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

Planned Parenthood League of Massachusetts

Status: Completed

Conditions: Focus: Postpartum Contraception; Focus: Contraceptive Counseling

Treatments: Other: family planning counseling let by community health workers

Study type: Interventional

Funder types: Other

Identifiers

NCT01854671

SFPRF13-10

Details and patient eligibility

About

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.

Enrollment: 176 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

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

Trial design

176 participants in 2 patient groups

standard care

No Intervention group

family planning counseling led by community health worker

Experimental group

Description:

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.

Treatment:

Other: family planning counseling let by community health workers