Evidence map›Paper›PMID 29804756›Full record

ArticleSexual & reproductive healthcare : official journal of the Swedish Association of Midwives2018

Motherhood increases support for family planning among Kenyan adolescents.

Julia Velonjara, Bonnie Crouthamel, Gabrielle O'Malley, Mona Wiggins, Daniel Matemo, Grace John-Stewart, Jennifer A Unger, John Kinuthia, Alison L Drake

Abstract read
In one paragraph

Article in Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 19 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Julia VelonjaraDepartment of Global Health, University of Washington, 325 9th Ave, Box 359909, Seattle, WA 98104, United States. Electronic address: juliavelonjara@aya.yale.edu.
Bonnie CrouthamelDepartment of Obstetrics and Gynecology, University of Washington, 1959 NE Pacific St, Box 356460, Seattle, WA 98195, United States. Electronic address: bcroutha@gmail.com.
Gabrielle O'MalleyDepartment of Global Health, University of Washington, 325 9th Ave, Box 359909, Seattle, WA 98104, United States. Electronic address: gomalley@uw.edu.
Mona WigginsSchool of Nursing, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: monaesther@gmail.com.
Daniel MatemoResearch and Programs, Kenyatta National Hospital, Box 259000202, Nairobi, KE 00202, United States. Electronic address: daniel.matemo@gmail.com.
Grace John-StewartDepartment of Global Health, University of Washington, 325 9th Ave, Box 359909, Seattle, WA 98104, United States. Electronic address: gjohn@uw.edu.
Jennifer A UngerDepartment of Global Health, University of Washington, 325 9th Ave, Box 359909, Seattle, WA 98104, United States. Electronic address: junger@uw.edu.
John KinuthiaDepartment of Global Health, University of Washington, 325 9th Ave, Box 359909, Seattle, WA 98104, United States; Research and Programs, Kenyatta National Hospital, Box 259000202, Nairobi, KE 00202, United States; Department of Global Health, University of Washington, Seattle, WA 98104, United States. Electronic address: kinuthia@uw.edu.
Alison L DrakeDepartment of Global Health, University of Washington, 325 9th Ave, Box 359909, Seattle, WA 98104, United States. Electronic address: adrake2@uw.edu.
University of Washington · USSeattle Pacific University · USKenyatta National Hospital · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Pediatric HIV-1 in Africa: Pathogenesis and ManagementK24HD054314 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2006 to 2016
$1.2M
Optimizing repeat HIV testing during pregnancy and postpartum for PMTCTK01AI116298 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAKE, ALISON L · 2015 to 2019
$632k
NIAID NIH HHS K01 AI116298NIAID NIH HHS P30 AI027757NICHD NIH HHS K24 HD054314
6 · The paper itself

Abstract

objectiveAdolescent fertility rates are high in Kenya, and increase the risks of unintended repeat pregnancies and maternal and infant morbidity and mortality. Our objective was to examine knowledge, practices, and influences surrounding contraceptive access and use among Kenyan postpartum adolescents. STUDY

designWe conducted a mixed methods study (surveys and focus group discussions) with postpartum adolescents and family planning (FP) providers at two maternal and child health clinics in Kenya.

main outcome measuresFour focus group discussions (FGDs) were conducted with postpartum adolescents (stratified by age and site), and two FGDs were conducted with FP providers (stratified by site). Transcripts were analyzed for prevalent themes. The participants also completed individual surveys that were analyzed for contraceptive knowledge.

resultsAdolescent contraceptive decision-making and use were shaped by social norms of adolescent sexual behaviour. Lack of FP knowledge, community misinformation, and insufficient counselling and time with providers all contributed to adolescent concerns about FP. However, as adolescents transitioned to motherhood, they felt more encouraged to use FP and had increased awareness of FP benefits.

conclusionBoth postpartum adolescents and providers felt delivery of FP services could be improved if providers had better training and counselling tools.

Indexed as

Contraception BehaviorCounselingHealth Knowledge, Attitudes, PracticeMothersPatient Acceptance of Health CareQuality of Health CareAdolescentAdultContraceptionDecision MakingFamilyFamily Planning ServicesFemaleFocus GroupsHealth PersonnelHumansAdolescentContraceptionFamily planningKenyaPostpartum

Identifiers

PMID29804756
PMCPMC5975971
OpenAlexW2793367226

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.