Pilot Educational Intervention to Determine Effect of Intrapartum Testing and Concentrated Postpartum Counseling on Birth Spacing, Breastfeeding, and Infant Vaccination Completion in a Kabul Urban Population.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,291
- 试验地点
- 1
- 主要终点
- Utilization of Postpartum Contraception
研究概览
简要总结
Baseline information indicates there are measurable levels of hepatitis B SAg and low utilization of postpartum contraception, correct breastfeeding practices, or adherence to infant vaccination schedules in Kabul, Afghanistan. This intervention will randomize hospitals to assess the following aims:
Aim 1: To determine whether the re-training and assignment of health care providers dedicated to intrapartum rapid testing and post-partum counseling will positively impact maternal and neonatal health indicators as compared to utilization of existing health providers for these services among women delivering in publish health maternity hospitals in Kabul, Afghanistan.
Aim 2: To assess whether patients randomized to the intervention and their spouses perceive value in concentrated post-partum counseling.
Aim 3: To investigate whether an intervention providing immediate post-partum provision of a long-acting family planning method would be feasible and acceptable to both men and women in Kabul, Afghanistan.
详细描述
Outcomes are assessed through questionnaire responses and inspection of vaccination cards at six month intervals by trained study staff through one year total study time. Differences between groups will be assessed with generalized linear mixed modeling. Information obtained to address Aim 3 will be gathered at the 12 month follow-up and analyzed with simple proportions and Chi-square test to assess differences between sexes and other socioeconomic indicators.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 14 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •admitted for obstetric care
- •Dari or Pashto speaking
- •not previously participated in the study
- •in medically stable condition
- •accompanied by and have approval of a spouse
- •able to provide informed consent
- •Male participants must be the confirmed spouses of the female participants, have a working telephone, and able to provide informed consent.
排除标准
- •medically unstable or imminently delivering (complete cervical dilation)
- •husband unavailable or does not approve participation
- •unable to provide consent
结局指标
主要结局
Utilization of Postpartum Contraception
时间窗: 12 months
Determine whether the re-training and assignment of healthcare providers dedicated to intrapartum rapid testing and intensive post-partum counseling will positively impact postpartum contraceptive use as compared to any counseling provided by existing health providers for these services among women delivering in public health maternity hospitals in Kabul, Afghanistan.
次要结局
- Completion of 9 Month Measles-mumps-rubella Vaccination on Time.(12 months)
- Correct Breastfeeding Practices to 1 Year(12 months)