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Objective: To evaluate the sustained impact of community-based family planning (FP) interventions on current modern contraceptive and long-acting reversible contraceptive (LARC) use among married adolescent girls in rural Niger.

Methods: We used a cluster randomized controlled trial design following married adolescent girls and their husbands over 3 years. Villages were randomized to one of four arms: household visits, small group discussions, combined intervention, or control. For 1.5 years, couples were exposed to one intervention activity per month and 1.5 years after implementation ended, we used a multi-level mixed effects logistic regression model to evaluate changes in key FP outcomes.

Results: We analyzed survey data from 404 married adolescent girls with data at baseline and endline. Small group discussions (+35.6%; adjusted odds ratio [aOR] 7.94, P < 0.001) and the combined intervention (+17.9%: aOR 4.53, P = 0.005) led to statistically significant increases in the odds of using modern contraceptives at endline compared with the control. The combined intervention (+14.2%; aOR 7.98, P < 0.001) and home visits (+12.6%; aOR 8.09, P < 0.001) led to statistically significant increases in odds of using LARC methods at endline compared with the control. Increase in LARC use was driven by implant use across all intervention groups.

Conclusion: This study contributes to the empirical evidence base on the sustained impact of community-based interventions on increases in FP use among married adolescent girls in low- and middle-income countries.

Titel:	Sustained impact of community-based interventions on contraceptive use among married adolescent girls in rural Niger: Results from a cluster randomized controlled trial.
Autor/in / Beteiligte Person:	Erhardt-Ohren, B ; Brooks, M ; Aliou, S ; Osseni, AA ; Oumarou, A ; Challa, S ; Tomar, S ; Johns, N ; Silverman, J
Link:	Zum Volltext
Zeitschrift:	International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, Jg. 160 (2023-02-01), Heft 2, S. 468-475
Veröffentlichung:	2017- : Malden, MA : Wiley ; <i>Original Publication</i>: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969-, 2023
Medientyp:	academicJournal
ISSN:	1879-3479 (electronic)
DOI:	10.1002/ijgo.14378
Schlagwort:	Female Humans Adolescent Niger Contraception Marriage Contraception Behavior Contraceptive Agents Family Planning Services
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Randomized Controlled Trial; Journal Article Language: English [Int J Gynaecol Obstet] 2023 Feb; Vol. 160 (2), pp. 468-475. <i>Date of Electronic Publication: </i>2022 Aug 11. MeSH Terms: Contraceptive Agents* ; Family Planning Services* ; Female ; Humans ; Adolescent ; Niger ; Contraception ; Marriage ; Contraception Behavior References: Sully EA, Biddlecom, A, Darroch JE, et al. Adding It Up: Investing in sexual and reproductive health 2019. Guttmacher Institute. 2020. doi: 10.1363/2020.31593. ; PMA2020/Niger: Family planning brief. July 13, 2018. Accessed June 10, 2021. https://www.pmadata.org/sites/default/files/data_product_results/PMA2020-Niger-National-R2-FP-Brief-EN.pdf. ; Adolescent fertility rate (births per 1,000 women ages 15-19). The World Bank. Accessed June 10, 2021. https://data.worldbank.org/indicator/SP.ADO.TFRT. ; Service availability and readiness assessment. World Health Organization. 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Grant Information: Bill and Melinda Gates Foundation Contributed Indexing: Keywords: Niger; adolescent; community-based; contraception; family planning; randomized controlled trial Substance Nomenclature: 0 (Contraceptive Agents) Entry Date(s): Date Created: 20220728 Date Completed: 20230119 Latest Revision: 20230119 Update Code: 20231215

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Sustained impact of community-based interventions on contraceptive use among married adolescent girls in rural Niger: Results from a cluster randomized controlled trial.