Evidence map›Paper›PMID 37034399›Full record

ArticleFrontiers in global women's health2023

What is needed to improve quality of implant removal services in Nigeria? results of a landscape assessment.

Oniyire Adetiloye, Abubakar Danladi, Rachel Haws, Charity Anoke, Bartholomew Odio, Emmanuel Ugwa, Agnes Nganje, Joseph Enne, Kayode Afolabi, Owodunni Adebola and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in global women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

12 authors at 4 institutions in 2 countries.

Oniyire AdetiloyeJhpiego, Abuja, Nigeria.
Abubakar DanladiDepartment of Obstetrics and Gynaecology, Federal Medical Centre Gusau, Gusau, Nigeria.
Rachel HawsDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Charity AnokeJhpiego, Abuja, Nigeria.
Bartholomew OdioJhpiego, Abuja, Nigeria.
Emmanuel UgwaDepartment of Obstetrics and Gynaecology, Federal Medical Centre Bernin, Kudu, Nigeria.
Agnes NganjeJhpiego, Abuja, Nigeria.
Joseph EnneJhpiego, Abuja, Nigeria.
Kayode AfolabiReproductive Health, Federal Ministry of Health, Abuja, Nigeria.
Owodunni AdebolaDepartment of Obstetrics and Gynaecology, Federal Medical Centre Gusau, Gusau, Nigeria.
Justus EzeDepartment of Obstetrics and Gynaecology, Federal Medical Centre Abakaliki, Abakaliki, Nigeria.
Megan ChristofieldJhpiego, Baltimore, MD, United States.
Federal Medical Centre · NGFederal Ministry of Health · NGFederal Teaching Hospital Abakaliki · NGJohns Hopkins University · US

Funding

Gates Foundation INV-009275
6 · The paper itself

Abstract

Introduction: Stunning recent increases in subdermal contraceptive implant use, especially in sub-Saharan Africa, necessitate availability of quality implant removal services. In Nigeria, service delivery capacity and coverage for removal are lacking, despite strong government commitment and rapid uptake; there is a dearth of knowledge about barriers to quality implant removals in Nigeria. Methods: To determine access to and quality of contraceptive implant removal services, a landscape assessment was conducted in two states in Nigeria, focusing on four conditions for quality delineated in the Global Implant Removals Task Force framework. This mixed-methods approach integrated results from a desk review, a survey of health facilities and family planning managers, review of implant service statistics, and key informant interviews with providers and diverse stakeholders. Results: Seventy percent of providers ( Conclusion: This study identified numerous challenges to quality implant removal, including poorly trained providers, inadequate supplies, underutilization of data on removals, and inability to manage difficult removals. As demand for implant removals skyrockets, providers need improved training in implant removal, appropriate job aids, supportive supervision, and effective procurement systems to ensure availability of supplies and equipment for removal. Tracking removals and reasons for removal in information systems and the Family Planning dashboard could sensitize providers to need for implant removals and improve data for decision-making in facilities and health systems.

Indexed as

difficult removallong-acting reversible contraceptivenon-palpablequality improvementquality of care

Identifiers

PMID37034399
PMCPMC10073656
OpenAlexW4353087009

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.