Prevalence of Postpartum Family Planning and Its Association With Spousal Joint Decision-Making in Family Planning

NCT06324773 | Completed

• 1 other identifier: 9867
• Study Type: observational
• Target: 524
• Locations: 1 country
• Sites: 1

Brief Summary

This community-based cross-sectional study investigates the prevalence of postpartum family planning (PPFP) uptake and its association with joint spousal family planning decision-making among married women in rural Sindh, Pakistan. The study, conducted in Thatta District with a population of approximately 0.98 million people, addresses sociodemographic challenges including high fertility rates, maternal and newborn mortality, and low contemporary contraception use. Targeting married women aged 18-49 who gave birth within the past year, the research utilizes data from the Global Network's Maternal and Newborn Health Registry. Data collection involves a pretested questionnaire administered by trained female data collectors. Statistical analysis includes descriptive statistics and logistic regression using STATA 17. The study aims to fill knowledge gaps regarding factors influencing PPFP uptake, particularly the role of joint decision-making in family planning. Findings could inform targeted interventions to enhance maternal and child health, contribute to existing knowledge, and guide policymakers and healthcare providers in addressing the unmet need for family planning in rural Pakistan.

Conditions

Postpartum Family Planning

Outcome Measures

Primary Outcomes (3)

• Prevalence of Postpartum Family Planning Uptake

  Number of women who utilized postpartum family planning.

  In past one year

• Frequency of spousal joint decision making for uptake of postpartum family planning

  The outcome measures the frequency at which spouses make joint decisions regarding the uptake of postpartum family planning methods

  In past one year

• Comparison between spousal joint decision making is using postpartum family planning method and non-users.

  Compare spousal joint decision-making in couples using postpartum family planning methods versus those not using them.

  in past one year

Eligibility Criteria

• Age: 15 Years - 49 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Married women of reproductive age (18-49) who gave birth a year ago and registered in the Maternal and Newborn Health Registry in Thatta District Sindh, Pakistan.

You may qualify if:

• Women who are married and gave birth a year ago
• Living within the Maternal Neonatal Health Registry catchment area for at least one year.
• Women who will give their consent.

You may not qualify if:

• Pregnant women.
• Women who are critically ill and who face significant cognitive barriers that hinder their understanding and participation in the study.

Sponsors & Collaborators

• Aga Khan University: lead

Study Sites (1)

Thatta

Thatta, Sindh, Pakistan

Location

Related Publications (1)

• Khurram J, Hasnani FB, Saleem S, Tikmani SS. Prevalence of postpartum family planning uptake and its association with couples' joint decision-making: a community-based cross-sectional study in rural Sindh, Pakistan. BMJ Public Health. 2025 Dec 21;3(2):e002982. doi: 10.1136/bmjph-2025-002982. eCollection 2025.

  PMID: 41431612 DERIVED

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 3 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 12, 2024
• First Posted: March 22, 2024
• Study Start: April 1, 2024
• Primary Completion: July 30, 2024
• Study Completion: July 30, 2024
• Last Updated: January 28, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)