Evidence map›Paper›PMID 35537784›Full record

ArticleBMJ open2022

Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study.

Kalayu Brhane Mruts, Gizachew Assefa Tessema, Jennifer Dunne, Amanuel Tesfay Gebremedhin, Jane Scott, Gavin F Pereira

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 13 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

6 authors at 4 institutions in 3 countries.

Kalayu Brhane MrutsSchool of Population Health, Curtin University, Perth, Western Australia, Australia kalayu.brhanemruts@postgrad.curtin.edu.au.ORCID 0000-0001-5655-5636
Gizachew Assefa TessemaSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Jennifer DunneSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Amanuel Tesfay GebremedhinSchool of Population Health, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0003-2459-1805
Jane ScottSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Gavin F PereiraSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Curtin University · AUDebre Berhan University · ETNorwegian Institute of Public Health · NOThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examined the association between family planning counselling receipt during the 12 months preceding the survey and postpartum modern contraceptive uptake in Ethiopia. We hypothesised that receiving family planning counselling either within the community setting by a field health worker or at a health facility by a healthcare attendant during the 12 months preceding the survey improves postpartum modern contraceptive uptake.

designWe used a cross-sectional study of the Ethiopian Demographic and Health Survey conducted in 2016.

settingEthiopia.

participantsA total of 1650 women who gave birth during the 12 months and had contact with service delivery points during the 12 months preceding the survey. PRIMARY OUTCOME: A weighted modified Poisson regression model was used to estimate an adjusted relative risk (RR) of postpartum modern contraceptives.

resultsApproximately half (48%) of the women have missed the opportunity to receive family planning counselling at the health service contact points during the 12 months preceding the survey. The postpartum modern contraceptive uptake was 27%. Two hundred forty-two (30%) and 204 (24%) of the counselled and not counselled women used postpartum modern contraceptive methods, respectively. Compared with women who did not receive counselling for family planning, women who received counselling had higher contraceptive uptake (RR 1.32, 95% CI 1.04 to 1.67).

conclusionSignificant numbers of women have missed the opportunity of receiving family planning counselling during contact with health service delivery points. Modern contraceptive uptake among postpartum women was low in Ethiopia. Despite this, our findings revealed that family planning counselling was associated with improved postpartum modern contraceptive uptake.

Indexed as

Contraceptive AgentsFamily Planning ServicesContraceptionContraception BehaviorCounselingCross-Sectional StudiesEthiopiaFemaleHumansPostpartum PeriodContraceptive Agentsepidemiologypublic healthreproductive medicine

Identifiers

PMID35537784
PMCPMC9092163
OpenAlexW4280524100

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Registered trials

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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.