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Postnatal ComplicationFPNCNCT05563974

Family Led Postnatal Care in Ethiopia

A study testing Family led postnatal care in people with Postnatal Complication, run by Jhpiego at 1 site in Ethiopia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Family-led Postnatal Care-FPNC A midwife involves families and uses a visual checklist to assess and counsel. The midwife then gives families the checklist along with information on how to retrieve a "homecare kit" that has a blood pressure machine, infrared thermometer, and health education booklet. Read more about this study

Who is it for?
Ages 15 years and olderHealthy volunteers can take part
Conditions the study is for
Postnatal Complication
What is being tested?
Family led postnatal care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
229 participants
Where
1 siteEthiopia
Study dates
14 Nov 2022to 30 Mar 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Health center discharge counselors
  • Provides postnatal care at intervention health center
  • Willing to participate in study
  • Postnatal women and family members
  • Per participant report, age 15 years or older
  • Delivered at the intervention health centers
Show all 25Show fewer
  • Maximum of Postnatal Day 1-3 at HC
  • Intends to remain within catchment area for first week after birth
  • Has family members who are willing to participate in the study
  • Able and willing to provide consent
  • Husbands
  • Per participant report, age 15 years or older
  • Husband of eligible postnatal woman who has consented to participate
  • Able and willing to provide consent
  • Family members
  • Per participant report, age 15 years or older
  • Family members of eligible postnatal women who have consented to participate
  • Able and willing to provide consent
  • Health extension workers
  • Works within catchment area of intervention health center
  • Willing to participate in study
  • Home care custodians
  • Able and willing to provide consent
  • Health facility managers
  • Able and willing to provide consent

Who cannot join

  • Health center discharge counselors
  • N/A
  • Postnatal women and family members
  • Women who are unable to provide valid information because of mental or other serious health condition
  • Husbands
  • N/A
Show all 14Show fewer
  • Family members
  • 15-18 year old members who are not emancipated minors (married or have children of their own)
  • Health extension workers
  • Is not selected to participate (i.e., if there is more than one HEWs per health post)
  • Home care custodians
  • N/A
  • Health facility managers
  • N/A

Trial locations and contacts

1 site in 1 country.

Ethiopia1 site
  • Health centers in Ada Woreda

    Bishoftu, Oromiya

Other trials in Ethiopia

About this study

Official title: Feasibility and Acceptability of a Family-led Care Model to Increase Coverage and Quality of Postnatal Care in Ethiopia

Family-led Postnatal Care-FPNC A midwife involves families and uses a visual checklist to assess and counsel. The midwife then gives families the checklist along with information on how to retrieve a "homecare kit" that has a blood pressure machine, infrared thermometer, and health education booklet. At home, families assess the health of postnatal mothers and newborns for 6 days, and then return the completed checklist and homecare kit to the community location. A community health worker collects the checklists monthly. This study aims to assess the acceptability and feasibility of the FPNC and assess if FPNC increases the proportion of women/newborns who have a postnatal check in the first week after delivery and the proportion who seek care from a health provider when a postnatal danger sign is identified. The study will take approximately 12 months.

Read the detailed description

Four health centers in Ada District of Oromia will be included in the study. Prior to FPNC introduction, the investigators will conduct a baseline survey over 8 weeks to measure coverage and content of postnatal checks on Days 3 and 7, as well as care-seeking behavior.

The health centers will then implement FPNC. Postnatal women, families, midwives, health extension workers, and homecare kit custodians will have the option to accept or decline participation in the study. At the end of the first- and second-months after FPNC implementation, the investigators will conduct qualitative interviews with mothers, families, midwives, health extension workers and homecare kit custodians.

Post intervention survey will take 8 weeks and will be conducted three months after FPNC is introduced. Coverage and content of postnatal checks in the first week will be abstracted weekly from FPNC checklists and care-seeking information will be collected through face-to-face interviews. The investigators will also conduct a quantitative measurement of sustainability of the FPNC intervention six months after the deadline through facility register data abstraction and review of completed checklists.

