Investigating the Effect of a Prenatal Family Planning Counseling Intervention Led by Community Health Workers on Postpartum Contraceptive Use Among Women in the West Bank

NCT01854671 | Completed

• 1 other identifier: SFPRF13-10
• Study Type: interventional
• Target: 176
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to measure the difference in proportion of postpartum women using contraception after a Community Health Worker (CHW) family planning educational intervention compared to women who receive standard care in the West Bank district of Ramallah and Al-Bireh. Primary hypothesis: Postpartum contraceptive use will increase in women who receive a dedicated family planning counseling intervention delivered by CHWs during antenatal care compared to women receiving usual care.

Conditions

Focus: Contraceptive Counseling; Focus: Postpartum Contraception

Keywords

postpartum contraception; contraceptive counseling

Outcome Measures

Primary Outcomes (1)

• Self-reported contraceptive use

  6 months post-partum

Secondary Outcomes (2)

• Intent to use contraception in the future

  6 months postpartum

• Non-desire to use contraception

  6 months postpartum

Study Arms (2)

standard care

NO INTERVENTION

family planning counseling led by community health worker

EXPERIMENTAL

The family planning counseling sessions led by community health workers will present advantages of birth spacing, available methods of postpartum contraception, contraindications (if any) for the method, when each method can be safely started postpartum, where each method can be obtained, and importance of 6 week postpartum clinic follow-up. There will also be a take-home contraceptive method brochure given at conclusion of information session -primarily pictorial and in Arabic, to facilitate discussion at home with husbands and family members.

Other: family planning counseling let by community health workers

Interventions

family planning counseling let by community health workers OTHER

The family planning counseling sessions led by community health workers will present advantages of birth spacing, available methods of postpartum contraception, contraindications (if any) for the method, when each method can be safely started postpartum, where each method can be obtained, and importance of 6 week postpartum clinic follow-up. There will also be a take-home contraceptive method brochure given at conclusion of information session -primarily pictorial and in Arabic, to facilitate discussion at home with husbands and family members.

family planning counseling led by community health worker

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Women attending the MoH Ramallah or Al-Bireh clinic for antenatal care and 34-38 weeks pregnant at enrollment
• Planning delivery at an MoH hospital
• Able and willing to be contacted by phone or home visit

You may not qualify if:

• Women less than 34 weeks pregnant or non-pregnant
• Planning delivery at a private or NGO hospital
• Unwilling to be contacted for follow-up after enrollment

Sponsors & Collaborators

• Planned Parenthood League of Massachusetts: lead
• Society for Family Planning Research Fund: collaborator

Study Sites (1)

Palestinian Ministry of Health Maternal Child Health Clinics (Ramallah and Al-Bireh)

Ramallah and Al-Bireh, West Bank, Palestinian Territories

Location

Study Officials

• Principal Investigator, MD, MPH

  Planned Parenthood League of Massachusetts

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: May 13, 2013
• First Posted: May 15, 2013
• Study Start: August 1, 2013
• Primary Completion: December 1, 2014
• Study Completion: December 1, 2014
• Last Updated: August 17, 2015

Record last verified: 2015-08

Locations

PA (1)