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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01893021
|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|