Improving Adherence to Postpartum Family Planning Guidance in Ghana

Not Applicable

Completed

• Conditions: Contraception
• Interventions: Other: Postpartum Family Planning Package

• Registration Number: NCT04306029
• Lead Sponsor: University of Pennsylvania

Brief Summary

Evaluating a Postpartum Family Planning Package (PPFP) in a Hybrid Type II implementation study with a stepped-wedge design.

Detailed Description

Our overarching goal is to enable providers to consistently offer and deliver highly effective postpartum family planning methods in accordance with international guidelines. Our primary objective in this research is to assess the implementation and effectiveness of the "Postpartum Family Planning Package (PFPP)," an implementation strategy that consists of the following components: 1) a provider training on contraceptive methods available in the immediate postpartum period, and techniques for their placement in the case of intrauterine devices and implants, with quarterly booster trainings, and 2) promotion of the WHO MEC/Postpartum Family Planning Compendium mobile application as a provider decision tool to aid in postpartum family planning counselling.

Study Timeline

• Study Start: 2020-02-24
• Study First Submitted: 2020-03-05
• Study First Submitted QC: 2020-03-09
• Study First Posted: 2020-03-12
• Primary Completion: 2021-10-01
• Study Completion: 2021-11-16
• Status Verified: 2022-01
• Last Update Submitted: 2022-01-19
• Last Update Posted: 2022-01-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 2142

Inclusion Criteria

• Providers who care for postpartum women on the inpatient postpartum ward, including midwives, nurses, residents, fellows, and consultant physicians.

Provider

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Exclusion Criteria

• Students caring for postpartum patients on the postpartum ward.

Client Inclusion Criteria:

• Women receiving antenatal care who have the potential to be admitted to the inpatient postpartum ward following delivery, or women admitted in the postpartum ward.

Client Exclusion Criteria:

• None

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Post-Intervention	Postpartum Family Planning Package	Postpartum staff has received the "Postpartum Family Planning Package," which consists of provider education on contraceptive delivery in the immediate postpartum period and promotion of the WHO MEC/PFP Compendium mobile application.

Primary Outcome Measures

Name	Time	Method
Provider discussed all guideline-appropriate contraceptive methods as defined by World Health Organization Medical Eligibility Criteria (yes/no)	During postpartum inpatient stay, prior to hospital discharge (approximately 2 days)

Trial Locations

Locations (3)

Ga West Municipal Hospital; 🇬🇭 Amasaman, Greater Accra, Ghana

Nsawam Goverment Hospital; 🇬🇭 Nsawam, Eastern Region, Ghana

Maamobi Hospital; 🇬🇭 Accra, Ghana