Evidence map›Paper›PMID 40809560›Full record

SynthesisAfrican health sciences2024

Prevalence of unmet need for family planning and unintended pregnancies among women of reproductive age living with HIV in sub-Saharan Africa: a systematic review and meta-analysis.

Hafidha M Bakari, Oluwafemi Alo, Mariam S Mbwana, Swalehe M Salim, Emilie Ludeman, Taylor Lascko, Habib O Ramadhani

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in African health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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

7 authors.

Hafidha M BakariPresident's Office Regional Administration and Local Government, Dodoma, Tanzania.
Oluwafemi AloMaryland Global Initiative Cooperation, Abuja, Nigeria.
Mariam S MbwanaPrimary Health Care Institute, Iringa, Tanzania.
Swalehe M SalimCanada World Youth.
Emilie LudemanHealth Sciences and Human Services Library, University of Maryland Baltimore, Baltimore, USA.
Taylor LasckoCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, United States.
Habib O RamadhaniCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Family planning is an effective intervention for women living with HIV who do not desire to have children to reduce vertical transmission and infant- and pregnancy-related mortality. Objectives: We aimed to evaluate the prevalence of unmet need for family planning (UFP) and unintended pregnancies among women living with HIV in sub-Saharan Africa. Methods: This was a systematic review that searched databases from March 2007 to December 2021. UFP was defined as women who were sexually active and did not desire to have additional children (unmet need for limiting), or who delayed their next pregnancy (unmet need for spacing) but were not using any contraception. Unintended pregnancies were defined as women who reported that their last pregnancy was unintended. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI). Results: Total of 35 articles were included. Overall, the pooled prevalence of UFP was 30.1% (95%CI, 26.4-33.9). The pooled prevalence of unmet need for spacing was 11.9% and 14.2% for limiting.. The pooled prevalence of unintended pregnancy was 16.5% (95%CI, 9.4-25.1). Conclusion: Three in ten women of reproductive age living with HIV in Africa have UFP. Efforts to prevent unsafe abortions from unintended pregnancies are needed to minimize the UFP.

Indexed as

Family Planning ServicesHealth Services Needs and DemandHIV InfectionsPregnancy, UnplannedAdultAfrica South of the SaharaContraceptionContraception BehaviorFemaleHumansInfectious Disease Transmission, VerticalPregnancyPrevalencesub-Saharan Africaun intended pregnancyUnmet need for family planningwomen living with HIV

Identifiers

PMID40809560
PMCPMC12341186

What OpenQuestion holds

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LicenceCC BY
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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.