Expanded Program for Immunization, a Missed Opportunity for Postpartum Family Planning Utilization

Study Overview
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Brief Summary
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This study is aimed to enhance postpartum family planning by integrating family planning information with infant immunization services, which is the most widely utilized health services globally.

Detailed Description
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In this study, a before-and-after type of quasi-experimental study will be conducted in purposely selected health centers Sidama region, Ethiopia. base line assessment of postpartum contraceptive utilization rate will be done which will be followed by an intervention. The intervention consists of screening, counseling for family planning and referring mothers coming for infant immunization services to family planning units. All mothers coming for infant immunization service will be screened for and counseled for family planning and those who will be voluntary to take any method will be referred to family planning unit. All mothers who will not be voluntary will be re-counseled by the next visit. Finally, the effect of this intervention on postpartum contraceptive utilization rate will be reassessed. The expected outcome will be to see an improved contraceptive uptake during the first year after delivery.

Official Title
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Enhancing Postpartum Family Planning Utilization Through Integration With Expanded Program for Immunization in Sidama, South Ethiopia: A Quasi Experimental Study

Conditions
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Contraceptive Usage

Intervention / Treatment
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* Other: counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all women visiting health facilities for infant immunization for at least two times will be included. Exclusion Criteria: Women who are in difficulty of communicating during the study period 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: Prevention
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Pre-intervention group<br>Pre-intervention group: women participated during the base line assessment will be labeled as Pre-intervention group | |
| Experimental: postintervention group<br>Postintervention group: women participated after the intervention was initiated will be labeled as postintervention group. | Other: counseling<br>* Mothers presented to infant immunization units are going to be counseled for family planning services and if decide to take any method, they will be linked to family planning services<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| After the initiation of the intervention, improved Contraceptive prevalence rate will be expected as an outcome | After counseling of the postpartum mothers for family planning, their informed decision making capacity to use contraceptives will be increased. | the outcome is measured two months after the initiation of the intervention |