Abstract

Post-Partum Family Planning in Burkina Faso (Yam Daabo): A Two Group, Multi-Intervention, Single-Blinded, Cluster-Randomised Controlled Trial

Highlights

  • Yam Daabo was a two group, multi-intervention, single-blinded, cluster randomised controlled trial

  • In anticipation of potential dissemination of the Yam Daabo strategy, the trial took place in rural and urban settings and in two countries; here, we report the results of the Burkina Faso trial

  • We report two secondary outcomes: prevalence of modern contraceptive use at 6 weeks, which coincides with the post-partum family planning (PPFP)-dedicated visit as per national recommendations, and prevalence of modern contraceptive use at 6 months, which corresponds to the latest point when transition from the lactational amenorrhoea method to another method should occur

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Summary

Introduction

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

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