Using mHealth to Promote Post-Menstrual Regulation Contraceptive Uptake and Continuation in Bangladesh

Marie Stopes International

Status: Completed

Conditions: Abortion; Contraception; Post-abortion

Treatments: Behavioral: Mhealth intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT02579785

MSI-007-14

Details and patient eligibility

About

The purpose of this study is to assess whether a mobile phone intervention can be effectively used to improve post menstrual regulation contraceptive uptake and continuation in Bangladesh.

The study will consist of two phases: Phase I: A formative phase to understand barriers to post-abortion contraceptive uptake and continuation and the content and modality of messages most appropriate for women in the study areas; and Phase II: An RCT will be conducted to test the effectiveness of the mHealth intervention developed during the formative phase on contraceptive use.

Full description

The proposed study aims to develop and evaluate a mHealth intervention to promote post-abortion contraceptive uptake and continuation among menstrual regulation clients in the Sylhet, Chittagong and Dhaka regions of Bangladesh.

The aim of the formative phase of the study is to develop an interactive two-way messaging service for post-MR clients. The messaging service will deliver information relating to the women's contraceptive method of choice as well as information about other modern contraceptive methods. This part of the study will focus on determining the modality, content, timing, language and acceptability of messaging services for post menstrual regulation clients.

The aim of the RCT phase is to measure the effect of mHealth on uptake or switching to long-acting reversible contraceptives at the 4 month and 12 month follow ups. The investigators expect mHealth to have a positive effect on uptake and a negative effect on discontinuation rates of contraceptive users.

Enrollment: 972 patients

Sex: Female

Ages: 18 to 49 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Received menstrual regulation services using Manual Vacuum Aspiration (MVA) or Medical Abortion (MA)
• Have a personal mobile telephone
• Agree to receive messages on mobile about family planning
• Provide informed consent for participation

Exclusion criteria

• Received anaesthesia for their MVA procedure
• Intend to become pregnant within the next six months
• Intend to use, or for partner to use, a permanent method of contraception (i.e. sterilisation) within the next six months

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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972 participants in 2 patient groups

mhealth intervention

Experimental group

Description:

Receives standard care which includes face to face post-MR family counselling and provision of existing hotline phone number. Also receives Mobile phone based intervention for post-abortion contraceptive uptake.

Treatment:

Behavioral: Mhealth intervention

Standard Care

No Intervention group

Description:

Receives standard care which includes face to face post-MR family counselling and provision of existing hotline phone number.