Interactive Mobile Health Intervention to Improve Early Postpartum Modern Contraceptive Method Uptake

Study Overview
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Brief Summary
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The main aim of this study is to determine effectiveness of mobile health intervention to improve early postpartum modern contraceptive service uptake among postpartum women in Dessie and Kombolcha town zones, North east Ethiopia. This study will be conducted in Dessie and Kombolcha zones in Amhara region, North east Ethiopia. The largest sample size will be taken and total sample size will be 784.

Detailed Description
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The main aim of this study is to determine effectiveness of mobile health intervention to improve early postpartum modern contraceptive service uptake among postpartum women in Dessie and Kombolcha town zones, North east Ethiopia. This study will be conducted in Dessie and Kombolcha zones in Amhara region, North east Ethiopia. The largest sample size will be taken and total sample size will be 784. Cluster randomized control trial behavioral intervention sampling technique will be deployed. First participants will be grouped in to two arms based on randomization of clusters. The intervention arm will take the new mobile health intervention with existed health care practice and the control arm will take the existed current health care practice. Intervention mobile health messages will be developed from family planning behavior change framework and national guidelines. Data will be collected by using pre-tested interviewer administered structured questionnaires. Data will be collected in four different phases. Open data kit (ODK) will be used for data collection. Duration of intervention will be 4 months. Descriptive analyses will be made by computing proportions and summary statistics. Statistical package to social science (SPSS.26) and STATA.15 soft wares will be used to do analysis. Structural Equation Modeling (SEM) or path analysis will be done to identify the fitted components to determine latent variables.

Official Title
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Effectiveness of Interactive Mobile Health Intervention to Improve Early Postpartum Modern Contraceptive Method Uptake Among Women in North East Ethiopia: Community Based Cluster Randomized Control Trial

Conditions
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Other Cardiovascular Diseases of Mother, Postpartum

Intervention / Treatment
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* Behavioral: Mobile health intervention(mHealth)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All mothers who will be 24-28 week of gestation and have access to mobile phone in the study area will be recruited to this study. Exclusion Criteria: Pregnant women, who will be assumed to have serious medical problems, will be excluded.
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>The intervention group will receive mobile health intervention. | Behavioral: Mobile health intervention(mHealth)<br>* The intervention group will receive mobile health messaging intervention on behavior change to uptake early postpartum modern contraceptive method.<br>|
| No Intervention: Control group<br>The control arm will be received the existed current health delivery approach, not received mobile health sending message service. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Early postpartum family planning is outlined as women who have will be used any kind of modern birth control technique at intervals the primary six weeks when she gave birth. | If the respondent answers yes it will be coded 1 and if not coded as 0 | Two weeks after intervention completed the outcome will be measured. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Early post partum, Contraceptive method, Ethiopia