The Effect of Integrating Postpartum Family Planning Intervention With Maternal & Child Health Services

NCT06965283 | Completed

• 2 other identifiers: JUIH/IRB/0474/25Jimma UNiversity
• Study Type: interventional
• Target: 607
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to explore the effectiveness of integrated package interventions within maternal and child health services in improving modern postpartum contraceptive use in northeast Ethiopia. Its primary objective is to enhance the utilization of postpartum contraceptive methods to reduce unmet needs for these methods in the Amhara region of Ethiopia.

Conditions

Postpartum Family Planning; Modern Contraceptive Use

Keywords

Modern contraceptive use; Postpartum family planning; Service integration; Maternal & child health services

Outcome Measures

Primary Outcomes (1)

• Modern postpartum contraceptive use

  The primary outcome measure is modern postpartum contraceptive use, assessed via interviewer-administered questionnaires. Data were collected using standardized, pre-tested tools by trained midwives with prior data collection experience. Quantitative data will be analyzed using STATA 17 software with a Generalized Estimating Equation (GEE) model. The outcome variable was evaluated by measuring the effectiveness of the intervention package, which was delivered by trained healthcare providers across selected maternal and child health (MCH) units. These units included labor/delivery, immunization, postnatal care (PNC), PMTCT (Prevention of Mother-to-Child Transmission), and under-five child outpatient services. The study followed a pre/post-intervention design: a baseline assessment was conducted first, followed by a six-month intervention period, and a post-intervention assessment. The intervention's effect will be evaluated using difference-in-differences analysis.

  Up to six months

Study Arms (2)

This arm will be given the multiple behaviour change intervention

ACTIVE COMPARATOR

The intervention package includes: 1. PPFP refresher training for maternal and child health (MCH) providers across all MCH units (labor/delivery, postnatal care \[PNC\], immunization, PMTCT \[Prevention of Mother-to-Child Transmission\], and under-five childcare clinics). 2. Weekly mentoring (internal and external) led by senior gynecologists, obstetricians, and midwives at intervention hospitals. Mentoring sessions use anatomical models to address knowledge and skill gaps. MCH service coordinators also participate in training sessions to facilitate coaching and monitoring. 3. Standardized training modules based on guidelines developed by the Ethiopian Ministry of Health. 4. Monthly supportive supervision of PPFP services, conducted jointly by MCH unit coordinators and hospital management teams. This ensures early identification of bottlenecks and prompt resolution of challenges. 5. Monitoring of contraceptive methods and other materials availability

Behavioral: Providing training and Mentoring

The non intervention group were not given the intervention. Standard care will be continued

NO INTERVENTION

Usual care can be continued. No intervention can be given

Interventions

Providing training and Mentoring BEHAVIORAL

The intervention packages are providing postpartum family planning training at each MCH units, Using WHO PPFP counseling toolkit, mentoring health care provider to fill knowledge and skill gap, contraceptive logistic availability, and regular supportive supervision

This arm will be given the multiple behaviour change intervention

Eligibility Criteria

• Age: 18 Years - 49 Years
• Gender Eligibility Details: Female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Postpartum mothers who gave birth one year preceding the survey
• All postpartum mothers who come for maternal and child health services(PMTCT, PNC, labor, delivery, under 5 OPD care and immunization services and post-partum women units)

You may not qualify if:

• Those participants who were seriously ill
• Mentally unable to communicate

Sponsors & Collaborators

• Jimma University: lead
• Wollo University: collaborator

Study Sites (2)

Dessie Comprehensive specialized Hospital

Dessie, Amhara, Ethiopia

Location

Dessie referral Hospital

Dessie, Amhara, Ethiopia

Location

Related Links

• It showed on postpartum family planning integration and its effect on modern contraceptive use

Study Officials

• Gurmesa Tura Professor, PhD

  Jimma University

  STUDY DIRECTOR

• Sisay Eshete Assistant professor, Msc

  Wollo University

  STUDY CHAIR

• Getabalew Tsegaye Mr., Bsc

  Unaffilated

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: All postpartum mothers who come to the hospital for labor/delivery, infant immunization, PMTCT (Prevention of Mother-to-Child Transmission), postnatal care (PNC), or under-five childcare services will be screened and counseled for postpartum family planning (PPFP). Those who decide to use a modern contraceptive method will either be referred to family planning units or provided with their chosen method directly. Postpartum mothers who do not initially decide to use a modern contraceptive method will receive additional counseling during their next visit. The intervention will be implemented by nurses and midwives working in selected maternal and child health units. These healthcare providers will receive a three-day PPFP training session delivered by a senior obstetrician-gynecologist, public health expert, and maternal/reproductive health specialist, all of whom are certified Training of Trainers. Coaching and mentoring will also be provided to ensure they acquire adequate knowledge.

Study Record Dates

• First Submitted: April 11, 2025
• First Posted: May 11, 2025
• Study Start: March 30, 2023
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2024
• Last Updated: May 11, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

ET (2)