Postpartum Initiation of Long-acting Reversible Contraceptives: Knowledge Attitude and Practice Study (KAP)
- Conditions
- Contraception
- Interventions
- Other: screening and data collection
- Registration Number
- NCT06273670
- Lead Sponsor
- Assiut University
- Brief Summary
Comparing Knowledge, attitude and Practice of clients and service providers about the regular (6 weeks) versus earlier initiation of LARC, through a structured questionnaire prepared in English and translated to local language i.e. Arabic.
- Detailed Description
Family planning is a behavior that allows individuals and couples to anticipate and attain their desired number of children, at the spacing and timing of their births. It is achieved through the use of contraceptive methods and treatment of involuntary infertility.
Postpartum family planning is the prevention of unintended and closely spaced pregnancies during the first 12 months following childbirth. Short interval pregnancies are associated with increased maternal morbidities such as anemia, bleeding disorders, premature rupture of membranes, puerperal endometritis and mortality .
Postpartum family planning (PPFP) has long been recognized as an important component of maternal health care. Through birth spacing and prevention of high-risk and unwanted pregnancies, PPFP helps women who have recently delivered to avoid exposure to the risks of maternal death. Likewise, the importance of the interplay between maternal health services and use of contraception in the postpartum period has been recognized for decades.
Globally, more than 90 percent of women during the first year postpartum want to either delay or avoid future pregnancies . An increase in contraceptive use during the postpartum period should substantially reduce rates of maternal and infant mortality by preventing unplanned and unwanted pregnancies and by spacing new pregnancies at least two years after the previous birth .
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 600
Client's group All clients who were attending family planning centers in public health facilities at the study period if they have had a postpartum LARC method (Copper IUD, Progestin-releasing IUS, Subdermal implant) or willing to use it in the first year after delivery.
Service provider group:
All service providers who are working in primary health care units & hospitals, including general practitioners, ob/gyn. specialists, nurses, and social workers.
- Clients and service providers who refused to participate in the study
- Clients who are currently using or willing to use a method other than LARC
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Service providers screening and data collection General practitioners, specialists, nurses, and social workers. Clients screening and data collection All clients who were attending family planning centers in public health facilities at the study period will be included if they have had a postpartum LARC method (Copper IUD, Progestin-releasing IUS or Subdermal implant) or willing to use it in the first year after delivery.
- Primary Outcome Measures
Name Time Method Clients' knowledge Immediately. The outcome is provided in the questionnaire which is completed once by the client The percentage of clients who have good knowledge that LARC can be initiated early after delivery
- Secondary Outcome Measures
Name Time Method Clients' attitude Immediately. The outcome is provided in the questionnaire which is completed once by the client The percentage of clients who have positive attitude towards early initiation of LARC after delivery
Clients' practice Immediately. The outcome is provided in the questionnaire which is completed once by the client The percentage of clients who had previously or lately initiated any LARC early after delivery
Providers' practice Immediately. The outcome is provided in the questionnaire which is completed once by the client The percentage of providers who had previously or lately initiated any LARC for women early after delivery
Providers' knowledge Immediately. The outcome is provided in the questionnaire which is completed once by the client The percentage of providers who have good knowledge that LARC can be initiated early after delivery
Providers' attitude Immediately. The outcome is provided in the questionnaire which is completed once by the client The percentage of providers who have positive attitude towards early initiation of LARC after delivery
Trial Locations
- Locations (1)
Assiut University
🇪🇬Assiut, Egypt