Improving Adherence to Postpartum Family Planning Guidance in Ghana

University of Pennsylvania

Status: Completed

Conditions: Contraception

Treatments: Other: Postpartum Family Planning Package

Study type: Interventional

Funder types: Other

Identifiers

NCT04306029

834804

Details and patient eligibility

About

Evaluating a Postpartum Family Planning Package (PPFP) in a Hybrid Type II implementation study with a stepped-wedge design.

Full description

Our overarching goal is to enable providers to consistently offer and deliver highly effective postpartum family planning methods in accordance with international guidelines. Our primary objective in this research is to assess the implementation and effectiveness of the "Postpartum Family Planning Package (PFPP)," an implementation strategy that consists of the following components: 1) a provider training on contraceptive methods available in the immediate postpartum period, and techniques for their placement in the case of intrauterine devices and implants, with quarterly booster trainings, and 2) promotion of the WHO MEC/Postpartum Family Planning Compendium mobile application as a provider decision tool to aid in postpartum family planning counselling.

Enrollment: 2,142 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Provider Inclusion Criteria:

• Providers who care for postpartum women on the inpatient postpartum ward, including midwives, nurses, residents, fellows, and consultant physicians.

Provider Exclusion Criteria:

• Students caring for postpartum patients on the postpartum ward.

Client Inclusion Criteria:

• Women receiving antenatal care who have the potential to be admitted to the inpatient postpartum ward following delivery, or women admitted in the postpartum ward.

Client Exclusion Criteria:

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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2,142 participants in 2 patient groups

Pre-Intervention

No Intervention group

Post-Intervention

Experimental group

Description:

Postpartum staff has received the "Postpartum Family Planning Package," which consists of provider education on contraceptive delivery in the immediate postpartum period and promotion of the WHO MEC/PFP Compendium mobile application.

Treatment:

Other: Postpartum Family Planning Package