Evidence map›Paper›PMID 35421987›Full record

Trial reportBMC health services research2022

Evaluating the effectiveness of enhanced family planning education on knowledge and use of family planning in fishing communities of Lake Victoria in Uganda: a randomized controlled trial.

Annet Nanvubya, Rhoda K Wanyenze, Andrew Abaasa, Teddy Nakaweesa, Juliet Mpendo, Barbarah Kawoozo, Francis Matovu, Sarah Nabukalu, Geoffrey Omoding, Jed Kaweesi and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

15 authors at 4 institutions in 3 countries.

Annet NanvubyaUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda. ananvubya@iavi.or.ug.
Rhoda K WanyenzeSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Andrew AbaasaMRC/UVRI & LSHTM Uganda Research Unit, Entebbe, Uganda.
Teddy NakaweesaUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Juliet MpendoUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Barbarah KawoozoUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Francis MatovuUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Sarah NabukaluUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Geoffrey OmodingUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Jed KaweesiUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
John NduggaUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Bernard BagayaUganda Virus Research Institute, Entebbe, Uganda.
Kundai ChinyenzeInternational AIDS Vaccine Initiative, New York, USA.
Matt A PriceInternational AIDS Vaccine Initiative, New York, USA.
Jean Pierre Van GeertruydenGlobal Health Institute, University of Antwerp, Antwerp, Belgium.
Uganda Virus Research Institute · UGInternational AIDS Vaccine Initiative · USMakerere University · UGUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFamily planning knowledge is poor and use is low in Ugandan fishing communities. We compared the effectiveness of enhanced family planning (FP) education with routine counselling on FP knowledge and use.

methodsIndividuals aged 15-49 years were randomly assigned to intervention or control arm. The intervention constituted enhanced FP education based on a simplified handout extracted from the WHO FP guidance tool called, "Family planning: A global handbook for FP providers" which participants took home for additional reading. The control arm constituted FP counselling following Uganda Ministry of Health guidelines. FP knowledge score and contraceptive prevalence rate (CPR) were compared between trial arms at baseline and at 12 months. Negative binomial regression models were used to estimate the effect of the intervention on FP knowledge and use.

resultsOverall, 1410 participants were screened to enrol 1004 (502 per study arm, 48.5% women). Subsequently, 384 (76.5%) and 383 (76.3%) completed the 12 months' follow-up in the intervention and control arms respectively. At baseline, a median FP knowledge score of 8 and a < 70% FP knowledge score was observed for all participants with a CPR of 36.8%. At month-12, the median FP knowledge score improved in both arms, higher in the intervention arm than the control arm (46 vs 30; p < 0.001). In the intervention arm, 304 (79.2%) had a score of ≥70 compared with 21 (5.5%) in the control arm (p < 0.001). In the negative binomial regression model, the change in FP knowledge score was 47% higher in the intervention arm than in the control arm (score ratio: 1.47, 95%CI: 1. 43-1.51, p < 0.001). The change in CPR was 16% higher in the intervention arm than in the control arm (Prevalence ratio: 1.16, 95%CI: 1.01-1.34, p < 0.040).

interpretationEnhanced FP education using a simplified FP education handout was more effective in increasing FP knowledge and use compared to routine FP counselling for people living in fishing communities. Innovative FP education interventions are recommended for improving FP knowledge and optimizing uptake in remote-rural settings where literacy levels are low.

trial registrationThe study was registered by the Pan African Clinical Trial Registry on 03 July 2021 with a Trial Registration Number PACTR202107891858045 . "Retrospectively registered".

Indexed as

Family Planning ServicesSex EducationContraceptive AgentsFemaleHumansHuntingLakesMaleUgandaContraceptive AgentsFamily planningFishing communitiesKnowledgeUse

Identifiers

PMID35421987
PMCPMC9012015
OpenAlexW4224077077

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.