Evidence map›Paper›PMID 36035447›Full record

ArticleInternational journal of reproductive medicine2022

Factors Associated with Implanon Discontinuation among Women of Reproductive Age in Ethiopia: A Systematic Review and Meta-Analysis.

Zenebe Tefera, Mandefro Assefaw, Sindu Ayalew, Wondimnew Gashaw, Mengistu Abate, Kibir Temesgen, Nigusie Abebaw, Melaku Yalew

Abstract read
In one paragraph

Article in International journal of reproductive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Zenebe TeferaDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0002-7735-8356
Mandefro AssefawDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0002-3408-8376
Sindu AyalewDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0001-5083-2778
Wondimnew GashawDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0002-2588-7117
Mengistu AbateDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0003-0301-6481
Kibir TemesgenDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0002-8186-9044
Nigusie AbebawDepartment of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0002-6024-730X
Melaku YalewDepartment of Epidemiology and Biostatistics, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.ORCID https://orcid.org/0000-0002-7314-2523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Implanon is a long-acting contraceptive method that is extremely effective in preventing pregnancy with a clinical failure rate of less than 1%. Despite these, the rate of Implanon discontinuation is a common problem in various societies and exposes women to unwanted conception and its consequences. Objective: The current study sought to find and consolidate relevant literature on Implanon discontinuation and associated factors in Ethiopia. Methods: Medline, PubMed, Cochrane Library, EMBASE, and Google Scholar databases were systematically searched for studies published in English before December 2021. The included studies were critically appraised using the JBI instrument for observational studies. STATA version 16 was used for analysis. The presence of statistical heterogeneity was checked using Cochran's Results: The pooled prevalence of Implanon discontinuation in Ethiopia was 32.89%, 95% CI: 24.11%, 41.66%. Experiencing side effects (OR = 2.52, 95% CI 1.75, 3.65), having no children (OR = 1.69, 95% CI 1.15, 2.47), not having received preinsertion counselling (OR = 1.65, 95% CI 1.36, 2.00), having no postinsertion appointment (OR = 2.97, 95% CI 2.10, 4.21), and not satisfied with the service (OR = 2.72, 95% CI 2.47, 5.59) were significantly associated with Implanon discontinuation. Conclusion: The pooled prevalence of Implanon discontinuation in Ethiopia was high. Experiencing side effects, having no child, not receiving preinsertion counselling, having no follow-up appointment, and not being satisfied with the service were significantly associated with Implanon discontinuation. Therefore, healthcare providers should offer preinsertion counselling in accordance with national family planning guidelines, emphasizing the method's advantages and side effects.

Identifiers

PMID36035447
PMCPMC9410957

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.