NCT01199601

Blood-borne Infection Screening in an Afghan Antenatal Population

Pilot Educational Intervention to Determine Effect of Intrapartum Testing and Concentrated Postpartum Counseling on Birth Spacing, Breastfeeding, and Infant Vaccination Completion in a Kabul Urban Population.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,291 (actual)
• Sponsor: Columbia University · Academic / Other
• Sex: All
• Age: 14 Years – 65 Years
• Healthy volunteers: Accepted

Summary

Baseline information indicates there are measurable levels of hepatitis B SAg and low utilization of postpartum contraception, correct breastfeeding practices, or adherence to infant vaccination schedules in Kabul, Afghanistan. This intervention will randomize hospitals to assess the following aims: Aim 1: To determine whether the re-training and assignment of health care providers dedicated to intrapartum rapid testing and post-partum counseling will positively impact maternal and neonatal health indicators as compared to utilization of existing health providers for these services among women delivering in publish health maternity hospitals in Kabul, Afghanistan. Aim 2: To assess whether patients randomized to the intervention and their spouses perceive value in concentrated post-partum counseling. Aim 3: To investigate whether an intervention providing immediate post-partum provision of a long-acting family planning method would be feasible and acceptable to both men and women in Kabul, Afghanistan.

Detailed description

Outcomes are assessed through questionnaire responses and inspection of vaccination cards at six month intervals by trained study staff through one year total study time. Differences between groups will be assessed with generalized linear mixed modeling. Information obtained to address Aim 3 will be gathered at the 12 month follow-up and analyzed with simple proportions and Chi-square test to assess differences between sexes and other socioeconomic indicators.

Conditions

• Viral Hepatitis B
• Contraception
• Breast Feeding, Exclusive
• Effects of; Lack of Care of Infants

Interventions

Type	Name	Description
BEHAVIORAL	Concentrated postpartum counseling	Intrapartum testing and concentrated postpartum counseling for the female patient from a retrained provider focusing on correct breastfeeding practices, postpartum contraception, and infant vaccination.

Timeline

• Start date: 2008-06-01
• Primary completion: 2010-05-01
• Completion: 2010-05-01
• First posted: 2010-09-13
• Last updated: 2017-05-17
• Results posted: 2014-03-28

Locations

1 site across 1 country: Afghanistan