Pregnancy and childbirth: uptake of birth planning advice (at delivery) and post-partum family planning (after delivery) amongst mothers in Uganda Pregnancy and Childbirth
Conditions
Interventions
Health centres are randomised to one of two groups:
1. Usual care (control)
2. Intervention.
We will use stratified randomization according to urban/rural location. Participating health facilities wi
Sponsors
University of Southampton
Eligibility
Sex/Gender
Female
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: The health facilities to be included should meet the following criteria; 1.1. Offering the continuum of ANC, delivery, and PNC services 1.2. Offering antenatal care services to more than 50 mothers per month 1.3. Have at least two midwives on the station excluding those on study and/or long-term sick leave 1.4. Providing modern contraceptive methods, including a long-term method such as implants 1.5. The facility must be connected to electricity so that they are able to show films 1.6. Health workers are willing to be involved in the study 1.7. VHTs are active and willing to be involved in the study Individual participants to be included should meet the following criteria: 2.1. She is a resident of the area 2.2. The pregnancy is seven months or less (self-reported) 2.3. The woman plans to attend ANC and PNC at study health sites 2.4. The pregnant woman is in a relationship with the father of their expected child. It is not required that they live together but they must have been together at least 6 months in a relationship, and see each other as their primary partner 2.5. Are 18 years old and above or they are emancipated minors able to consent 2.6. Informed consent is obtained
Exclusion criteria
Exclusion criteria: 1. Presents with severe medical/physical condition(s) making her unable to answer the questions at the time of the interview 2. Has known causes of cognitive and functional impairment such as functional psychoses, depression and delirium, alcoholism thus is not able to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcomes measured using participant logs at the end of the study (12 months): 1. % of eligible women who consent to participate and are recruited 2. % of included women who can be followed up and provide outcome data on place of delivery and uptake of family planning | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured using participant logs at the end of the study (12 months): 1. % of included women: 1.1. Whose partners agreed to participate in the project 1.2. Who received individual counselling from the VHT on one or more occasions 1.3. Received couples counselling from the VHT on one or more occasions 1.4. Attended the antenatal clinic at the health centre one or more times 1.5. Attended the antenatal clinic at the health centre with their partner one or more times 1.6. Received individual counselling at the antenatal clinic on PPFP 1.7. Received individual counselling at the antenatal clinic on birth planning 1.8. Received couples’ counselling at the antenatal clinic on PPFP 1.9. Received couples’ counselling at the antenatal clinic on birth planning 1.10. Were given correct advice on the recommended place of delivery (according to their level of risk) 1.11. Watched the health education films with the VHT/at the antenatal clinic 2. % of included couples who: 2.1. Were offered and attended antenatal clinics and counselling at weekends. 2.2. Were counselled and consented for long-acting reversible methods of post-partum family planning (PPFP) 3. Proportion of women/couples attending antenatal clinic who were offered counselling on both birth planning and use of long-acting reversible methods of post-partum family planning at the same visit. 4. Proportion of women/couples counselled who agreed on PPFP in a single session, and proportion of women/couples counselled who agreed after attending extra sessions. 5. % of working days when the films on family planning are screened in antenatal clinics (in intervention areas). 6. % of VHT visits when: 6.1. Counselling was delivered to the woman/couple about birth planning/family planning 6.2. Data was correctly entered directly into the COSMOS app on the smartphone 7. Costs incurred measured by self report in follow up questionnaires and by qualitative interviews at follow-up (between 1 week and 1 year after delivery) | — |
Countries
Uganda
Contacts
Public ContactMerlin Willcox
Outcome results
None listed