Evidence map›Paper›PMID 40718475›Full record

ArticleFrontiers in reproductive health2025

Mapping the journey: enhancing abortion care in Uganda's health systems.

Steve Biko Sigu, Isaac Milton Odongo, Wilbert Nango, Silvester Ochieno Okechi, Annah Kukundakwe, John Musoba Kitui

Abstract read
In one paragraph

Article in Frontiers in reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Steve Biko SiguDepartment of Quality of Care, Ipas Africa Alliance, Nairobi, Kenya.
Isaac Milton OdongoDepartment of Quality of Care, Ipas Africa Alliance, Kampala, Uganda.
Wilbert NangoDepartment of Quality of Care, Ipas Africa Alliance, Nairobi, Kenya.
Silvester Ochieno OkechiDepartment of Quality of Care, Ipas Africa Alliance, Kampala, Uganda.
Annah KukundakweDepartment of Quality of Care, Ipas Africa Alliance, Kampala, Uganda.
John Musoba KituiDepartment of Quality of Care, Ipas Africa Alliance, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study explores women's experiences with abortion care in Uganda's public health system, assessing satisfaction levels and their influence on the uptake of abortion and post-abortion contraception services. Conducted across nine districts, it highlights challenges within a legally restricted abortion landscape that continues to contribute to high rates of unintended pregnancies and unsafe abortions. Methods: The study employed a mixed-methods approach involving client exit interviews and in-depth interviews across nine Ugandan districts from January to June 2024 in 13 Ipas Alliance-supported health facilities. Data from 440 women aged 15-49 captured demographics, treatment outcomes, abortion service uptake, post-abortion contraception use, and satisfaction levels. Additionally, 63 in-depth interviews provided qualitative insights into women's care experiences. Quantitative data were analyzed using logistic regression to assess associations between sociodemographic factors, provider interaction, and satisfaction with abortion services, offering a comprehensive understanding of the client journey and care quality. Results: Logistic regression analysis of client exit interview data revealed no statistically significant differences in satisfaction levels across sociodemographic groups, including age, marital status, facility location, education level, or type of abortion service. However, positive provider engagement was strongly associated with higher satisfaction. Clients who experienced respectful and supportive interactions were significantly more likely to report satisfaction (OR: 0.47, 95% CI: 1.14-14.47, Conclusion: Client satisfaction with abortion services was strongly linked to positive provider engagement rather than sociodemographic factors. Respectful, supportive interactions significantly increased the likelihood of satisfaction with care, future service use of services, and facility recommendation. These findings underscore the critical role of provider-client relationships in improving service experience. To enhance the quality of abortion care, health systems should prioritize respectful counseling, strengthen referral pathways, and address structural constraints to service delivery.

Indexed as

client exit interviewcomprehensive abortion carehealth systemsjourney mappingpost abortion care

Identifiers

PMID40718475
PMCPMC12289592

What OpenQuestion holds

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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.