Being tested
Family led postnatal care

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Family led postnatal careOther

    Family-led Postnatal Care-FPNC A midwife involves families and uses a visual checklist to assess and counsel. The midwife then gives families the checklist and guides them how to retrieve a "home care kit" that has a blood pressure machine, infrared thermometer, and health education booklet.

    At home, families assess the health of postnatal mothers and newborns for 6 days, and then return the completed checklist and home care kit to the community location.

Study groups in NCT05563974
Study groupRoleWhat they receive
Women who agree to receive family led postnatal careExperimentalThis group will receive Family-led Postnatal Care-FPNC
Receives: Other: Family led postnatal care
Women who receive standard of care for postnatal careNo interventionWomen will get the standard of care for postnatal care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in coverage (Mothers)

    Between pre-intervention (for approximately 8 weeks) and immediately after the intervention (for approximately 8 weeks), the investigators will measure the change in the proportion of postnatal women who have all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  2. Change in coverage (Newborns)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of newborns who have all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  3. Change in completeness (Mothers)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of postnatal women who had all specified PNC components assessed during all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  4. Change in completeness (Newborns)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of newborns who had all specified PNC components assessed during all three postnatal checks (within 1st day, 2nd-3rd days, and 4th-7th days).

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  5. Change in postnatal Contacts (Mothers)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the average number of PNC checks that are done for mothers in the first 7 days after delivery.

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  6. Change in postnatal Contacts (Newborns)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the average number of PNC checks that are done for newborns in the first 7 days after delivery.

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

Secondary outcomes (24)
  1. Change in Danger Sign Recognition (Mothers)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of postnatal women who had a postnatal danger sign identified in the first week after delivery.

    Proportion of newborns with a danger sign identified

    Proportion of women and newborns who seek care from a health provider when a postnatal danger sign is identified (disaggregated by type of provider and type of facility)

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  2. Change in Danger Sign Recognition (Newborns)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of newborns for whom a postnatal danger sign was identified in the first week after delivery.

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).

  3. Change in Care-Seeking (Mothers)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of postnatal women who sought care for an identified danger sign (disaggregated by type of provider and type of facility) in the first week after delivery.

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks)

  4. Change in Care-Seeking (Newborns)

    Between pre-intervention and immediately after the intervention, the investigators will measure the change in the proportion of newborns for whom care was sought for an identified danger sign (disaggregated by type of provider and type of facility) in the first week after delivery.

    Measured: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks)

  5. Feasibility (Homecare Kit)

    Among postnatal women who are discharged from the facility after the intervention is initiated, the proportion whose family members retrieve the homecare kit. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  6. Feasibility (Blood Pressure)

    Among postnatal women who are discharged from the facility after the intervention is initiated and those whose family retrieve the homecare kit, the proportion who report successful use of the blood pressure cuff. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  7. Feasibility (Thermometer, Mothers)

    Among postnatal women who are discharged from the facility after the intervention is initiated and those whose family retrieve the homecare kit, the proportion who report successful use of the thermometer for themselves.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  8. Feasibility (Thermometer, Newborns)

    Among postnatal women who are discharged from the facility after the intervention is initiated and those whose family retrieve the homecare kit, the proportion of who report successful use of the thermometer to check their newborn's health. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  9. Feasibility (Communication)

    Among families who are discharged from the facility after the intervention is initiated and those whose family retrieve the homecare kit, the proportion who communicate with past homecare kit users. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  10. Feasibility (Kit Return)

    Among families who are discharged from the facility after the intervention is initiated and those whose family retrieve the homecare kit, the proportion who return the homecare it by day 8. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  11. Feasibility (Checklist Return)

    Among families who are discharged from the facility after the intervention is initiated and those whose family retrieve the homecare kit, the proportion who return the checklist to the custodian. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  12. Feasibility (Checklist Collection)

