Assessment of Family Planning and Immunization Service Integration in Malawi

Contraception Clinical Trial

Official title:

Assessment of Family Planning and Immunization Service Integration in Malawi

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03404284
• Other study ID #: IRB00007595
• Status: Completed
• Phase: N/A
• First received: January 11, 2018
• Last updated: January 11, 2018
• Start date: June 2016
• Est. completion date: September 2017

Study information

• Verified date: January 2018
• Source: Jhpiego
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This is a mixed methods process evaluation of a programmatic intervention to integrate family planning and immunization services at health facilities and through outreach services in Dowa and Ntchisi districts of Malawi. The study involved qualitative methods (in depth interviews and focus group discussions with service providers, mothers and fathers of infants <1 year, and supervisors and program managers) as well as secondary analysis of service statistics for family planning and immunization services and of supervision reports.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 43
• Est. completion date: September 2017
• Est. primary completion date: September 2017
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All health facilities and associated outreach sites in Ntchisi and Dowa districts implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program

Exclusion Criteria:

• All health facilities and associated outreach sites not implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program

Related Conditions & MeSH terms

• Contraception
• Contraception Behavior
• Contraceptive Usage
• Infant, Newborn, Diseases

Intervention

Behavioral:
• Family planning and infant immunization service integration
The approach involved integration of services through health surveillance assistant (HSA) outreach as well as through the health facility platform. The HSAs provided door to door FP services in their designated communities as well as provided integrated FP and Immunisation services at village clinics and outreach sessions. At outreach sessions, mothers were offered both routine infant immunization and family planning services (pills, condoms, injectables plus referrals for other methods). At health facilities, mothers who sought routine infant immunization services were offered same-day family planning services and those who seek family planning services are also screened for infant immunization schedule completion / need for infant immunization services. HSAs and health facility providers were trained on FP-immunization service integration and were monitored through regular supportive supervision visits.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Jhpiego	John Snow, Inc.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of modern family planning users		June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)
Primary	Number of Penta 1 doses administered		June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)
Primary	Number of Penta 3 doses administered		June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)