Blood-borne Infection Screening in an Afghan Antenatal Population
Baseline information indicates there are measurable levels of hepatitis B SAg and low utilization of postpartum contraception, correct breastfeeding practices, or adherence to infant vaccination schedules in Kabul, Afghanistan. This intervention will randomize hospitals to assess the following aims:
Aim 1: To determine whether the re-training and assignment of health care providers dedicated to intrapartum rapid testing and post-partum counseling will positively impact maternal and neonatal health indicators as compared to utilization of existing health providers for these services among women delivering in publish health maternity hospitals in Kabul, Afghanistan.
Aim 2: To assess whether patients randomized to the intervention and their spouses perceive value in concentrated post-partum counseling.
Aim 3: To investigate whether an intervention providing immediate post-partum provision of a long-acting family planning method would be feasible and acceptable to both men and women in Kabul, Afghanistan.
|Viral Hepatitis B Contraception Breast Feeding, Exclusive Effects of; Lack of Care of Infants||Behavioral: Concentrated postpartum counseling|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Other
|Official Title:||Pilot Educational Intervention to Determine Effect of Intrapartum Testing and Concentrated Postpartum Counseling on Birth Spacing, Breastfeeding, and Infant Vaccination Completion in a Kabul Urban Population.|
- Utilization of Postpartum Contraception [ Time Frame: 12 months ]Determine whether the re-training and assignment of healthcare providers dedicated to intrapartum rapid testing and intensive post-partum counseling will positively impact postpartum contraceptive use as compared to any counseling provided by existing health providers for these services among women delivering in public health maternity hospitals in Kabul, Afghanistan.
- Correct Breastfeeding Practices to 1 Year [ Time Frame: 12 months ]Assess whether patients randomized to the intervention exhibit correct breastfeeding practices (a composite variable in which exclusive breastfeeding occurs to 6 months and continued complementary breastfeeding continues to 12 months) after receiving concentrated postpartum counseling compared to women receiving standard of care.
- Completion of 9 Month Measles-mumps-rubella Vaccination on Time. [ Time Frame: 12 months ]Assess whether patients randomized to the intervention were more likely to have children receiving the measles-mumps-rubella vaccination at 9 months of age after receiving concentrated postpartum counseling compared to women receiving standard of care.
|Study Start Date:||June 2008|
|Study Completion Date:||May 2010|
|Primary Completion Date:||May 2010 (Final data collection date for primary outcome measure)|
Experimental: Concentrated postpartum counseling
Women randomized to receiving concentrated postpartum counseling from the retrained provider.
Behavioral: Concentrated postpartum counseling
Intrapartum testing and concentrated postpartum counseling for the female patient from a retrained provider focusing on correct breastfeeding practices, postpartum contraception, and infant vaccination.
No Intervention: Routine postpartum counseling
Women receiving intra-partum testing and post-partum counseling from existing cadres of hospital providers at standard of care.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01199601
|Principal Investigator:||Catherine Todd, MD||Columbia University|