Evidence map›Paper›PMID 38808004›Full record

ReviewFrontiers in public health2024

Policies for expanding family planning coverage: lessons from five successful countries.

Franciele Hellwig, Laísa Rodrigues Moreira, Mariângela F Silveira, Carolina Sales Vieira, Paulina Belén Rios-Quituizaca, Marcela Masabanda, Joel Serucaca, Silas Rudasingwa, Alypio Nyandwi, Shegaw Mulu and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

12 authors.

Franciele HellwigInternational Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil.
Laísa Rodrigues MoreiraInternational Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil.
Mariângela F SilveiraPostgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
Carolina Sales VieiraDepartment of Obstetrics and Gynecology, University of São Paulo, São Paulo, Brazil.
Paulina Belén Rios-QuituizacaFaculty of Medical Sciences, Central University of Ecuador, Quito, Ecuador.
Marcela MasabandaInternational Consultant, Quito, Ecuador.
Joel SerucacaRwanda Biomedical Centre, Kigali, Rwanda.
Silas RudasingwaRwanda Biomedical Centre, Kigali, Rwanda.
Alypio NyandwiAfrican Population and Health Research Center, Nairobi, Kenya.
Shegaw MuluMinistry of Health, Addis Ababa, Ethiopia.
Hoda RashadSocial Research Center, The American University in Cairo, Cairo, Egypt.
Aluísio J D BarrosInternational Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Enhancing the design of family planning interventions is crucial for promoting gender equality and improving maternal and child health outcomes. We identified, critically appraised, and synthesized policies and strategies from five selected countries that successfully increased family planning coverage. Methods: We conducted a policy analysis through a scoping review and document search, focusing on documents published from 1950 to 2023 that examined or assessed policies aimed at enhancing family planning coverage in Brazil, Ecuador, Egypt, Ethiopia, and Rwanda. A search was conducted through PubMed, SCOPUS, and Web of Science. Government documents and conference proceedings were also critically analyzed. National health surveys were analyzed to estimate time trends in demand for family planning satisfied by modern methods (mDFPS) at the national level and by wealth. Changes in the method mix were also assessed. The findings of the studies were presented in a narrative synthesis. Findings: We selected 231 studies, in which 196 policies were identified. All countries started to endorse family planning in the 1960s, with the number of identified policies ranging between 21 in Ecuador and 52 in Ethiopia. Most of the policies exclusively targeted women and were related to supplying contraceptives and enhancing the quality of the services. Little focus was found on monitoring and evaluation of the policies implemented. Conclusion: Among the five selected countries, a multitude of actions were happening simultaneously, each with its own vigor and enthusiasm. Our findings highlight that these five countries were successful in increasing family planning coverage by implementing broader multi-sectoral policies and considering the diverse needs of the population, as well as the specific contextual factors at play. Successful policies require a nuanced consideration of how these policies align with each culture's framework, recognizing that both sociocultural norms and the impact of past public policies shape the current state of family planning.

Indexed as

Family Planning ServicesBrazilContraceptionEcuadorEgyptEthiopiaFamily Planning PolicyFemaleHealth PolicyHumansMaleRwandaBrazilEcuadorEgyptEthiopiafamily planningliterature reviewpolicyRwanda

Identifiers

PMID38808004
PMCPMC11131167

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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.