Mental and Reproductive Health Integration and Access
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: MARIA Integrated Maternal Mental Health and Family Planning Package.
- Who it may be relevant to
- Registry conditions: Family Planning Services, Post Partum Depression. Basic parameters: 15 years — 49 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Jordan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Integrating Family Planning and Mental Health Services Into Postnatal Care for Migrant, Refugee, and Underserved Jordanian Women
Overview
The goal of this clinical trial is to learn whether an integrated package of mental health screening, brief psychosocial support, and family planning counseling delivered within routine postnatal care can improve reproductive and mental health outcomes in postpartum migrant, refugee, and underserved Jordanian women aged 15-49 attending primary health centers in Mafraq Governorate and the Al-Ghour region of Jordan. The main questions it aims to answer are: 1. Does the MARIA intervention increase the use of modern contraceptive methods among postnatal women compared to standard care? 2. Does the MARIA intervention reduce the prevalence and severity of postpartum depression symptoms compared to standard care? Researchers will compare women attending health centers that deliver the full MARIA package (integrated mental health screening, brief psychosocial support, and family planning counseling) to women attending health centers that provide standard care (routine immunization and child health services without the MARIA components) to see if the intervention improves contraceptive use and reduces postpartum depression. Participants will: * Complete a 10-question mental health screening tool (Edinburgh Postnatal Depression Scale) at their routine immunization visit * Receive a brief educational session, psychosocial support, or a referral to specialist mental health services - depending on their screening result * Receive family planning counseling and information about contraceptive options during the same visit * Be followed up by a community health worker, as needed * Participate in three interviews - one in person at enrollment and two by telephone at 4 and 7 months after joining
Interventions
- Behavioral MARIA Integrated Maternal Mental Health and Family Planning Package
A multi-component integrated package delivered within routine postnatal and immunization visits at primary healthcare centers. Has 7 components 1. Integrated service delivery: All eligible postnatal women are screened for postpartum depression using Edinburgh Postnatal Depression Scale. Based on score, primary healthcare providers deliver stepped-care psychosocial support. Family planning counseling is integrated into the same visit for all women. 2. Community health workers community outreach
Primary outcome measures
- Number of Participants adopting any modern contraceptive method since baseline [Time frame: from baseline until 7 months]
Secondary outcome measures (7)
- number of women with postpartum depression [Time frame: from baseline until 7 months]
- number of women who continue the modern contraception [Time frame: at the end of the 7 months follow up]
- change in baseline in the number of women who feel empowered [Time frame: at 7 months]
- change in baseline in the number of women with positive attitude towards pregnancy [Time frame: at 7 months]
- number of women with improved knowledge of family planning since baseline [Time frame: at 7 months]
- improved couple communication since baseline [Time frame: at 7 months]
- improved provider capacity in family planning and mental health services [Time frame: at 7 months]
Eligibility criteria
Inclusion criteria
- Postpartum women aged 15-49 years
- Attending selected primary healthcare centers for infant immunization or healthy child visits
- Unmet family planning need: interested in using contraception but currently not doing so
- Living in study villages (Mafraq or Al-Ghour)
- Migrant, refugee, or underserved Jordanian women Exclusion Criteria
- Currently using a modern contraceptive method
- Unmarried women
- Unable to provide informed consent
- Planning to leave the study area within 7 months
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Health services research
Study locations
Jordan · 2 centers
- Alsheikh Hussein — Irbid
- Alkhaldieh — Al Mafraq
Identifiers
NCT: NCT07659509 · 110529 - 001