Evidence map›Paper›PMID 40709072›Full record

ArticleHealth science reports2025

Adherence to the Dapivirine Vaginal Ring Among Cisgender Women in Africa: Protocol for a Systematic Review and Meta-Analysis.

Roseline Dzekem Dine, Giulia Muraca, Behnam Sadeghirad, Lawrence Mbuagbaw

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Roseline Dzekem DineDepartment of Health Research Methods, Evidence and Impact McMaster University Hamilton Canada.ORCID https://orcid.org/0000-0002-8210-9258
Giulia MuracaDepartment of Health Research Methods, Evidence and Impact McMaster University Hamilton Canada.
Behnam SadeghiradDepartment of Health Research Methods, Evidence and Impact McMaster University Hamilton Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact McMaster University Hamilton Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Despite the availability of HIV preventive measures, new HIV infections are still on the rise. The Dapivirine Vaginal Ring (DVR) is a silicone circular ring that continuously distributes 25 mg of Dapivirine into a woman's vagina for 28 days to prevent HIV infection; however, the effectiveness of DVR is largely dependent on adherence. To date, adherence to DVR has not been aggregated and summarized. The objective of this systematic review is to summarize the evidence on adherence to DVR for HIV-1 prevention among African women and to aggregate findings into a quantitative estimate. Methods: We will conduct a systematic review of studies in which DVR has been used to prevent HIV-1 in African women. We will search MEDLINE, Global Health, CINAHL, and EMBASE from database inception to December 2024. We will include observational studies and randomized trials of women between 15 and 49 years of age, resident in Africa, who have used the DVR. Our primary outcome will be adherence to DVR. Pairs of reviewers will independently screen for eligible studies and will extract relevant data. We will perform a random-effects meta-analysis for DVR adherence. Certainty of the evidence will be assessed using the GRADE approach. Discussion: This systematic review and meta-analysis will contribute to a better understanding of how DVR adherence aids in preventing HIV-1 infection in women, as well as the factors that influence observed adherence. Its findings can provide important foundational knowledge for future research and innovation in DVR and other PrEP tools. Findings from this protocol article will be disseminated as peer-reviewed publications, at conferences, and as part of a master's thesis.

Indexed as

adherenceAfricacisgender womendapivirine vaginal ringmeta‐analysis

Identifiers

PMID40709072
PMCPMC12286888

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.