Integrating Family Planning With Immunization to Improve Maternal and Child Health

Study Overview
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Brief Summary
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The proposed project will help in assessing the effectiveness of a demand-side financing project that provides family planning services bundled in a package of postnatal care and infant immunization services. This approach will use postnatal and infant health as a gateway to family planning - building confidence among the client and her influencers in the provider and repositioning family planning as part of a continuum of care to ensure the health of the mother and the infant. Vouchers will help in creating demand among poor women for the Family planning and child immunization. Also incentivizing providers against each voucher will help in improving their counselling skills as they will spend more time with voucher clients resulting is a satisfied client and better compliance with Family planning methods.

Detailed Description
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Study hypothesis: Contraceptive Prevalence Rate will increase up to 20% from the baseline to end line survey in the intervention area .Contraceptive Prevalence Rate will increase by 5% between baseline and end line survey in the control area. Ethics approval: The study has been approved by Population Services International Research Ethics Board. Study design: This is a quasi experimental design. The study is a single center. Primary study design: Interventional Trial setting: Community. Interventions: Introduction of vouchers will improve uptake of family method as well as child immunization. Incentivizing the providers to improve their counseling skills will improve the provider client relationship and better compliance of Family planning method. Intervention Type: Behavioral Primary outcome measures: Number of women who took up modern, reversible contraceptive methods ,number of women who availed postnatal care and number of women whose infants were immunized among the two poorest quintiles. Secondary outcome measures: Improve the quality of family planning service provision in private sector health facilities serving low-income women. Eligibility Participant inclusion criteria - Participant type: Other. Participant inclusion criteria - Description: Women who are married in their reproductive age group i-e 15 to 49 years and who have given birth to a child within past one month. Participant inclusion criteria - Target number of participants: 28000. Participant exclusion criteria: Women who are not married and are not in their reproductive age group i-e 15-49 years and who has not given birth within past 1 month.

Official Title
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To Observe the Effectiveness of a Demand-Side Financing Project in Increasing Demand and Utilization of Contraceptives for Birth Spacing Among Women From Poorest Two Quintiles in Faisalabad District of Pakistan

Conditions
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Contraception

Intervention / Treatment
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* Behavioral: Voucher


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women who are married in their reproductive age group i-e 15 to 19 years and who have given birth to a child within past one month Exclusion Criteria: Women who are not married and are not in their reproductive age group i-e 15-49 years and who has not given birth within past 1 month

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

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: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Voucher<br> | Behavioral: Voucher<br>* Introduction of vouchers will improve uptake of family method as well as child immunization. Incentivizing the providers to improve their counseling skills will improve the provider client relationship and better compliance of Family planning method<br>|
| No Intervention: Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of women who used modern,reversible contraceptive methods |  | 2-3 years | 
| number of women who had postnatal care |  | 2-3 years | 
| number of women whose infants had immunizations |  | 2-3years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improve the quality of family planning service provision in private sector health facilities as judged by client satisfaction criteria |  | 2-3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Voucher, Family planning, Immunisations