Clinical trial NCT04767139: EPI, a Missed Opportunity for Postpartum Family Planning Utilization
Official title: Expanded Program for Immunization, a Missed Opportunity for Postpartum Family Planning Utilization: A Quasi Experimental Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Contraception
Lead sponsor: Hawassa University
Sponsor class: OTHER
Collaborators: name: EngenderHealth
First posted: 2021-02-23
Enrollment: 1474
Sex: FEMALE
Minimum age (years): 15
Maximum age (years): 49
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All women in the extended postpartum period visiting the selected health centers for infant immunization service are the study populations.

Brief summary: The global unmet need for postpartum family planning remains high, while immunization services are among the most widely utilized health services. Most women in the extended postpartum period want to delay or avoid future pregnancies but many are not using a modern contraceptive method. Establishing systematic screening, counseling, and referral systems from different contact points particularly from infant immunization units may improve family planning access and uptake in the extended postpartum period. Hence, this study is aimed to assess the effect of counseling for family planning at immunization units on postpartum contraceptive uptake during the extended postpartum period.

Detailed description: Background: The global unmet need for postpartum family planning remains high, while immunization services are among the most widely utilized health services. Most women in the extended postpartum period want to delay or avoid future pregnancies but many are not using a modern contraceptive method. Establishing systematic screening, counseling, and referral systems from different contact points particularly from Expanded Program for Immunization (EPI) units may improve family planning access and uptake in the extended perinatal period.

Therefore, this study is proposed to assess the effect of counseling for family planning at immunization units on postpartum contraceptive uptake during the extended postpartum period.

To do this, a before-and-after type of quasi-experimental study will be conducted in purposively selected health centers in Sidama, South Ethiopia. All mothers coming to the selected health centers for infant immunization services will be screened for, counseled, and referred for family planning. A structured interviewer-administered questionnaire will be used to collect quantitative data from a total of 1474 randomly selected women coming to purposively selected health centers before and after the intervention. Bivariate and multivariable logistic regression analysis adjusting for possible confounding variables will be computed.

Eligibility criteria: Inclusion Criteria:

* all women visiting the selected health facilities at least two times during the pre-intervention period will be included

Exclusion Criteria:

* No exclussion critera

Primary outcomes:
measure: improved contraceptive uptake
timeFrame: March 3, 2021
Secondary outcomes:
Other outcomes:
Locations:
city: Hawassa
country: Ethiopia
facility: Sidama regional health bureau
state: Sidama
Study officials:
affiliation: Hawassa University
name: Abebaw Abeje Muluneh, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: Hawassa University
name: Abel Gedefaw, MD, MPh
role: STUDY_CHAIR
References: