Effects of post-abortion family planning services on contraceptive practices in China: Protocol for a clustered randomized controlled trial


Study objectives:
To determine whether integrating post-abortion services in hospital settings in China will increase the contraceptive use and decrease repeat abortion rates.
Study design:
Three-arms cluster randomised controlled trial in which the unit of randomisation is hospital.
Women seeking induced abortion within 12 weeks of gestation age.
 Ninety hospitals from 30 provinces in China will be randomised to the three arms of the study stratified by province. In each province, eligible hospitals will be matched on the characteristics of abortion departments, especially the volume of abortions in the 2 months in the situation survey.
Length of follow up:
Six months.
Multiple interventions that aim to increase the use of more effective contraceptive methods, improve user adherence to reduce the unintended pregnancies and repeat induced abortions.
Data collection:
Data will be collected at four time points, one at baseline(month 0 at the time of enrolment) and twice during intervention (1st 3rd  and 6th  month after enrolment, respectively).
Primary outcome:
Unintended pregnancies or repeated induced abortions; immediate contraceptive uptake and the use of modern effective contraceptive methods.
Trial registration:

Authors & affiliation: 
Wei-Hong Zhang 1,2,3 , Jiong Li 4 , Shuchen Wang 1 , Jørn Olsen 4 , Marleen Temmerman 1,5 and INPAC consortium 6 1 International Centre for Reproductive Health (ICRH), WHO Collaboration Centre.Ghent University, Belgium 2 Research Laboratory for Human Reproduction, Faculty of Medicine, Université Libre de Bruxelles (ULB), Belgium 3 Research Center for Public Health, Tsinghua University, Beijing, China 4 Department of Clinical Epidemiology, Aarhus University, Denmark 5 The department of Obstetrics and Gynaecology, Women’s health Center of Excellent East-Africa, The Faculty of Health Science, Aga Khan, Kenya 6 INPAC (INtegrating Post-Abortion family planning services into existing abortion services in hospital settings in China) consortium: ICRH, Belgium: Marleen Temmerman (consortium coordinator) and Wei-Hong Zhang (project leader); CMA-CSFP, China: Jian Li; FU, Shanghai, China: Xu Qian; NRIFP, Beijing, China: Shangchun WU; WCSUH, China: Lina Hu; AU-DESC, Aarhus, Denmark: Jørn Olsen; LSTM, Liverpool, United Kingdom: Rachel Tolhurs
Published In: 
Med Press . 2017; 2(1): 33-41. doi: 10.28964/MedPress-2-106
Publication date: 
Wednesday, December 6, 2017