Involving Men in Maternity Care in Burkina Faso

Involving Men in Maternity Care in Burkina Faso

Sponsors

Lead sponsor: London School of Hygiene and Tropical Medicine

Collaborator: Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP)
Department for International Development, United Kingdom
Economic and Social Research Council, United Kingdom

Source London School of Hygiene and Tropical Medicine
Brief Summary

The uptake of postpartum contraception, postpartum care attendance and the practice of exclusive breastfeeding are low in Sub-Saharan Africa. Although the involvement of men in maternity care has been shown to be a promising strategy for the achievement of other reproductive health goals, little is known about the effect of their participation on these outcomes. This study aims to test whether the involvement of men can improve care-seeking and promote healthy behaviours among postpartum women in Burkina Faso.

Detailed Description

There is a paucity of evidence on strategies to increase the uptake of postpartum contraception and attendance at facility-based postpartum care in developing countries, including in Sub-Saharan Africa. There is also a need to test new solutions to improve adherence to recommended infant feeding practices in these settings. Partner opposition is a major barrier to women's uptake of contraceptive methods in the postpartum period in Burkina Faso, and research has shown the need to sensitise and inform men about a broad range of topics related to reproductive health. However, the effect of involving male partners on women's and newborns' health and wellbeing in low-resource settings is not well known, and there is particularly little evidence for outcomes related to the postpartum period.

The aim of this study is to assess whether male partner involvement in maternity care has the potential to increase care-seeking and promote healthy behaviours among postpartum women in an urban West-African setting. A randomized controlled trial (RCT) of an intervention to promote the involvement in maternity care of the partners of pregnant women attending primary health care facilities will be conducted in the city of Bobo-Dioulasso. The intervention consists of three extra components in addition to standard maternity care: one extra couple counselling session during pregnancy (A), partner participation in a group education session for men (B), and partner participation in the pre-discharge consultation after birth (C). Women in the control group will receive standard maternity care only, in which men do not participate.

A qualitative component will be carried out alongside the RCT, in order to examine the factors that may have determined the success, or lack thereof, of the intervention by reflecting on the experience of participants (women, partners , and health workers), and to explore their attitudes, beliefs and concerns relative to partner involvement in maternity care, through focus group discussions and in-depth interviews.

The policy implications of the study findings will be assessed and, if appropriate, a strategy will be developed for their dissemination among policymakers and other stakeholders.

Overall Status Completed
Start Date January 2015
Completion Date July 2016
Primary Completion Date July 2016
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Number of Participants Attending the Recommended Number of Postnatal Care Appointments Data collected at 3 months postpartum
Number of Participants Practicing Exclusive Breastfeeding at 3 Months Postpartum Data collected at 3 months postpartum
Number of Participants Using Effective Modern Contraception at 8 Months Postpartum Data collected at 8 months postpartum
Secondary Outcome
Measure Time Frame
Number of Participants Using Long Acting or Permanent (LA/PM) Methods of Contraception at 8 Months Postpartum Data collected at 8 months postpartum
Number of Participants Using Any Contraceptive Method at 8 Months Postpartum Data collected at 8 months postpartum
Number of Participants Who Initiated Postpartum Contraception in a Timely Fashion Data collected at 8 months postpartum
Number of Participants With an Unmet Need for Contraception at 8 Months Postpartum Data collected at 8 months postpartum
Number of Participants With High Relationship Adjustment at 8 Months Postpartum Data collected at 8 months postpartum
Enrollment 1144
Condition
Intervention

Intervention type: Behavioral

Intervention name: Partner involvement

Description: Partner is involved in maternity care

Arm group label: Intervention

Eligibility

Criteria:

Inclusion Criteria:

- Age 16-18, married, or

- Age 18+, in a co-habiting relationship

- Pregnant 24-36 weeks

- No obstetric risk factors requiring hospital delivery

- Lives no more than one hour away on foot, not planning to move from the city

- Gives informed consent

Exclusion Criteria:

- Not meeting inclusion criteria

- Declines to participate

Gender: Female

Minimum age: 16 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
Marina Daniele, MSc Principal Investigator London School of Hygiene and Tropical Medicine
Location
facility District Sanitaire de Dafra
Location Countries

Burkina Faso

Verification Date

September 2016

Responsible Party

Responsible party type: Sponsor

Keywords
Has Expanded Access No
Number Of Arms 2
Arm Group

Arm group label: Intervention

Arm group type: Experimental

Description: Receive standard maternity care Woman and partner attend one extra couple counselling session during pregnancy (A) Partner attends one group education session for men (B) Partner participates in pre-discharge consultation (C)

Arm group label: Control

Arm group type: No Intervention

Description: Receive standard maternity care No active encouragement of partner involvement, no extra sessions offered

Study Design Info

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Health Services Research

Masking: None (Open Label)

Source: ClinicalTrials.gov