Testing a Community-Based Family Planning Program to Increase Contraceptive Use and Reduce Unintended Pregnancy in Uganda

What this Trial Is About

Researchers are evaluating the Family HealthFamily Wealth FHFW program, a multi-level community-based intervention designed to improve family planning outcomes among couples of reproductive age in Uganda. The study aims to see if this program can reduce unintended pregnancies and increase contraceptive use over 24 months, while also investigating factors that influence the programs implementation. The trial compares the FHFW intervention with a water, sanitation, and hygiene WASH program that serves as a control. The FHFW intervention includes six group sessions for couples, focusing on the benefits of family planning, improving spousal communication and decision-making, increasing access to family planning services, and shifting community attitudes about family size and gender roles. The WASH intervention matches the FHFW sessions in number and duration but focuses on sanitation and hygiene topics relevant to the local context. Both interventions involve community dialogues and health system strengthening components. Participants will be assessed over 24 months, with evaluations at 4, 8, 12, 16, 20, and 24 months to track changes in contraceptive use, unintended pregnancy rates, contraceptive autonomy, and continuation rates. Researchers will use surveys and interviews to gather data on family planning behaviors and community perceptions. Safety and adherence are monitored throughout, and the studys total duration for each participant is two years.

Efficacy Testing of a Multi-Level Family Planning Intervention