Family Planning and HIV in Postpartum Women in Mbarara
Family Planning Support and Its Impact on Pregnancy Desires and Contraceptive Use Among Recently Postpartum HIV Positive Women Delivering at Mbarara Regional Referral Hospital
1 other identifier
interventional
320
1 country
1
Brief Summary
Supporting HIV positive women to delay or prevent an unwanted pregnancy may improve women's health through family planning choices, regular health reviews, and support. A cohort study that was done in Mbarara amongst HIV-infected women documented 50% of the enrolled women having no desire for a (another) child during the 4 years since ART initiation, 51% had a serodiscordant partner, with only 45% using effective contraceptive method. Key predictors of contraceptive use were family planning goals within the DYAD. One of the key predictors of effective contraceptive use was male partner involvement and CD4 count. The WHO recommends dual contraception (use of condoms and a hormonal or permanent method) to prevent both HIV transmission and unwanted pregnancies (WHO,2014).This prospective intervention study aims at providing information on whether continuous family planning accessibility and support has a measurable impact on pregnancy intentions and contraceptive usage among postpartum HIV positive mothers delivering at MRRH, SW Uganda.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 11, 2016
CompletedFirst Posted
Study publicly available on registry
November 16, 2016
CompletedStudy Start
First participant enrolled
December 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2018
CompletedApril 20, 2021
April 1, 2021
1.5 years
November 11, 2016
April 17, 2021
Conditions
Outcome Measures
Primary Outcomes (2)
Confirmed consistent use of an effective contraceptive method at 12 months
12 months
Pregnancy desire/aspirations among the HIV positive women
12 months
Study Arms (2)
Family Planning Support
EXPERIMENTALFamily planning voucher and phone reminders
No Family Planning Support
NO INTERVENTIONRoutine care
Interventions
Eligibility Criteria
You may qualify if:
- Mothers must be HIV positive
- Have had a delivery within the last 48 hours
- Above 18 years of age
- Anticipating to begin family planning at 6 weeks postpartum
- Must be mentally stable and qualify for any family planning methods available.
You may not qualify if:
- Mothers who are HIV negative
- Less than 18 years of age
- Not anticipating to begin family planning at 6 weeks post partum
- Mentally unstable or dont qualify for any family planning methods available.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mbarara Regional Referral Hospital
Mbarara, 00256, Uganda
Related Publications (2)
Atukunda EC, Mugyenyi GR, Musiimenta A, Kaida A, Atuhumuza EB, Lukyamuzi EJ, Agaba AG, Obua C, Matthews LT. Structured and sustained family planning support facilitates effective use of postpartum contraception amongst women living with HIV in South Western Uganda: A randomized controlled trial. J Glob Health. 2021 Jun 5;11:04034. doi: 10.7189/jogh.11.04034.
PMID: 34131487DERIVEDAtukunda EC, Mugyenyi GR, Obua C, Atuhumuza EB, Lukyamuzi EJ, Kaida A, Agaba AG, Matthews LT. Provision of family planning vouchers and early initiation of postpartum contraceptive use among women living with HIV in southwestern Uganda: A randomized controlled trial. PLoS Med. 2019 Jun 21;16(6):e1002832. doi: 10.1371/journal.pmed.1002832. eCollection 2019 Jun.
PMID: 31226123DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 11, 2016
First Posted
November 16, 2016
Study Start
December 1, 2016
Primary Completion
June 1, 2018
Study Completion
June 1, 2018
Last Updated
April 20, 2021
Record last verified: 2021-04