Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial
Summary: Background: Post-partum family planning services can prevent maternal and child morbidity and mortality in low-resource settings. We assessed the effect of a family planning intervention package on modern contraceptive use at 12 months post partum in predominantly rural Burkina Faso. Metho...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-08-01
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| Series: | The Lancet Global Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214109X19302025 |
| _version_ | 1819123919063351296 |
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| author | Nguyen Toan Tran, DrMed Armando Seuc, PhD Abou Coulibaly, MD Sihem Landoulsi, MSc Tieba Millogo, MD Fatou Sissoko, MSc Wambi Maurice E Yameogo, MSc Souleymane Zan, MD Asa Cuzin-Kihl, MSc James Kiarie, MD Mary Eluned Gaffield, PhD Blandine Thieba, MD Seni Kouanda, PhD |
| author_facet | Nguyen Toan Tran, DrMed Armando Seuc, PhD Abou Coulibaly, MD Sihem Landoulsi, MSc Tieba Millogo, MD Fatou Sissoko, MSc Wambi Maurice E Yameogo, MSc Souleymane Zan, MD Asa Cuzin-Kihl, MSc James Kiarie, MD Mary Eluned Gaffield, PhD Blandine Thieba, MD Seni Kouanda, PhD |
| author_sort | Nguyen Toan Tran, DrMed |
| collection | DOAJ |
| description | Summary: Background: Post-partum family planning services can prevent maternal and child morbidity and mortality in low-resource settings. We assessed the effect of a family planning intervention package on modern contraceptive use at 12 months post partum in predominantly rural Burkina Faso. Methods: Yam Daabo was a two group, multi-intervention, single-blinded, cluster randomised controlled trial. Primary health-care centres were randomly allocated to intervention or control clusters in a 1:1 ratio with only data analysts masked to the allocation assignment. Interventions comprised refresher training for the provider, a counselling tool, supportive supervision, availability of contraceptive services 7 days a week, client appointment cards, and invitation letters for partners. The primary outcome was modern contraceptive prevalence at 12 months, and secondary outcomes were modern contraceptive prevalence at 6 weeks and 6 months post partum. Analysis was by modified intention to treat. Prevalence ratios were adjusted for cluster effects and baseline characteristics. This study was registered with the Pan-African Clinical Trials Registry (PACTR201609001784334). Findings: From July 27–Oct 17, 2016, eight clinics were randomised and 571 women were enrolled and allocated: 286 to four intervention clusters and 285 to four control clusters. Of these, 523 completed the 12-month study exit interview (260 in the intervention group, 263 in the control group) and 523 were included in the intention-to-treat analysis. At 12 months, modern contraceptive prevalence was 55% among women who received the package and 29% among those who received routine care in control clusters (adjusted prevalence ratio 1·79, 95% CI 1·30–2·47). Significant differences in modern contraceptive prevalence were also seen between intervention and control groups at 6 weeks (42% and 10%, respectively; adjusted prevalence ratio 3·88, 95% CI 1·46–10·35) and 6 months (59% and 24%, respectively; 2·31, 1·44–3·71). Interpretation: A package of six low-technology interventions, aimed at strengthening existing primary health-care services and enhancing demand for these services, can effectively increase modern contraceptive use for up to a year post partum in rural settings in Burkina Faso and has the potential to be suitable in similar settings in this country and others. Funding: Government of France. |
| first_indexed | 2024-12-22T07:15:59Z |
| format | Article |
| id | doaj.art-fbafc1cdd47444f1a003439c59673d6c |
| institution | Directory Open Access Journal |
| issn | 2214-109X |
| language | English |
| last_indexed | 2024-12-22T07:15:59Z |
| publishDate | 2019-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Global Health |
