This trial wants to address high unmet need for postpartum family planning (PPFP) in Rwanda. A previous pilot study tested the intervention (informed by formative work with couples/clients, clinic providers, champions, and community health workers), which significantly increased the use of PPFP in government clinics. This study now proposes to use an implementation science framework to test the hypothesis that the proposed PPFP intervention is adaptable to large-scale implementation, cost-effective, and sustainable. This PPFP could dramatically reduce unintended pregnancy and abortion and improve birth spacing and maternal and newborn health.
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Numbers of clinic directors engaged
Timeframe: Through study completion, an average of 3 years
Number of Nurses trained to promote PPFP
Timeframe: After completion of a 2-day training
Number of CHWs trained to promote PPFP
Timeframe: After completion of a 2-day training session
Number of providers trained to provide PPFP
Timeframe: After completion of a 2-day training session
Number of providers certified to provide PPFP
Timeframe: After completion of a 2-day training session
Number of promotions to pregnant or postpartum women/couples
Timeframe: Beginning at the first antenatal care visit up to post-partum week 14 (up to 54 weeks)
Number of PPIUD insertions
Timeframe: Up to postpartum week 14
Number of PP implant insertions
Timeframe: Up to postpartum week 14