Postpartum integration of infant vaccines and contraception through gender transformative programming: A cluster randomized trial in India
Sarah Averbach e outros, 2026 · PLOS Global Public Health
Integrating gender-transformative counseling and immediate contraceptive access with infant vaccination visits increased the odds of contraceptive use at six months postpartum.
Estimativa · Current use of any contraceptive method, adjusted ratio of odds ratios
3,98 [1,95; 8,12]
ratio of odds ratios
p: <0.001
- Desenho
- Experimento aleatório por conglomerados. Cluster randomized controlled trial across 20 Anganwadi center clusters
- População
- Postpartum women aged 18+ presenting for infant vaccination in rural Maharashtra, India (2023–2024)
- Amostra
- 293 · women across 20 Anganwadi center clusters (143 intervention, 150 control)
Onde está o número
Abstract; Table 3, row 'Current use of any contraceptive method', column 'Adjusted AROR'
There was a time-by-treatment effect for any contraceptive use (adjusted ratio of odds ratios 3.98, 95% CI 1.95-8.12).
Contexto
What changed: PIVoT offered 30-40 minute gender-transformative counseling sessions and same-day access to reversible contraceptives alongside infant vaccination visits at community health centers. Comparison: Standard of care receiving family planning brochures, condoms, and clinic referrals. Limits: Pilot trial with 20 clusters, self-reported contraceptive outcomes, and baseline imbalances in lactational amenorrhea.
Caminho no grafo
- FamíliaProvisão direta
- TipoProvisão de serviço público
- MecanismoPoder de barganha feminino intra-domiciliar
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Maharashtra · Estado ou região · IN
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23