| spelling | doaj.art-fbafc1cdd47444f1a003439c59673d6c2022-12-21T18:34:23ZengElsevierThe Lancet Global Health2214-109X2019-08-0178e1109e1117Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trialNguyen Toan Tran, DrMed0Armando Seuc, PhD1Abou Coulibaly, MD2Sihem Landoulsi, MSc3Tieba Millogo, MD4Fatou Sissoko, MSc5Wambi Maurice E Yameogo, MSc6Souleymane Zan, MD7Asa Cuzin-Kihl, MSc8James Kiarie, MD9Mary Eluned Gaffield, PhD10Blandine Thieba, MD11Seni Kouanda, PhD12Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland; Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology, Sydney, Australia; Correspondence to: Dr Nguyen Toan Tran, Department of Reproductive Health and Research, World Health Organization, Avenue Appia 20, 1211 Geneva 27, SwitzerlandDepartment of Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandInstitut de Recherche en Sciences de la Santé and Institut Africain de Santé Publique, Ouagadougou, Burkina FasoDepartment of Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandInstitut de Recherche en Sciences de la Santé and Institut Africain de Santé Publique, Ouagadougou, Burkina FasoInstitut de Recherche en Sciences de la Santé and Institut Africain de Santé Publique, Ouagadougou, Burkina FasoInstitut de Recherche en Sciences de la Santé and Institut Africain de Santé Publique, Ouagadougou, Burkina FasoWorld Health Organization Country Office in Burkina Faso, Ouagadougou, Burkina FasoDepartment of Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandDepartment of Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandDepartment of Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandUnité de Formation et de Recherche en Sciences de la Santé, Ouagadougou University, Ouagadougou, Burkina FasoInstitut de Recherche en Sciences de la Santé and Institut Africain de Santé Publique, Ouagadougou, Burkina FasoSummary: Background: Post-partum family planning services can prevent maternal and child morbidity and mortality in low-resource settings. We assessed the effect of a family planning intervention package on modern contraceptive use at 12 months post partum in predominantly rural Burkina Faso. Methods: Yam Daabo was a two group, multi-intervention, single-blinded, cluster randomised controlled trial. Primary health-care centres were randomly allocated to intervention or control clusters in a 1:1 ratio with only data analysts masked to the allocation assignment. Interventions comprised refresher training for the provider, a counselling tool, supportive supervision, availability of contraceptive services 7 days a week, client appointment cards, and invitation letters for partners. The primary outcome was modern contraceptive prevalence at 12 months, and secondary outcomes were modern contraceptive prevalence at 6 weeks and 6 months post partum. Analysis was by modified intention to treat. Prevalence ratios were adjusted for cluster effects and baseline characteristics. This study was registered with the Pan-African Clinical Trials Registry (PACTR201609001784334). Findings: From July 27–Oct 17, 2016, eight clinics were randomised and 571 women were enrolled and allocated: 286 to four intervention clusters and 285 to four control clusters. Of these, 523 completed the 12-month study exit interview (260 in the intervention group, 263 in the control group) and 523 were included in the intention-to-treat analysis. At 12 months, modern contraceptive prevalence was 55% among women who received the package and 29% among those who received routine care in control clusters (adjusted prevalence ratio 1·79, 95% CI 1·30–2·47). Significant differences in modern contraceptive prevalence were also seen between intervention and control groups at 6 weeks (42% and 10%, respectively; adjusted prevalence ratio 3·88, 95% CI 1·46–10·35) and 6 months (59% and 24%, respectively; 2·31, 1·44–3·71). Interpretation: A package of six low-technology interventions, aimed at strengthening existing primary health-care services and enhancing demand for these services, can effectively increase modern contraceptive use for up to a year post partum in rural settings in Burkina Faso and has the potential to be suitable in similar settings in this country and others. Funding: Government of France.http://www.sciencedirect.com/science/article/pii/S2214109X19302025 |
| spellingShingle | Nguyen Toan Tran, DrMed Armando Seuc, PhD Abou Coulibaly, MD Sihem Landoulsi, MSc Tieba Millogo, MD Fatou Sissoko, MSc Wambi Maurice E Yameogo, MSc Souleymane Zan, MD Asa Cuzin-Kihl, MSc James Kiarie, MD Mary Eluned Gaffield, PhD Blandine Thieba, MD Seni Kouanda, PhD Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial The Lancet Global Health |
| title | Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial |
| title_full | Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial |
| title_fullStr | Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial |
| title_full_unstemmed | Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial |
| title_short | Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi-intervention, single-blinded, cluster-randomised controlled trial |
| title_sort | post partum family planning in burkina faso yam daabo a two group multi intervention single blinded cluster randomised controlled trial |
| url | http://www.sciencedirect.com/science/article/pii/S2214109X19302025 |
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