Prevalence of Postpartum Family Planning and Its Association With Spousal Joint Decision-Making in Family Planning

January 27, 2025 updated by: Shiyam Sunder, MBBS, MSc, Aga Khan University

Prevalence of Postpartum Family Planning Uptake and Its Association With Joint Spousal Decision-Making in Family Planning: A Community-Based Cross-Sectional Study in Rural Sindh, Pakistan

This community-based cross-sectional study investigates the prevalence of postpartum family planning (PPFP) uptake and its association with joint spousal family planning decision-making among married women in rural Sindh, Pakistan. The study, conducted in Thatta District with a population of approximately 0.98 million people, addresses sociodemographic challenges including high fertility rates, maternal and newborn mortality, and low contemporary contraception use. Targeting married women aged 18-49 who gave birth within the past year, the research utilizes data from the Global Network's Maternal and Newborn Health Registry. Data collection involves a pretested questionnaire administered by trained female data collectors. Statistical analysis includes descriptive statistics and logistic regression using STATA 17. The study aims to fill knowledge gaps regarding factors influencing PPFP uptake, particularly the role of joint decision-making in family planning. Findings could inform targeted interventions to enhance maternal and child health, contribute to existing knowledge, and guide policymakers and healthcare providers in addressing the unmet need for family planning in rural Pakistan.

Study Overview

Status

Completed

Conditions

Study Type

Observational

Enrollment (Actual)

524

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
    • Sindh
      • Thatta, Sindh, Pakistan
        • Thatta

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

  • Child
  • Adult

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

Married women of reproductive age (18-49) who gave birth a year ago and registered in the Maternal and Newborn Health Registry in Thatta District Sindh, Pakistan.

Description

Inclusion Criteria:

  • Women who are married and gave birth a year ago
  • Living within the Maternal Neonatal Health Registry catchment area for at least one year.
  • Women who will give their consent.

Exclusion Criteria:

  • Pregnant women.
  • Women who are critically ill and who face significant cognitive barriers that hinder their understanding and participation in the study.

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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Prevalence of Postpartum Family Planning Uptake
Time Frame: In past one year
Number of women who utilized postpartum family planning.
In past one year
Frequency of spousal joint decision making for uptake of postpartum family planning
Time Frame: In past one year
The outcome measures the frequency at which spouses make joint decisions regarding the uptake of postpartum family planning methods
In past one year
Comparison between spousal joint decision making is using postpartum family planning method and non-users.
Time Frame: in past one year
Compare spousal joint decision-making in couples using postpartum family planning methods versus those not using them.
in past one year

Collaborators and Investigators

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

Sponsor

Aga Khan University

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 (Actual)

April 1, 2024

Primary Completion (Actual)

July 30, 2024

Study Completion (Actual)

July 30, 2024

Study Registration Dates

First Submitted

March 12, 2024

First Submitted That Met QC Criteria

March 15, 2024

First Posted (Actual)

March 22, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

January 27, 2025

Last Verified

January 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • 9867

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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