and satisfaction with the method was conducted on an analytic sample of women who completed baseline, 3-month, and 12-month follow-up questionnaires. Kaplan-Meier time-to-event models were used to estimate the cumulative probability of method continuation rates up to 12 months post-insertion.

resultsEach country had a unique demographic profile of hormonal IUD users with different method-use histories. Across all three countries, women reported high rates of satisfaction with the hormonal IUD (67-100%) and high rates of continuation at the 12-month mark (82-90%).

conclusionsRates of satisfaction and continuation among hormonal IUD users in the study suggest that expanding method choice with the hormonal IUD would provide a highly effective, long-acting method desirable to many different population segments, including those with high unmet need.

Indexed as

Contraceptive Agents, FemaleIntrauterine DevicesIntrauterine Devices, CopperFemaleHumansLevonorgestrelLongitudinal StudiesMadagascarNigeriaPilot ProjectsProspective StudiesZambiaContraceptive Agents, FemaleLevonorgestrelAcceptabilityContinuationHormonal IUDHormonal IUSLARCLNG-IUSSatisfaction

Identifiers

PMID34991651
PMCPMC8734281
OpenAlexW4225292534

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.