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

Study Description

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

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 or disease	Intervention/treatment	Phase
Focus: Contraceptive Counseling; Focus: Postpartum Contraception	Other: family planning counseling let by community health workers	Not Applicable

Study Design

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	176 participants
Allocation:	Non-Randomized
Intervention Model:	Parallel Assignment
Masking:	None (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
Study Start Date :	August 2013
Actual Primary Completion Date :	December 2014
Actual Study Completion Date :	December 2014

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
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.

Outcome Measures

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :

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

Secondary Outcome Measures :

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

Eligibility Criteria

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Responsible Party:	Planned Parenthood League of Massachusetts
ClinicalTrials.gov Identifier:	NCT01854671 History of Changes
Other Study ID Numbers:	SFPRF13-10
First Posted:	May 15, 2013
Last Update Posted:	August 17, 2015
Last Verified:	August 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