Integrating Family Planning With Immunization to Improve Maternal and Child Health

May 14, 2015 updated by: Greenstar Social Maketing

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

Intervention / Treatment

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

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

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

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

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

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

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
Time Frame: 2-3 years
2-3 years
number of women who had postnatal care
Time Frame: 2-3 years
2-3 years
number of women whose infants had immunizations
Time Frame: 2-3years
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
Time Frame: 2-3 years
2-3 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Greenstar Social Maketing

Collaborators

Population Services International
David and Lucile Packard Foundation

Investigators

  • Principal Investigator: Zahid Memon, Greenstar Social Marketing

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

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

Other Study ID Numbers

  • Grant #2011-37081

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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