Clinical trial NCT06266780: Impact Evaluation of a Targeted mHealth Intervention to Improve Uptake of Postpartum Contraception in Kenya
Official title: Impact Evaluation of a Targeted mHealth Intervention to Improve Uptake of Postpartum Contraception in Kenya
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Postpartum Family Planning
Keywords: Maternal Health
Postpartum Health
Contraception
Family Planning
Birth Spacing
Lead sponsor: Jacaranda Health
Sponsor class: OTHER
Collaborators: name: Harvard School of Public Health (HSPH)
name: Jhpiego
name: IPSOS
First posted: 2024-02-20
Enrollment: 4190
Sex: FEMALE
Minimum age (years): 15
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: BASIC_SCIENCE

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* Age 15 and over,
* Pregnant at 7-8 months gestation,
* Consented to be enrolled in the PROMPTS text-messaging platform and who have provided informed consent to be part of this research study
* Have access to a mobile phone

Exclusion Criteria:

* None

Primary outcomes:
measure: Use of postpartum family planning at 3 months
timeFrame: 3 months
measure: Use of postpartum family planning at 6 months
timeFrame: 6.5 months
Secondary outcomes:
measure: Knowledge of return to fertility
timeFrame: 3 months postpartum
measure: Knowledge of safe birth spacing
timeFrame: 3 months postpartum
measure: Knowledge of lactational amenorrhea (LAM) method
timeFrame: 3 months postpartum
measure: Intention to continue family planning method
timeFrame: 3 and 6.5 months postpartum
measure: Intended duration of continued family planning method use
timeFrame: 3 and 6.5 months postpartum
measure: Desired pregnancy spacing of two years or more
timeFrame: 3 months postpartum
measure: Short interpregnancy interval
timeFrame: 3 and 6.5 months postpartum
measure: Method satisfaction
timeFrame: 3 and 6.5 months postpartum
measure: Uptake of most effective family planning methods
timeFrame: 3 and 6.5 months postpartum
measure: Time to take-up of most effective methods
timeFrame: 0-6.5 months postpartum
measure: Discussion of FP at any prenatal visit
timeFrame: 3 months postpartum
measure: Discussion of FP at any postnatal visit
timeFrame: 3 months postpartum
measure: Reproductive empowerment: health care provider communication
timeFrame: 3 and 6.5 months postpartum
Other outcomes:
measure: Quality of helpdesk team in counselling on family planning
timeFrame: 6.5 months postpartum
measure: Quality of message flow on method selection
timeFrame: 6.5 months postpartum
Locations:
city: Nairobi
country: Kenya
facility: Jacaranda Health
Study officials:
affiliation: Jacaranda Health
name: Anneka Wickramanayake, MPH
role: PRINCIPAL_INVESTIGATOR
References: