Investigating the Effect of a Prenatal Family Planning Counseling Intervention Led by Community Health Workers on Postpartum Contraceptive Use Among Women in the West Bank - Full Text View

Purpose

The purpose of this study is to measure the difference in proportion of postpartum women using contraception after a Community Health Worker (CHW) family planning educational intervention compared to women who receive standard care in the West Bank district of Ramallah and Al-Bireh.

Primary hypothesis: Postpartum contraceptive use will increase in women who receive a dedicated family planning counseling intervention delivered by CHWs during antenatal care compared to women receiving usual care.

Condition	Intervention
Focus: Contraceptive Counseling Focus: Postpartum Contraception	Other: family planning counseling let by community health workers


Study Type:	Interventional
Study Design:	Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label
Official Title:	Investigating the Effect of a Prenatal Family Planning Counseling Intervention Led by Community Health Workers on Postpartum Contraceptive Use Among Women in the West Bank

Resource links provided by NLM:

MedlinePlus related topics: Birth Control Postpartum Care

U.S. FDA Resources

Further study details as provided by Planned Parenthood League of Massachusetts:

Primary Outcome Measures:

Self-reported contraceptive use [ Time Frame: 6 months post-partum ]

Secondary Outcome Measures:

Intent to use contraception in the future [ Time Frame: 6 months postpartum ]
Non-desire to use contraception [ Time Frame: 6 months postpartum ]


Enrollment:	176
Study Start Date:	August 2013
Study Completion Date:	December 2014
Primary Completion Date:	December 2014 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
No Intervention: standard care
Experimental: family planning counseling led by community health worker The family planning counseling sessions led by community health workers will present advantages of birth spacing, available methods of postpartum contraception, contraindications (if any) for the method, when each method can be safely started postpartum, where each method can be obtained, and importance of 6 week postpartum clinic follow-up. There will also be a take-home contraceptive method brochure given at conclusion of information session -primarily pictorial and in Arabic, to facilitate discussion at home with husbands and family members.	Other: family planning counseling let by community health workers The family planning counseling sessions led by community health workers will present advantages of birth spacing, available methods of postpartum contraception, contraindications (if any) for the method, when each method can be safely started postpartum, where each method can be obtained, and importance of 6 week postpartum clinic follow-up. There will also be a take-home contraceptive method brochure given at conclusion of information session -primarily pictorial and in Arabic, to facilitate discussion at home with husbands and family members.

Arms

Assigned Interventions

No Intervention: standard care

Experimental: family planning counseling led by community health worker

The family planning counseling sessions led by community health workers will present advantages of birth spacing, available methods of postpartum contraception, contraindications (if any) for the method, when each method can be safely started postpartum, where each method can be obtained, and importance of 6 week postpartum clinic follow-up. There will also be a take-home contraceptive method brochure given at conclusion of information session -primarily pictorial and in Arabic, to facilitate discussion at home with husbands and family members.

Other: family planning counseling let by community health workers

The family planning counseling sessions led by community health workers will present advantages of birth spacing, available methods of postpartum contraception, contraindications (if any) for the method, when each method can be safely started postpartum, where each method can be obtained, and importance of 6 week postpartum clinic follow-up. There will also be a take-home contraceptive method brochure given at conclusion of information session -primarily pictorial and in Arabic, to facilitate discussion at home with husbands and family members.

Eligibility


Ages Eligible for Study:	Child, Adult, Senior
Sexes Eligible for Study:	Female
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Women attending the MoH Ramallah or Al-Bireh clinic for antenatal care and 34-38 weeks pregnant at enrollment
Planning delivery at an MoH hospital
Able and willing to be contacted by phone or home visit

Exclusion Criteria:

Women less than 34 weeks pregnant or non-pregnant
Planning delivery at a private or NGO hospital
Unwilling to be contacted for follow-up after enrollment

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01854671

Locations


Palestinian Territories, Occupied
Palestinian Ministry of Health Maternal Child Health Clinics (Ramallah and Al-Bireh)
Ramallah and Al-Bireh, West Bank, Palestinian Territories, Occupied

Sponsors and Collaborators

Planned Parenthood League of Massachusetts

Society for Family Planning Research Fund

Investigators


Principal Investigator:	Principal Investigator, MD, MPH	Planned Parenthood League of Massachusetts

More Information


Responsible Party:	Planned Parenthood League of Massachusetts
ClinicalTrials.gov Identifier:	NCT01854671 History of Changes
Other Study ID Numbers:	SFPRF13-10
Study First Received:	May 13, 2013
Last Updated:	August 14, 2015

Keywords provided by Planned Parenthood League of Massachusetts:


postpartum contraception contraceptive counseling

Additional relevant MeSH terms:


Contraceptive Agents Reproductive Control Agents Physiological Effects of Drugs

ClinicalTrials.gov processed this record on June 23, 2017