protocolSection identificationModule nctId: NCT06266780, orgStudyIdInfo id: P1473-2023, briefTitle: Impact Evaluation of a Targeted mHealth Intervention to Improve Uptake of Postpartum Contraception in Kenya, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-02-02, primaryCompletionDateStruct date: 2024-08-30, completionDateStruct date: 2024-12-31, studyFirstPostDateStruct date: 2024-02-20, lastUpdatePostDateStruct date: 2024-02-20, sponsorCollaboratorsModule leadSponsor name: Jacaranda Health, class: OTHER, collaborators name: Harvard School of Public Health (HSPH), collaborators name: Jhpiego, collaborators name: IPSOS, descriptionModule briefSummary: The goal of this study is to explore approaches to improve postpartum contraceptive counseling, information, and uptake through a collaboration between the Harvard Chan School, Rutgers School of Public Health, Jacaranda Health, Jhpiego, and IPSOS, leveraging an existing mobile health platform for intervention delivery and Jacaranda's established partnership with the Kenyan Ministry of Health, county health offices and public maternity hospitals.Jacaranda's PROMPTS mHealth platform has reached over two million pregnant women and new mothers, providing them with needed, tailored information about prenatal and postpartum health along with access to a mobile helpdesk to triage users' questions. Using a targeted human-centered-design process with early postpartum mothers, we developed targeted messaging around family planning and contraceptive method options, with the goal of integrating this new content into Jacaranda's PROMPTS platform. We will conduct a randomized controlled trial with pregnant women engaged with the PROMPTS platform to determine the impact of the intervention package on information and utilization of postpartum contraception. If proven effective, the results of this intervention will be integrated into Jacaranda's PROMPTS system at full scale., conditionsModule conditions: Postpartum Family Planning, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: FACTORIAL, primaryPurpose: BASIC_SCIENCE, maskingInfo masking: SINGLE, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 4190, type: ESTIMATED, armsInterventionsModule interventions name: PROMPTS Enhanced Family Planning Counselling, outcomesModule primaryOutcomes measure: Use of postpartum family planning at 3 months, primaryOutcomes measure: Use of postpartum family planning at 6 months, secondaryOutcomes measure: Knowledge of return to fertility, secondaryOutcomes measure: Knowledge of safe birth spacing, secondaryOutcomes measure: Knowledge of lactational amenorrhea (LAM) method, secondaryOutcomes measure: Intention to continue family planning method, secondaryOutcomes measure: Intended duration of continued family planning method use, secondaryOutcomes measure: Desired pregnancy spacing of two years or more, secondaryOutcomes measure: Short interpregnancy interval, secondaryOutcomes measure: Method satisfaction, secondaryOutcomes measure: Uptake of most effective family planning methods, secondaryOutcomes measure: Time to take-up of most effective methods, secondaryOutcomes measure: Discussion of FP at any prenatal visit, secondaryOutcomes measure: Discussion of FP at any postnatal visit, secondaryOutcomes measure: Reproductive empowerment: health care provider communication, otherOutcomes measure: Quality of helpdesk team in counselling on family planning, otherOutcomes measure: Quality of message flow on method selection, eligibilityModule sex: FEMALE, minimumAge: 15 Years, stdAges: CHILD, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Jacaranda Health, status: RECRUITING, city: Nairobi, zip: 00000, country: Kenya, contacts name: Anneka Wickramanayake, Masters, role: CONTACT, phone: +254700164229, email: awickramanayake@jacarandahealth.org, contacts name: Jessica Cohen, Ph.D, role: CONTACT, phone: +16174327577, email: cohenj@hsph.harvard.edu, geoPoint lat: -1.28333, lon: 36.81667, hasResults: False