Evidence map›Paper›PMID 40342544›Full record

ArticleDialogues in health2025

Four-year follow-up of CHARM2, an effective family planning intervention, on number and sex of births: Findings from an RCT in rural India.

Anita Raj, Nicole Johns, Florin Vaida, Mohan Ghule, Namratha Rao, Jay G Silverman

Registry-linked trialAbstract read
In one paragraph

Article in Dialogues in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03514914 (Enhancing Male Participation in Interventions to Prevent Unintended Pregnancy), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03514914 nacompletednot on this map

Enhancing Male Participation in Interventions to Prevent Unintended Pregnancy

TypeinterventionalSponsorUniversity of California, San DiegoRan2018 to 2020Enrolled2,402ConditionsContraceptionArmsThe CHARM2 Intervention
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

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.

Anita RajNewcomb Institute, Tulane University, New Orleans, LA, USA.
Nicole JohnsCenter on Gender Equity and Health, School of Medicine, University of California San Diego, San Diego, CA, USA.
Florin VaidaDivision of Biostatistics and Bioinformatics, Herbert Wertheim School of Public Health, University of California San Diego, San Diego, CA.
Mohan GhuleNewcomb Institute, Tulane University, New Orleans, LA, USA.
Namratha RaoNewcomb Institute, Tulane University, New Orleans, LA, USA.
Jay G SilvermanTulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective family planning interventions may have inadvertent effects on births of girls given son preference in India. We conducted 36 and 48-month follow-ups to our CHARM2 family planning study to determine long-term intervention effects on births and sex of children. Methods: Our non-blinded two-armed cluster RCT randomized young married couples ( Results: We saw no treatment effects on total births or boy births, but lower likelihood of a girl birth was seen at 9-month follow-up and for the total 48-month follow-up period. We found at 9-month follow-up a girl birth was less likely for intervention compared with control participants (7.1 % vs. 10.3 %, respectively, Conclusion: The CHARM2 family planning intervention, previously demonstrating significant effects on contraceptive use and women's reproductive agency in rural India, resulted in lower likelihood of girl births over time, suggesting that family planning programs can contribute to sex ratio imbalances if broader social changes eliminating son preference and improving value of a girl child do not occur. Funding: National Institutes of Health, Grant R01HD084453 Bill and Melinda Gates Foundation. INV002967. The funders had no role in the design and conduct of the study, collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. [ClinicalTrials.gov Identifier: NCT03514914.].

Indexed as

Contraceptive useFamily planningGender equityRandomized controlled trialSex ratioSon preference

Identifiers

PMID40342544
PMCPMC12059319

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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.