CompletedNot Applicable

Postpartum Family Planning Program in Rwanda

Rwanda42,377 participantsStarted 2022-08-01

Plain-language summary

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.

Who can participate

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Eligible PPFP promoters will be government facility providers working in ANC,L\&D, IV and/or postpartum services at one of the study facilities. * Eligible PPFP providers will be government facility providers working in L\&D, and/or family planning services at one of the study facilities. * Eligible Happy Client promotors will be postpartum women who received promotions and selected a PPFP method. * Eligible nurse/midwife and CHW promotors will be women working as nurses or CHWs at one of the intervention facilities. * All women eligible for PPFP services in this study will be at any stage of pregnancy or up to 14 weeks postpartum, and receiving antenatal care (ANC), L\&D, IV, or postpartum services at one of the intervention or pilot facilities Exclusion Criteria: * Prisoners

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

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

Trial details

NCT IDNCT05056545

SponsorEmory University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-09-30

View on ClinicalTrials.gov More Family Planning trials

Plain-language summary

Who can participate

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

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