Evidence map›Paper›PMID 37231469›Full record

ArticleReproductive health2023

Impact of Sumadhur intervention on fertility and family planning decision-making norms: a mixed methods study.

Ashley Mitchell, Mahesh C Puri, Minakshi Dahal, Alia Cornell, Ushma D Upadhyay, Nadia G Diamond-Smith

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 10 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 2 institutions in 1 country.

Ashley MitchellInstitute for Global Health Sciences, University of California, San Francisco, CA, USA. ashley.mitchell@ucsf.edu.ORCID http://orcid.org/0000-0002-6351-3204
Mahesh C PuriCenter for Research On Environment, Health and Population Activities, Kathmandu, Nepal.
Minakshi DahalCenter for Research On Environment, Health and Population Activities, Kathmandu, Nepal.
Alia CornellUniversity of California, Los Angeles, CA, USA.
Ushma D UpadhyayDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA, USA.
Nadia G Diamond-SmithDepartment of Epidemiology and Biostatistics and Institute for Global Health Sciences, University of California, San Francisco, CA, USA.
University of California, San Francisco · USUniversity of California, Los Angeles · US

Funding

Understanding the role of gender inequality and food insecurity on maternal and child healthK01HD086281 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAMOND-SMITH, NADIA GRIFFI · 2016 to 2020
$701k
Eunice Kennedy Shriver National Institute of Child Health and Human Development 1K01HD086281-01A1
6 · The paper itself

Abstract

backgroundMindful of social norms shaping health among women pressured to prove early fertility in Nepal, a bi-national research team developed and piloted a 4-month intervention engaging household triads (newly married women, their husbands, and mothers-in-law) toward advancing gender equity, personal agency, and reproductive health. This study evaluates the impact on family planning and fertility decision-making.

methodsIn 2021, Sumadhur was piloted in six villages with 30 household triads (90 participants). Pre/post surveys of all participants were analyzed using paired sample nonparametric tests and in-depth interviews with a subset of 45 participants were transcribed and analyzed thematically.

resultsSumadhur significantly impacted (p < .05) norms related to pregnancy spacing and timing, and sex preference of children, as well as knowledge about family planning benefits, pregnancy prevention methods, and abortion legality. Family planning intent also increased among newly married women. Qualitative findings revealed improved family dynamics and gender equity, and shed light on remaining challenges.

conclusionsEntrenched social norms surrounding fertility and family planning contrasted with participants' personal beliefs, highlighting needed community-level shifts to improve reproductive health in Nepal. Engagement of influential community- and family-members is key to improving norms and reproductive health. Additionally, promising interventions such as Sumadhur should be scaled up and reassessed.

Indexed as

Contraception BehaviorFamily Planning ServicesChildFamily CharacteristicsFemaleFertilityHumansPregnancySex EducationCouple dynamicsFamily planningFertilityGenderIntergenerational householdsInterventionNormsPregnancy

Identifiers

PMID37231469
PMCPMC10211300
OpenAlexW4378175106

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.