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Effectiveness of post-partum family planning interventions on contraceptive use and method mix at 1 year after childbirth in Kinshasa, DR Congo (Yam Daabo): A single-blind, cluster-randomised controlled trial

The Lancet Global Health Mar 01, 2020

Tran NT, Seuc A, Tshikaya B, et al. - This study carried out to evaluate the impact of a similar package but in urban settings of Kinshasa province, the Democratic Republic of the Congo, to reduce the unmet need for postpartum family planning. Researchers conducted a multi-intervention, single-blinded, cluster-randomized controlled trial in six primary health-care centres (clusters) in Kinshasa. They randomized centres to receive the six-component intervention or standard antenatal and postnatal care in matched pairs (1:1) based on the number of monthly births, the ratio of health workers per population in the healthy zone, and the urban and suburban settings. Eight of 52 clinics estimated for eligibility met the criteria and were randomized between July 1, 2016, and Feb 2, 2017. The results of this study showed that the Yam Daabo intervention package did not have a significant impact on the overall usage of effective modern contraceptives but significantly improved implant use in women postpartum who live in urban settings in Kinshasa up to a year after childbirth. Nevertheless, in the control group, interferences from external family planning initiatives might have reduced the differences between the services received. In DR Congo and other countries, such an intervention could be potentially relevant in similar contexts.
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