Family Planning Knowledge, Attitudes, and Practices of Postpartum Malawian Women
The purpose of this study is to understand the family planning needs and practices of postpartum Malawian women, with a focus on long-acting reversible contraception (LARC).
- Postpartum women who are older, who have a history of unintended pregnancy, who do not desire another child within 2 years, and who were counseled about LARC during their pregnancy are more likely to have interest in using LARC.
- Postpartum women who are older are more likely to be aware of LARC methods.
- HIV+ postpartum Malawian women will have similar knowledge about LARC as postpartum Malawian women who are HIV-.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Family Planning Knowledge, Attitudes, and Practices of HIV+ and HIV- Postpartum Malawian Women|
- Knowledge about the intrauterine device (IUD) and contraceptive implant [ Time Frame: Upon enrollment ] [ Designated as safety issue: No ]A 14-question test about the IUD and implant will be administered to all study participants upon enrollment.
- Proportion of women using intrauterine device (IUD) and contraceptive implant [ Time Frame: 3, 6, and 12 months postpartum ] [ Designated as safety issue: No ]We will compare the proportions of HIV+ and HIV- women who are using the IUD and implant at 3, 6, and 12 months postpartum.
- Barriers to receiving intrauterine device (IUD) and contraceptive implant [ Time Frame: Up to 12 months postpartum ] [ Designated as safety issue: No ]Descriptive statistics will be used to analyze the reasons given for not receiving the IUD or implant at 3, 5, and 12 months postpartum if a woman had wanted to use it.
|Study Start Date:||May 2013|
|Estimated Study Completion Date:||October 2014|
|Estimated Primary Completion Date:||October 2014 (Final data collection date for primary outcome measure)|
|Postpartum Malawian women|
This study is a prospective cohort study of 630 postpartum Malawian women. Since our focus is on HIV+ women, HIV+ participants will be recruited in a 1:2 ratio, with a total of 210 HIV+ women and 420 HIV- women. We will recruit in the postpartum ward of Bwaila Maternity Hospital in Lilongwe, Malawi. Participants will complete a baseline survey about demographics, reproductive health history, and family planning knowledge, attitudes, and practices. At 3, 6, and 12 months postpartum, we will complete follow-up phone calls to determine what family planning methods they are using and if they encountered any barriers to receiving LARC if they had been interested in using them.
|Bwaila Maternity Hospital|
|Principal Investigator:||Jennifer Tang, MD, MSCR||University of North Carolina, Chapel Hill|
|Study Director:||Mina Hosseinipour, MD, MPH||University of North Carolina, Chapel Hill|