Evidence map›Paper›PMID 38766567›Full record

Trial reportThe Pan African medical journal2024

Effect of postpartum family planning intervention and associated factors during child immunization in Addis Ababa, Ethiopia.

Sawra Getnet Gelaw, Negussie Deyessa, Achenef Kidane, Ann Evensen, Aschalew Teka, Bethelhem Bokan, Subah Abderehim Yesuf

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Pan African medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04521517 (Addis Ababa University), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT04521517 naunknown statusnot on this map

Addis Ababa University

TypeinterventionalSponsorAddis Ababa UniversityRan2020 to 2021Enrolled346ConditionsFamily PlanningArmspamphlet describing the timing of family planning during postpartum with methods advantages and disadvantages of family planning
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Sawra Getnet GelawDepartment of Family Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Negussie DeyessaDepartment of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Achenef KidaneBill and Melinda Gates Foundation, Outbreak Response Consultant, Addis Ababa, Ethiopia.
Ann EvensenDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Wisconsin, USA.
Aschalew TekaWorld Health Organization, Technical Officer Immunization Program, Addis Ababa, Ethiopia.
Bethelhem BokanDepartment of Family Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Subah Abderehim YesufDepartment of Family Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Introduction: World Health Organization (WHO) recommends postpartum family planning (PPFP) as a critical component of health care that has the potential to save millions of maternal and infant lives in low- and middle-income countries. Methods: participants in our randomized, controlled trial were mothers coming for vaccination of their child in three selected health centers in Addis Ababa during the first 10 weeks postpartum. Eligible mothers were randomly assigned to intervention (pamphlet-supported counseling about the benefits of family planning) and non-intervention (routine care) arms. Data were collected when mothers came with their infants for a routine measles vaccination at nine months of life. Family planning (FP) use was compared between the groups using logistic regression, and bivariate and multivariate analyses. The study also used Kaplan Meier and Cox regressions to compare the median time of PPFP use and its correlation using SPSS version 26. The research was undertaken from December 2019 to June 2021. Results: a total of 347 women (177 control, 170 intervention) enrolled in the study. Fifty-eight percent were 24-30 years old. Young age, knowledge about FP, previous use of an FP method, and being married were found to be independent predictors for PPFP use. When comparing intervention and non-intervention groups, there was no significant effect on contraceptive use (adjusted OR 0.633 [95% CI 0.385-1.040]). Conclusion: pamphlet-supported counseling of mothers in the first 10 weeks postpartum did not increase PPFP at nine months postpartum. Successful interventions will likely require holistic strategies, especially in resource-limited settings. The trial had been registered with clinicaltrials.gov (NCT04521517) on September 24, 2019.

Indexed as

Family Planning ServicesMothersPostpartum PeriodAdolescentAdultContraception BehaviorCounselingEthiopiaFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMeasles VaccineVaccinationYoung AdultMeasles Vaccinechild immunizationEthiopiafamily planninginterventionPostpartum

Identifiers

PMID38766567
PMCPMC11101312

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Registered trials

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.