Utilizing All Health System Contacts to Offer Postpartum Family Planning (PPFP) in Ethiopia
1 other identifier
interventional
776
1 country
6
Brief Summary
This study is investigating whether use of postpartum family planning (PPFP) increases if messages on PPFP and, if desired, PPFP services are integrated into as many contacts as possible between women/couples and the health system during pregnancy and the first year after birth. Health system contacts may be at health facilities (including antenatal, labor and delivery, postnatal, and child immunization visits) or, with Ethiopia's Health Extension Program, at households or health posts in the community.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2017
6 active sites
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
Study Start
First participant enrolled
February 20, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2018
CompletedFirst Submitted
Initial submission to the registry
June 29, 2018
CompletedFirst Posted
Study publicly available on registry
July 13, 2018
CompletedJuly 18, 2018
July 1, 2018
1.3 years
June 29, 2018
July 16, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
PPFP uptake
Proportion of interviewed postpartum women who used a modern family planning method within 12 months after giving birth
12 months after birth
Secondary Outcomes (1)
Method choice
12 months after birth
Study Arms (2)
Intervention
EXPERIMENTALHealth centers provide PPFP counseling and services, implementing current Government of Ethiopia policy and standard of care (including still experimental screening and intra-facility referrals of women bringing infants for immunization). Also, health centers conduct data reviews of PPFP counseling, intra-facility referrals and uptake data. At community level, HEWs provide PPFP counseling and services throughout continuum of care, volunteers (Development Army) promote PPFP, and HEWs and volunteers track PPFP method choice and uptake.
Comparison
ACTIVE COMPARATORHealth centers provide PPFP counseling and services, implementing current Government of Ethiopia policy and standard of care (including still experimental screening and intra-facility referrals of women bringing infants for immunization). Health centers conduct data reviews.
Interventions
Providers trained on PPFP counseling skills and insertion technique for placing intrauterine devices (IUDs) immediately after birth with a refresher on insertion techniques for IUDs and implants. Training also included how to use tools to document PPFP services and referrals. Follow up supervision ensured skill mastery and retention.
HEWs trained in PPFP counseling with a refresher on implant insertion skills. Training also included how to use tools to document PPFP services, method choice, and pregnancy risk at every contact during pregnancy and up to 12 months after birth. Follow up supervision ensured skill improvement and retention.
HEWs orient volunteers on promoting PPFP and how to use a pictoral tool to remind women to access ANC, immunization, and PPFP services and to document women's method preferences and pregnancy risk at every contact during pregnancy and up to 12 months after birth.
Health center staff document PPFP counseling, provision, and referrals in registers and use a facility dashboard to display and track aggregate PPFP data.
HEWs and volunteers track PPFP counseling, choice of method, receipt of methods, and pregnancy risk starting in pregnancy through 12 months postpartum. HEWs and volunteers meet and review data.
Eligibility Criteria
You may qualify if:
- Women
- Pregnant at time of enrollment
- Willing to give informed consent
- Provider interviews
- Providers providing PPFP messages or services in study area
- Willing to give informed consent
You may not qualify if:
- Women
- Not pregnant at time of enrollment
- Living outside study area
- Provider interviews
- Not working in antenatal, labor \& delivery, postnatal, or immunization care
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jhpiegolead
- United States Agency for International Development (USAID)collaborator
- Bill and Melinda Gates Foundationcollaborator
Study Sites (6)
Boru PHCU
Hitosa, Oromiya, Ethiopia
Sibu PHCU
Hitosa, Oromiya, Ethiopia
Aleko PHCU
Lode Hitosa, Oromiya, Ethiopia
Huruta PHCU
Lode Hitosa, Oromiya, Ethiopia
Ligaba PHCU
Lode Hitosa, Oromiya, Ethiopia
Lode Jimata
Lode Hitosa, Oromiya, Ethiopia
Related Publications (1)
Pfitzer A, Jima GH, Sitrin D, Ayalew F, Ahmed S. Effect of multiple counselling contacts along the continuum of care on use of postpartum family planning in a cohort of Ethiopian women: a dose-response analysis. BMJ Open. 2024 Dec 20;14(12):e084247. doi: 10.1136/bmjopen-2024-084247.
PMID: 39806635DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
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
June 29, 2018
First Posted
July 13, 2018
Study Start
February 20, 2017
Primary Completion
May 30, 2018
Study Completion
May 30, 2018
Last Updated
July 18, 2018
Record last verified: 2018-07