Evidence map›Paper›PMID 35987680›Full record

ArticleReproductive health2022

Women's healthcare decision-making and unmet need for contraception in Mali.

Edward Kwabena Ameyaw, Abdul-Aziz Seidu, Bright Opoku Ahinkorah

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 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

3 authors at 2 institutions in 2 countries.

Edward Kwabena AmeyawSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia. edmeyaw19@gmail.com.ORCID http://orcid.org/0000-0002-6617-237X
Abdul-Aziz SeiduCentre for Gender and Advocacy, Takoradi Technical University, Takoradi, Ghana.
Bright Opoku AhinkorahSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
University of Technology Sydney · AUTakoradi Technical University · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContraception plays a significant role in fertility regulation. Evidence suggests that reproductive health rights influence contraception use. Women of Mali are noted to have limited control over their healthcare decisions. As a result, this study aimed at investigating the association between women's healthcare decision-making capacity and unmet need for contraception in Mali.

methodsThis study comprised 6593 women who participated in the 2018 Mali Demographic and Health Survey. Two binary logistic regression models were built. Whilst the first model (crude) involved healthcare decision-making capacity and unmet need for contraception, the second one was a complete model which controlled for all the socio-demographic characteristics. Sample weight was applied and Stata version 13.0 was used for all analyses.

resultsMost of the women were not taking their healthcare decisions alone (92.8%). Nearly four out of ten of them indicated that they had unmet need for contraception (35.7%). Unmet need for contraception was high among women aged 45-49 (50.9%) and low among those aged 15-19 (19.2%). Unmet need for contraception was more probable among women who took their healthcare decisions alone compared to those who did not take their healthcare decisions alone [AOR = 1.35; CI = 1.08-1.70]. Compared with women aged 15-19, unmet need was higher among women aged 45-49 [AOR = 4.58, CI = 3.05-6.86]. Richer women had lower odds of unmet need for contraception compared with poorest women [AOR = 0.77, CI = 0.61-0.97].

conclusionWomen who took their healthcare decisions alone had higher odds of unmet need for contraception. To increase contraceptive use in Mali, it is imperative to take women's healthcare decisions into consideration to strengthen existing policies geared towards fertility control and improvement in maternal health to achieve Sustainable Development Goals 3 and 5. Sustainable Development Goal 3 seeks to ensure healthy lives and promote well-being for all at all ages whilst Goal 5 aims at achieving gender equality and empower all women and girls.

Indexed as

Contraception BehaviorHealth Services AccessibilityContraceptionFamily Planning ServicesFemaleHuman RightsHumansMaliContraceptionFamily planningMaliReproductive healthUnmet need

Identifiers

PMID35987680
PMCPMC9392281
OpenAlexW4292544984

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.