Involving Men in Maternity Care in Burkina Faso

NCT02309489 | Completed Results

• 1 other identifier: QA649
• Study Type: interventional
• Target: 1,144
• Locations: 1 country
• Sites: 1

Brief Summary

The uptake of postpartum contraception, postpartum care attendance and the practice of exclusive breastfeeding are low in Sub-Saharan Africa. Although the involvement of men in maternity care has been shown to be a promising strategy for the achievement of other reproductive health goals, little is known about the effect of their participation on these outcomes. This study aims to test whether the involvement of men can improve care-seeking and promote healthy behaviours among postpartum women in Burkina Faso.

Conditions

Postpartum Period

Keywords

Family Planning Services; Maternal Health Services; Breast Feeding; Contraception; Postnatal care; Postpartum contraception; Exclusive breastfeeding; Postpartum Period

Outcome Measures

Primary Outcomes (3)

• Number of Participants Attending the Recommended Number of Postnatal Care Appointments

  This was defined as whether women had attended at least two outpatient postnatal care consultations/check-ups in the first six weeks after birth.

  Data collected at 3 months postpartum

• Number of Participants Practicing Exclusive Breastfeeding at 3 Months Postpartum

  This was defined according to the WHO criteria for exclusive breastfeeding: "the infant has received only breastmilk from his/her mother or a wet nurse, or expressed breastmilk, and no other liquids or solids with the exception of drops or syrups consisting of vitamins, mineral supplements or medicines". Although the WHO recommends exclusive breastfeeding for the first 6 months postpartum, 3 months was chosen as the reference period because by that point only 20% of infants are still exclusively breastfed.

  Data collected at 3 months postpartum

• Number of Participants Using Effective Modern Contraception at 8 Months Postpartum

  Effective modern methods were defined as those having a rate of unintended pregnancy per 100 women of 10% or less per year, as commonly used. Based on local availability, these methods were: implants, IUDs, injectables, oral contraceptives, and permanent methods. Each woman was considered a "user" or "non-user" for each method.

  Data collected at 8 months postpartum

Secondary Outcomes (5)

• Number of Participants Using Long Acting or Permanent (LA/PM) Methods of Contraception at 8 Months Postpartum

  Data collected at 8 months postpartum

• Number of Participants Using Any Contraceptive Method at 8 Months Postpartum

  Data collected at 8 months postpartum

• Number of Participants Who Initiated Postpartum Contraception in a Timely Fashion

  Data collected at 8 months postpartum

• Number of Participants With an Unmet Need for Contraception at 8 Months Postpartum

  Data collected at 8 months postpartum

• Number of Participants With High Relationship Adjustment at 8 Months Postpartum

  Data collected at 8 months postpartum

Other Outcomes (2)

• Number of Participants With Complete Satisfaction With Care

  Data collected at 3 months postpartum

• Number of Participants in the Intervention Group With High Adherence to the Intervention

  Process data collected throughout intervention implementation

Study Arms (2)

Intervention

EXPERIMENTAL

* Receive standard maternity care * Woman and partner attend one extra couple counselling session during pregnancy (A) * Partner attends one group education session for men (B) * Partner participates in pre-discharge consultation (C)

Behavioral: Partner involvement

Control

NO INTERVENTION

* Receive standard maternity care * No active encouragement of partner involvement, no extra sessions offered

Interventions

Partner involvement BEHAVIORAL

Partner is involved in maternity care

Intervention

Eligibility Criteria

• Age: 16 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 16-18, married, or
• Age 18+, in a co-habiting relationship
• Pregnant 24-36 weeks
• No obstetric risk factors requiring hospital delivery
• Lives no more than one hour away on foot, not planning to move from the city
• Gives informed consent

You may not qualify if:

• Declines to participate

Sponsors & Collaborators

• London School of Hygiene and Tropical Medicine: lead
• Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP): collaborator
• Department for International Development, United Kingdom: collaborator
• Economic and Social Research Council, United Kingdom: collaborator

Study Sites (1)

District Sanitaire de Dafra

Bobo-Dioulasso, Burkina Faso

Location

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Results Point of Contact

• Title: Dr Marina Daniele
• Organization: King's College London, UK

marina.daniele@kcl.ac.uk

020 7836 5454

Study Officials

• Marina Daniele, MSc

  London School of Hygiene and Tropical Medicine

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

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: December 3, 2014
• First Posted: December 5, 2014
• Study Start: January 1, 2015
• Primary Completion: July 1, 2016
• Study Completion: July 1, 2016
• Last Updated: July 5, 2019
• Results First Posted: July 5, 2019

Record last verified: 2016-09

Locations

BU (1)