Evidence map›Paper›PMID 37126500›Full record

ArticlePloS one2023

One-year discontinuation among users of the contraceptive pill and injection in South East Tigray region, Ethiopia.

Kahsay Zenebe Gebrslasie, Gebretsadik Berhe, Haftom Taddese, Solomon Weldemariam, Gelawdiyos Gebre, Abdella Amano, Daniel Birhane, Gebrehud Berihu, Munir Kassa, Mulu Weldegebriel and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

11 authors at 4 institutions in 2 countries.

Kahsay Zenebe GebrslasieMekelle University College of Health Sciences, Mek'ele, Ethiopia.ORCID 0000-0003-3611-2138
Gebretsadik BerheMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Haftom TaddeseMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Solomon WeldemariamMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Gelawdiyos GebreMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Abdella AmanoCollege of Medicine and Health Sciences, School of Public Health, Hawassa University, Hawassa, Ethiopia.ORCID 0000-0001-8538-8291
Daniel BirhaneMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Gebrehud BerihuMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Munir KassaFederal Ministry of Health, Addis Ababa, Ethiopia.
Mulu WeldegebrielMekelle University College of Health Sciences, Mek'ele, Ethiopia.
Ezana HaileInstitution of Engineering and Technology Michael Faraday House, Stevenage, United Kingdom.ORCID 0000-0003-2380-9075
Mekelle University · ETFederal Ministry of Health · ETHawassa University · ETInstitution of Engineering and Technology · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study is to determine the 12 months' discontinuation rate and associated factors among family planning clients using pills and injection.

methodsA follow-up study was initiated to collect data from 845 family planning users between November 2017 and December 2018. An interviewer administered questionnaire was used to collect data from participants. Data were entered into EpiData version 3.1 and analyzed using SPSS version 20, where both are open-source systems. A Cox proportional-hazards model was used to estimate the hazard ratios (HR) for the rate of discontinuation among participants.

resultAt 12 months, 63.5% of women discontinued the use of their baseline method. For the individual methods, 84% of women that chose the pill discontinued its use and for those using the injectable, 60.7% of women discontinued its use. Using the adjusted Cox proportional-hazards model, pills users (HR = 1.77; 95%CI = [1.4-2.3]), users receiving family planning services in the same room as other maternal health clinic services (HR 1.58; 95%CI = [1.16-2.2]), users served by health officers (HR = 3.7; 95%CI = [1.66-8.2]), and users not intending to use the baseline method continuously (HR = 1.6; 95%CI = [1.16-2.24]) were significantly more likely to discontinue using the baseline method. The main reason cited for discontinuation was side effects of contraception.

conclusionsThe discontinuation rate of the baseline contraceptive method after 12 months was very high. To increase the continuity of contraceptive use, family planning services should be given in a separate room with effective counseling on potential side effects, provided by midwives or nurses who have good counseling skills.

Indexed as

Contraceptive AgentsContraceptive Agents, FemaleContraceptionContraception BehaviorEthiopiaFamily Planning ServicesFemaleFollow-Up StudiesHumansSurveys and QuestionnairesContraceptive AgentsContraceptive Agents, Female

Identifiers

PMID37126500
PMCPMC10150971
OpenAlexW4367598438

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.