Postpartum Family Planning Service Through Enhanced Family Planning in Immunization Services

NCT01115361 | Completed

• 1 other identifier: 890028
• Study Type: interventional
• Target: 800
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the effectiveness of an intervention, which is designed to increase contraceptive prevalence among postpartum women attending vaccination services who desire to either space or limit their pregnancies, thus reducing unmet contraceptive need in this population.

Conditions

Contraception

Keywords

family planning; postpartum; immunization; integration; Contraceptive behavior

Outcome Measures

Primary Outcomes (1)

• Use of a modern contraceptive method among postpartum women

  The outcome variable is a dichotomous variable - use of modern FP method: yes/no

  1 year

Study Arms (2)

PPFP in child immunization

EXPERIMENTAL

Women attending immunization services for their infant will receive educational brochures, group education and individual counseling on the benefits of the health timing and spacing of births,, pregnancy risk and return to fertility during the extended postpartum period (12 months), and referral to family planning services for those who are interested.

Behavioral: Family planning for postpartum women

Control - Standard of care

NO INTERVENTION

The control arm will receive standard of care infant immunization services.

Interventions

Family planning for postpartum women BEHAVIORAL

A.Group education sessions regarding pregnancy risk, benefits of FP, and family planning options during the postpartum period. B. IEC materials that deliver messages about the benefits of spacing pregnancies by at least 2 years, LAM, return to fecundity and pregnancy risk during the postpartum period and contraceptive options for postpartum women. C. Use of a screening tool to assess pregnancy risk for postpartum women coupled with a brief counseling message and referral to FP services. D.Convenient offer of FP services to women attending vaccination services for their infants.

PPFP in child immunization

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clients:
• adult women, aged 21 years and older, or married women ages 18 to 20 who have achieved legal majority status by emancipation due to marriage,
• bring their infants between the ages 6-12 months to immunization services at study sites
• Providers:
• all health care providers who currently provide immunization services to infants and/or family planning services within the selected facilities.

Sponsors & Collaborators

• FHI 360: lead
• Ministry of Health, Rwanda: collaborator

Study Sites (1)

Rwanda health care facilities

Kigali, Rwanda

Location

MeSH Terms

Conditions

Contraception Behavior

Interventions

Family Planning Services; Postpartum Period

Condition Hierarchy (Ancestors)

Reproductive Behavior; Behavior

Intervention Hierarchy (Ancestors)

Community Health Services; Health Services; Health Care Facilities Workforce and Services; Reproductive Health Services; Reproductive Physiological Phenomena; Reproductive and Urinary Physiological Phenomena

Study Officials

• Lisa S Dulli, PhD, MHS

  FHI 360

  PRINCIPAL INVESTIGATOR

• Steve Sortijas, MPH

  FHI 360

  STUDY DIRECTOR

• Fidèle Ngabo, MD, MPH

  Ministry of Health, Rwanda

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 28, 2010
• First Posted: May 4, 2010
• Study Start: February 1, 2010
• Primary Completion: October 1, 2011
• Study Completion: December 1, 2011
• Last Updated: March 29, 2012

Record last verified: 2012-03

Locations

RW (1)