Impact Evaluation of a Targeted mHealth Intervention to Improve Uptake of Postpartum Contraception in Kenya

NCT ID: NCT06266780

Last Updated: 2024-02-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

4190 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-02

Study Completion Date

2024-12-31

Brief Summary

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The goal of this study is to explore approaches to improve postpartum contraceptive counseling, information, and uptake through a collaboration between the Harvard Chan School, Rutgers School of Public Health, Jacaranda Health, Jhpiego, and IPSOS, leveraging an existing mobile health platform for intervention delivery and Jacaranda's established partnership with the Kenyan Ministry of Health, county health offices and public maternity hospitals.

Jacaranda's PROMPTS mHealth platform has reached over two million pregnant women and new mothers, providing them with needed, tailored information about prenatal and postpartum health along with access to a mobile helpdesk to triage users' questions. Using a targeted human-centered-design process with early postpartum mothers, we developed targeted messaging around family planning and contraceptive method options, with the goal of integrating this new content into Jacaranda's PROMPTS platform. We will conduct a randomized controlled trial with pregnant women engaged with the PROMPTS platform to determine the impact of the intervention package on information and utilization of postpartum contraception. If proven effective, the results of this intervention will be integrated into Jacaranda's PROMPTS system at full scale.

Detailed Description

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Conditions

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Postpartum Family Planning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intervention Group

Group receiving enhanced package of postpartum family planning support

Group Type EXPERIMENTAL

PROMPTS Enhanced Family Planning Counselling

Intervention Type BEHAVIORAL

Based on a targeted human-centered-design process with pregnant and early postpartum mothers, the intervention consists of informative messages, counselling and reminders regarding postpartum family planning and birth spacing, leveraging an existing mobile health platform (PROMPTS) for intervention delivery and Jacaranda's established partnership with the Kenyan Ministry of Health, county health offices and public maternity hospitals method options. The intervention includes several features: activation of family planning discussions between pregnant and postpartum women and their health care providers, information provision, method selection support to help women choose their preferred method, and reminders to follow-up. The key feature is to help women make an informed plan about family planning in the prenatal or early postpartum period and follow through with this plan.

Control Group

Group receiving basic postpartum family planning information

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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PROMPTS Enhanced Family Planning Counselling

Based on a targeted human-centered-design process with pregnant and early postpartum mothers, the intervention consists of informative messages, counselling and reminders regarding postpartum family planning and birth spacing, leveraging an existing mobile health platform (PROMPTS) for intervention delivery and Jacaranda's established partnership with the Kenyan Ministry of Health, county health offices and public maternity hospitals method options. The intervention includes several features: activation of family planning discussions between pregnant and postpartum women and their health care providers, information provision, method selection support to help women choose their preferred method, and reminders to follow-up. The key feature is to help women make an informed plan about family planning in the prenatal or early postpartum period and follow through with this plan.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 15 and over,
* Pregnant at 7-8 months gestation,
* Consented to be enrolled in the PROMPTS text-messaging platform and who have provided informed consent to be part of this research study
* Have access to a mobile phone

Exclusion Criteria

* None
Minimum Eligible Age

15 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Harvard School of Public Health (HSPH)

OTHER

Sponsor Role collaborator

Jhpiego

OTHER

Sponsor Role collaborator

IPSOS

INDUSTRY

Sponsor Role collaborator

Jacaranda Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anneka Wickramanayake, MPH

Role: PRINCIPAL_INVESTIGATOR

Jacaranda Health

Locations

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Jacaranda Health

Nairobi, , Kenya

Site Status RECRUITING

Countries

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Kenya

Central Contacts

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Anneka Wickramanayake, MPH

Role: CONTACT

254 70 0164229

Jessica Cohen, Ph.D

Role: CONTACT

617-432-7577

Facility Contacts

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Anneka Wickramanayake, Masters

Role: primary

+254700164229

Jessica Cohen, Ph.D

Role: backup

+16174327577

Other Identifiers

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P1473-2023

Identifier Type: -

Identifier Source: org_study_id

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