    Among checklist brought to the homecare kit custodian, the proportion that are collected by the health extension workers. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  13. Feasibility (Functional Kits)

    Among all the homecare kits distributed to custodians, the proportion that are 100% functional upon monthly checks of a random sample of homecare kits. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  14. Feasibility (Register)

    Among all the homecare kit registers distributed to custodians, the proportion that are filled completely by the homecare kit custodian. This will be part of the feasibility study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  15. Acceptability (Checklist)

    Among postnatal women discharged from the facilities after the intervention is initiated, the proportion that accept a checklist form the discharge counselor. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  16. Acceptability (Homecare Kit)

    Among postnatal women discharged from the facilities after the intervention is initiated and whose family retrieve the homecare kit, the proportion who report preferring the FPNC approach. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  17. Acceptability (Perceptions of Discharge Counselors)

    Investigators will use qualitative methods to understand perceptions of discharge counselors on the acceptance and support for the FPNC approach. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  18. Acceptability (Perceptions of Homecare Kit Custodians)

    Investigators will use qualitative methods to understand the homecare kit custodians' perceptions on the FPNC approach. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  19. Acceptability (Perception of Health Managers)

    Investigators will use qualitative methods with health managers to understand their perceptions on the FPNC approach. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  20. Acceptability (Perceptions of Health Extension Workers)

    Investigators will use qualitative methods with health extension workers to understand their perceptions on the FPNC approach. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  21. Acceptability (Perceptions of Husbands and Family Members)

    Investigators will use qualitative methods with husbands and families to understand husbands' engagement in PNC. This will be part of the acceptability study.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  22. Preference (Families')

    Among families that retrieve the homecare kit, the proportion that report a preference for the FPNC approach. This will address the area of values and preferences.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  23. Satisfaction (Dsicharge counselors')

    The proportion of discharge counselors who report satisfaction with the FPNC approach, including discharge process. This will address the area of values and preferences.

    Measured: Immediately after the intervention (for approximately 8 weeks)

  24. Sustainability

    Among all the homecare kits distributed, the proportion that are functional at six months post intervention survey. This will be part of the sustainability assessment.

    Measured: Six months after the post-intervention survey.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Oct 2022
  2. Study start14 Nov 2022
  3. Primary completion30 Dec 2023
  4. Study completion30 Mar 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
229 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05563974
Sponsor's protocol ID
IRB00021096
Acronym
FPNC
Status last verified
Apr 2024
First submitted
30 Aug 2022
Last updated
2 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Per current Bill \& Melinda Gates Foundation policy for study data

Publications

  • Regassa GB, Berhanu D, Wolde K, Teshite D, Amdissa L, Yallew WW, Alem SG, Sripad P, Hyre A, Noguchi L, Worku A. Changes in postnatal outcomes following implementation of a family-led postnatal care model: A pre-post intervention study in Ada'a District, Ethiopia. PLOS Glob Public Health. 2026 Oct 30;6(10):e0006487. doi: 10.1371/journal.pgph.0006487. eCollection 2026.

    PubMed 42961861
  • Regassa GB, Wolde K, Teshite DT, Amdissa L, Yallew WW, Alem SG, Sripad P, Hyre A, Suhowatsky S, Noguchi L, Yalew AW, Berhanu D. Feasibility, acceptability and sustainability of family-led postnatal care model: a multisite mixed study in Ada'a District, Ethiopia. BMJ Public Health. 2026 May 12;4(2):e003548. doi: 10.1136/bmjph-2025-003548. eCollection 2026.

    PubMed 42158542

Questions about this trial

What is this clinical trial studying?

A study testing Family led postnatal care in people with Postnatal Complication, run by Jhpiego at 1 site in Ethiopia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 25 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Ethiopia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in coverage (Mothers) (time frame: Pre-intervention (for approximately 8 weeks) and immediately after intervention (for approximately 8 weeks).). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05563974, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2024.

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