Evidence map›Paper›PMID 35130932›Full record

ArticleReproductive health2022

A comparative human rights analysis of laws and policies for adolescent contraception in Uganda and Kenya.

Katrina Perehudoff, Denis Kibira, Elke Wuyts, Carles Pericas, Joyce Omwoha, Hendrika A van den Ham, Aukje K Mantel-Teeuwisse, Kristien Michielsen

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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

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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

8 authors.

Katrina Perehudoff *International Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium. katrina.perehudoff@gmail.com.ORCID http://orcid.org/0000-0003-3958-0244
Denis Kibira *Coalition for Health Promotion and Social Development (HEPS-Uganda), Plot 351A, Balintuma Road, Namirembe Hill, Kampala, Uganda.
Elke WuytsInternational Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
Carles PericasInternational Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
Joyce OmwohaAcademic Network on Sexual and Reproductive Health and Rights Policy (ANSER), Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
Hendrika A van den HamDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Universiteitsweg 99, 3584 CG, Utrecht, The Netherlands.
Aukje K Mantel-TeeuwisseDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Universiteitsweg 99, 3584 CG, Utrecht, The Netherlands.
Kristien MichielsenInternational Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

Funding

University of Toronto Post Doctoral Research FellowshipVlaamse Interuniversitaire Raad Global MindsVlaamse Interuniversitaire Raad Operating Grant programme
6 · The paper itself

Abstract

backgroundImproving access to adolescent contraception information and services is essential to reduce unplanned adolescent pregnancies and maternal mortality in Uganda and Kenya, and attain the SDGs on health and gender equality. This research studies to what degree national laws and policies for adolescent contraception in Uganda and Kenya are consistent with WHO standards and human rights law.

methodsThis is a comparative content analysis of law and policy documents in force between 2010 and 2018 governing adolescent (age 10-19 years) contraception. Between and within country differences were analysed using WHO's guidelines "Ensuring human rights in the provision of contraceptive information and services".

resultsOf the 93 laws and policies screened, 26 documents were included (13 policies in Uganda, 13 policies in Kenya). Ugandan policies include a median of 1 WHO recommendation for adolescent contraception per policy (range 0-4) that most frequently concerns contraception accessibility. Ugandan policies have 6/9 WHO recommendations (14/24 sub-recommendations) and miss entirely WHO's recommendations for adolescent contraception availability, quality, and accountability. On the other hand, most Kenyan policies consistently address multiple WHO recommendations (median 2 recommendations/policy, range 0-6), most frequently for contraception availability and accessibility for adolescents. Kenyan policies cover 8/9 WHO recommendations (16/24 sub-recommendations) except for accountability.

conclusionsThe current policy landscapes for adolescent contraception in Uganda and Kenya include important references to human rights and evidence-based practice (in WHO's recommendations); however, there is still room for improvement. Aligning national laws and policies with WHO's recommendations on contraceptive information and services for adolescents may support interventions to improve health outcomes, provided these frameworks are effectively implemented.

Indexed as

ContraceptionHuman RightsAdolescentAdultChildFemaleHealth PolicyHealth Services AccessibilityHumansKenyaPregnancyUgandaYoung AdultAdolescent pregnancyContraceptionHealth policyHuman rightsKenyaUganda

Identifiers

PMID35130932
PMCPMC8822716

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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.