Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial
Abstract Background Common avoidable factors leading to maternal, perinatal and neonatal deaths include lack of birth planning (and delivery in an inappropriate place) and unmet need for contraception. Progress has been slow because routine antenatal care has focused only on women. Yet, in Uganda, m...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-04-01
|
| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-022-01049-5 |
| _version_ | 1811289451909873664 |
|---|---|
| author | Vincent Mubangizi Nuala McGrath Jerome Kahuma Kabakyenga Ingrid Muller Beth L. Stuart James P. Raftery Sylvia Natukunda Joseph Ngonzi Clare Goodhart Merlin Luke Willcox |
| author_facet | Vincent Mubangizi Nuala McGrath Jerome Kahuma Kabakyenga Ingrid Muller Beth L. Stuart James P. Raftery Sylvia Natukunda Joseph Ngonzi Clare Goodhart Merlin Luke Willcox |
| author_sort | Vincent Mubangizi |
| collection | DOAJ |
| description | Abstract Background Common avoidable factors leading to maternal, perinatal and neonatal deaths include lack of birth planning (and delivery in an inappropriate place) and unmet need for contraception. Progress has been slow because routine antenatal care has focused only on women. Yet, in Uganda, many women first want the approval of their husbands. The World Health Organization recommends postpartum family planning (PPFP) as a critical component of health care. The aim of this trial is to test the feasibility of recruiting and retaining participants in a trial of a complex community-based intervention to provide counselling to antenatal couples in Uganda. Methods This is a two-group, non-blinded cluster-randomised controlled feasibility trial of a complex intervention. Primary health centres in Uganda will be randomised to receive the intervention or usual care provided by the Ministry of Health. The intervention consists of training village health teams to provide basic counselling to couples at home, encouraging men to accompany their wives to an antenatal clinic, and secondly of training health workers to provide information and counselling to couples at antenatal clinics, to facilitate shared decision-making on the most appropriate place of delivery, and postpartum contraception. We aim to recruit 2 health centres in each arm, each with 10 village health teams, each of whom will aim to recruit 35 pregnant women (a total of 700 women per arm). The village health teams will follow up and collect data on pregnant women in the community up to 12 months after delivery and will directly enter the data using the COSMOS software on a smartphone. Discussion This intervention addresses two key avoidable factors in maternal, perinatal and neonatal deaths (lack of family planning and inappropriate place of delivery). Determining the acceptability and feasibility of antenatal couples’ counselling in this study will inform the design of a fully randomised controlled clinical trial. If this trial demonstrates the feasibility of recruitment and delivery, we will seek funding to conduct a fully powered trial of the complex intervention for improving uptake of birth planning and postpartum family planning in Uganda. Trial registration Pan African Clinical Trials Registry PACTR202102794681952 . Approved on 10 February 2021. ISRCTN Registry ISRCTN97229911. Registered on 23 September 2021 |
| first_indexed | 2024-04-13T03:55:04Z |
| format | Article |
| id | doaj.art-f279fb14d8d842379588fc6816f38d09 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-13T03:55:04Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-f279fb14d8d842379588fc6816f38d092022-12-22T03:03:40ZengBMCPilot and Feasibility Studies2055-57842022-04-018111510.1186/s40814-022-01049-5Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trialVincent Mubangizi0Nuala McGrath1Jerome Kahuma Kabakyenga2Ingrid Muller3Beth L. Stuart4James P. Raftery5Sylvia Natukunda6Joseph Ngonzi7Clare Goodhart8Merlin Luke Willcox9Mbarara University of Science and TechnologySchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of SouthamptonMbarara University of Science and TechnologySchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of SouthamptonSchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of SouthamptonSchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of SouthamptonMbarara University of Science and TechnologyMbarara University of Science and TechnologyRoyal College of General PractionersSchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of SouthamptonAbstract Background Common avoidable factors leading to maternal, perinatal and neonatal deaths include lack of birth planning (and delivery in an inappropriate place) and unmet need for contraception. Progress has been slow because routine antenatal care has focused only on women. Yet, in Uganda, many women first want the approval of their husbands. The World Health Organization recommends postpartum family planning (PPFP) as a critical component of health care. The aim of this trial is to test the feasibility of recruiting and retaining participants in a trial of a complex community-based intervention to provide counselling to antenatal couples in Uganda. Methods This is a two-group, non-blinded cluster-randomised controlled feasibility trial of a complex intervention. Primary health centres in Uganda will be randomised to receive the intervention or usual care provided by the Ministry of Health. The intervention consists of training village health teams to provide basic counselling to couples at home, encouraging men to accompany their wives to an antenatal clinic, and secondly of training health workers to provide information and counselling to couples at antenatal clinics, to facilitate shared decision-making on the most appropriate place of delivery, and postpartum contraception. We aim to recruit 2 health centres in each arm, each with 10 village health teams, each of whom will aim to recruit 35 pregnant women (a total of 700 women per arm). The village health teams will follow up and collect data on pregnant women in the community up to 12 months after delivery and will directly enter the data using the COSMOS software on a smartphone. Discussion This intervention addresses two key avoidable factors in maternal, perinatal and neonatal deaths (lack of family planning and inappropriate place of delivery). Determining the acceptability and feasibility of antenatal couples’ counselling in this study will inform the design of a fully randomised controlled clinical trial. If this trial demonstrates the feasibility of recruitment and delivery, we will seek funding to conduct a fully powered trial of the complex intervention for improving uptake of birth planning and postpartum family planning in Uganda. Trial registration Pan African Clinical Trials Registry PACTR202102794681952 . Approved on 10 February 2021. ISRCTN Registry ISRCTN97229911. Registered on 23 September 2021https://doi.org/10.1186/s40814-022-01049-5AntenatalFilmContraceptionFamily planningPostpartumCouples counselling |
| spellingShingle | Vincent Mubangizi Nuala McGrath Jerome Kahuma Kabakyenga Ingrid Muller Beth L. Stuart James P. Raftery Sylvia Natukunda Joseph Ngonzi Clare Goodhart Merlin Luke Willcox Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial Pilot and Feasibility Studies Antenatal Film Contraception Family planning Postpartum Couples counselling |
| title | Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial |
| title_full | Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial |
| title_fullStr | Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial |
| title_full_unstemmed | Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial |
| title_short | Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial |
| title_sort | antenatal couples counselling in uganda accu study protocol for a randomised controlled feasibility trial |
| topic | Antenatal Film Contraception Family planning Postpartum Couples counselling |
| url | https://doi.org/10.1186/s40814-022-01049-5 |
| work_keys_str_mv | AT vincentmubangizi antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT nualamcgrath antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT jeromekahumakabakyenga antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT ingridmuller antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT bethlstuart antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT jamespraftery antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT sylvianatukunda antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT josephngonzi antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT claregoodhart antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial AT merlinlukewillcox antenatalcouplescounsellinginugandaaccustudyprotocolforarandomisedcontrolledfeasibilitytrial |