Focus: Contraceptive Counseling, Focus: Postpartum Contraception
Conditions
Keywords
postpartum contraception, contraceptive counseling
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.
Interventions
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.
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported contraceptive use | 6 months post-partum |
Secondary
| Measure | Time frame |
|---|---|
| Intent to use contraception in the future | 6 months postpartum |
| Non-desire to use contraception | 6 months postpartum |
Countries
Palestinian Territories