Integrating Family Planning With Immunization to Improve Maternal and Child Health

To Observe the Effectiveness of a Demand-Side Financing Project in Increasing Demand and Utilization of Contraceptives for Birth Spacing Among Women From Poorest Two Quintiles in Faisalabad District of Pakistan

The proposed project will help in assessing the effectiveness of a demand-side financing project that provides family planning services bundled in a package of postnatal care and infant immunization services. This approach will use postnatal and infant health as a gateway to family planning - building confidence among the client and her influencers in the provider and repositioning family planning as part of a continuum of care to ensure the health of the mother and the infant. Vouchers will help in creating demand among poor women for the Family planning and child immunization. Also incentivizing providers against each voucher will help in improving their counselling skills as they will spend more time with voucher clients resulting is a satisfied client and better compliance with Family planning methods.

Study Overview

• Status: Unknown
• Conditions: Contraception
• Intervention / Treatment: Behavioral: Voucher

Detailed Description

Study hypothesis: Contraceptive Prevalence Rate will increase up to 20% from the baseline to end line survey in the intervention area .Contraceptive Prevalence Rate will increase by 5% between baseline and end line survey in the control area.

Ethics approval: The study has been approved by Population Services International Research Ethics Board.

Study design: This is a quasi experimental design. The study is a single center.

Primary study design: Interventional Trial setting: Community. Interventions: Introduction of vouchers will improve uptake of family method as well as child immunization.

Incentivizing the providers to improve their counseling skills will improve the provider client relationship and better compliance of Family planning method.

Intervention Type: Behavioral Primary outcome measures: Number of women who took up modern, reversible contraceptive methods ,number of women who availed postnatal care and number of women whose infants were immunized among the two poorest quintiles.

Secondary outcome measures: Improve the quality of family planning service provision in private sector health facilities serving low-income women.

Eligibility

Participant inclusion criteria - Participant type: Other. Participant inclusion criteria - Description: Women who are married in their reproductive age group i-e 15 to 49 years and who have given birth to a child within past one month.

Participant inclusion criteria - Target number of participants: 28000. Participant exclusion criteria: Women who are not married and are not in their reproductive age group i-e 15-49 years and who has not given birth within past 1 month.

• Study Type: Interventional
• Enrollment (Anticipated): 28000
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Zahid Memon; Phone Number: +923085550859; Email: zahidmemon@greenstar.org.pk
• Study Contact Backup: Name: Wajiha Javed; Email: wajihajaved@greenstar.org.pk

Study Locations

• Pakistan
  • Punjab
    • Faisalabad, Punjab, Pakistan
      • Recruiting

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years to 49 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• Women who are married in their reproductive age group i-e 15 to 19 years and who have given birth to a child within past one month

Exclusion Criteria:

• Women who are not married and are not in their reproductive age group i-e 15-49 years and who has not given birth within past 1 month

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control
Experimental: Voucher	Behavioral: Voucher; Introduction of vouchers will improve uptake of family method as well as child immunization. Incentivizing the providers to improve their counseling skills will improve the provider client relationship and better compliance of Family planning method

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
number of women who used modern,reversible contraceptive methods	2-3 years
number of women who had postnatal care	2-3 years
number of women whose infants had immunizations	2-3years

Secondary Outcome Measures

Outcome Measure	Time Frame
Improve the quality of family planning service provision in private sector health facilities as judged by client satisfaction criteria	2-3 years

Collaborators and Investigators

• Sponsor: Greenstar Social Maketing
• Collaborators: Population Services International; David and Lucile Packard Foundation
• Investigators: Principal Investigator: Zahid Memon, Greenstar Social Marketing

Study record dates

Study Major Dates

• Study Start: September 1, 2011
• Primary Completion (Actual): May 1, 2015
• Study Completion (Anticipated): July 1, 2015

Study Registration Dates

• First Submitted: May 5, 2015
• First Submitted That Met QC Criteria: May 14, 2015
• First Posted (Estimate): May 19, 2015

Study Record Updates

• Last Update Posted (Estimate): May 19, 2015
• Last Update Submitted That Met QC Criteria: May 14, 2015
• Last Verified: May 1, 2015

More Information

Terms related to this study

• Keywords: Family planning; Voucher; Immunisations
• Other Study ID Numbers: Grant #2011-37081