Using mHealth to Promote Post-Menstrual Regulation Contraceptive Uptake and Continuation in Bangladesh
- Conditions
- AbortionContraceptionPost-abortion
- Interventions
- Behavioral: Mhealth intervention
- Registration Number
- NCT02579785
- Lead Sponsor
- Marie Stopes International
- Brief Summary
The purpose of this study is to assess whether a mobile phone intervention can be effectively used to improve post menstrual regulation contraceptive uptake and continuation in Bangladesh.
The study will consist of two phases: Phase I: A formative phase to understand barriers to post-abortion contraceptive uptake and continuation and the content and modality of messages most appropriate for women in the study areas; and Phase II: An RCT will be conducted to test the effectiveness of the mHealth intervention developed during the formative phase on contraceptive use.
- Detailed Description
The proposed study aims to develop and evaluate a mHealth intervention to promote post-abortion contraceptive uptake and continuation among menstrual regulation clients in the Sylhet, Chittagong and Dhaka regions of Bangladesh.
The aim of the formative phase of the study is to develop an interactive two-way messaging service for post-MR clients. The messaging service will deliver information relating to the women's contraceptive method of choice as well as information about other modern contraceptive methods. This part of the study will focus on determining the modality, content, timing, language and acceptability of messaging services for post menstrual regulation clients.
The aim of the RCT phase is to measure the effect of mHealth on uptake or switching to long-acting reversible contraceptives at the 4 month and 12 month follow ups. The investigators expect mHealth to have a positive effect on uptake and a negative effect on discontinuation rates of contraceptive users.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 972
- Received menstrual regulation services using Manual Vacuum Aspiration (MVA) or Medical Abortion (MA)
- Have a personal mobile telephone
- Agree to receive messages on mobile about family planning
- Provide informed consent for participation
- Received anaesthesia for their MVA procedure
- Intend to become pregnant within the next six months
- Intend to use, or for partner to use, a permanent method of contraception (i.e. sterilisation) within the next six months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description mhealth intervention Mhealth intervention Receives standard care which includes face to face post-MR family counselling and provision of existing hotline phone number. Also receives Mobile phone based intervention for post-abortion contraceptive uptake.
- Primary Outcome Measures
Name Time Method Use of long acting and reversible contraceptive at 4 months 4 months Proportion of subjects that self-report using a long acting and reversible contraceptive (coil or implant)
- Secondary Outcome Measures
Name Time Method Use of long acting and reversible contraceptive at 2 weeks and 12 months 2 weeks and 12 months Proportion of subjects that self-report using a long acting and reversible contraceptive (coil or implant)
Use of any modern method at 2 weeks, 4 months and 12 months 2 weeks, 4 months and 12 months The proportion of subjects that self report using any effective modern contraceptive method: Modern contraceptive methods are defined according to the WHO as those associated with \<10% 12 month pregnancy rates (WHO, 2011)
Pregnancy 4 months and 12 months Proportion of subjects pregnant that self-report pregnancy at the time of follow-up
Menstrual Regulation 4 months and 12 months Proportion of subjects that self report having had an MR procedure since baseline
Trial Locations
- Locations (41)
Mari Stopes Clinic Manikgonj
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Balurmath
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Gazipur
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Madaripur
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Mymensingh
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Tongi
🇧🇩Dhaka, Bangladesh
Marie Stopes Kadamtali Maternity Clinic
🇧🇩Dhaka, Bangladesh
Marie Stopes Referal Clinic, Tangail
🇧🇩Dhaka, Bangladesh
Mohammapur Fertility Services and Training Centre
🇧🇩Dhaka, Bangladesh
RHSTEP Faridpur Medical College Hospital
🇧🇩Dhaka, Bangladesh
RHSTEP Mymensingh Medical College Hospital
🇧🇩Dhaka, Bangladesh
RHSTEP Sir Salaimullh Medical College Hospital
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Chatak
🇧🇩Sylhet, Bangladesh
Marie Stopes Clinic Comilla
🇧🇩Chittagong, Bangladesh
Marie Stopes Bangladesh Maternity Clinic,
🇧🇩Chittagong, Bangladesh
RHSTEP Bandarban Clinic
🇧🇩Chittagong, Bangladesh
Marie Stopes Clinic Kallyanpur
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Moulvi Bazar
🇧🇩Sylhet, Bangladesh
Marie Stopes Sylhet Maternity Clinic
🇧🇩Sylhet, Bangladesh
Shreemongol UHC Health Unit
🇧🇩Sylhet, Bangladesh
Marie Stopes Clinic Brahman Baria
🇧🇩Chittagong, Bangladesh
Marie Stopes Femi Maternity Clinic
🇧🇩Chittagong, Bangladesh
RHSTEP Chittagong Medical College Hospital
🇧🇩Chittagong, Bangladesh
RHSTEP Rangamati Sadar Hospital
🇧🇩Chittagong, Bangladesh
Kishoreganj Maternal and Child Welfare Centre
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Chandpur, Comilla
🇧🇩Chittagong, Bangladesh
Marie Stopes Clinic Chittagong 1
🇧🇩Chittagong, Bangladesh
Marie Stopes Clinic Cox's Bazar
🇧🇩Chittagong, Bangladesh
Marie Stopes Clinic Shitakunda
🇧🇩Chittagong, Bangladesh
Marie Stopes Premium 1 Clinic
🇧🇩Dhaka, Bangladesh
RHSTEP Clinic Khagrachhari
🇧🇩Chittagong, Bangladesh
RHSTEP Cox's Bazar Sadar Hospital
🇧🇩Chittagong, Bangladesh
Manikganj Maternal and Child Welfare Centre
🇧🇩Dhaka, Bangladesh
Faridpur Maternal and Child Welfare Centre
🇧🇩Dhaka, Bangladesh
Marie Stopes Premium 2 Clinic
🇧🇩Dhaka, Bangladesh
RHSTEP Dhaka Medical College Hospital
🇧🇩Dhaka, Bangladesh
Rupganj UHC Health Unit
🇧🇩Dhaka, Bangladesh
Marie Stopes Bashail Maternity Clinic
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Kamrangirchar
🇧🇩Dhaka, Bangladesh
Marie Stopes Clinic Sherpur
🇧🇩Dhaka, Bangladesh
RHSTEP Sylhet OAG Osmani Medical College Hospital
🇧🇩Sylhet, Bangladesh