Evidence map›Paper›PMID 35135514›Full record

ArticleBMC public health2022

Missed opportunities for family planning counselling among postpartum women in eleven counties in Kenya.

Mary N Thiongo, Peter B Gichangi, Michael Waithaka, Amy Tsui, Linnea A Zimmerman, Scott Radloff, Marleen Temmerman, Saifuddin Ahmed

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Article in BMC public 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

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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.

Mary N Thiongo *International Centre for Reproductive Health, Mombasa, Kenya.
Peter B Gichangi *Technical University of Mombasa, Mombasa, Kenya. gichangip2015@gmail.com.
Michael WaithakaInternational Centre for Reproductive Health, Mombasa, Kenya.
Amy TsuiDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg school of Public Health, Baltimore, MD, USA.
Linnea A ZimmermanDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg school of Public Health, Baltimore, MD, USA.
Scott RadloffDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg school of Public Health, Baltimore, MD, USA.
Marleen TemmermanAga Khan University, Nairobi, Kenya.
Saifuddin AhmedDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg school of Public Health, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMothers may access medical facilities for their babies and miss opportunities to access family planning (FP) services. This study was undertaken to describe missed opportunities for FP among women within the extended (0-11 months) postpartum period from counties participating in Performance Monitoring and Accountability 2020 (PMA2020) surveys. DESIGN AND

settingThis study analysed cross-sectional household survey data from 11 counties in Kenya between 2014 and 2018. PMA2020 uses questions extracted from the Demographic and Health survey (DHS) and DHS definitions were used. Multivariable logistic regression was used for inferential statistics with p-value of < 0.05 considered to be significant.

participantsWomen aged 15-49 years from the households visited. PRIMARY OUTCOME MEASURE: Missed opportunity for family planning/contraceptives (FP/C) counselling.

resultsOf the 34,832 women aged 15-49 years interviewed, 10.9% (3803) and 10.8% (3746) were in the period 0-11 months and 12-23 months postpartum respectively, of whom, 38.8 and 39.6% respectively had their previous pregnancy unintended. Overall, 50.4% of women 0-23 months postpartum had missed opportunities for FP/C counselling. Among women who had contact with health care at the facility, 39.2% of women 0-11 months and 44.7% of women 12-23 months had missed opportunities for FP/C counselling. Less than half of the women 0-11 months postpartum (46.5%) and 64.5% of women 12 - 23 months postpartum were using highly efficacious methods. About 27 and 18% of the women 0-11 months and 12 - 23 months postpartum respectively had unmet need for FP/C. Multivariable analysis showed that being low parity and being from the low wealth quintile significantly increased the odds of missed opportunities for FP/C counselling among women in the extended postpartum period, p < 0.05.

conclusionsA large proportion of women have missed opportunities for FP/C counselling within 2 years postpartum. Programs should address these missed opportunities.

Indexed as

ContraceptionFamily Planning ServicesContraception BehaviorCounselingCross-Sectional StudiesFemaleHumansKenyaPostpartum PeriodPregnancyContraceptionFamily PlanningKenyaMaternal health service integrationmCPRMissed opportunityUnmet need

Identifiers

PMID35135514
PMCPMC8822701

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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.