What question did this study set out to answer?

The study aims to evaluate the implementation and effectiveness of a comprehensive postpartum family planning strategy in Ghana.

February 2, 2026PLoS ONEOpen Access

Standardizing postpartum family planning counseling guidance in Ghana: A stepped-wedge cluster randomized implementation effectiveness trial

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This trial evaluates a national family planning strategy's effectiveness in increasing contraceptive discussions prior to discharge.

The study aims to evaluate the implementation and effectiveness of a comprehensive postpartum family planning strategy in Ghana.
Conducted a stepped-wedge trial in public hospitals in Greater Accra and Eastern regions of Ghana.
Introduced a multifaceted Postpartum Family Planning Package sequentially at three hospitals.
Analyzed data using a generalized linear mixed effects model to assess interactions and control for variables.
Post-intervention discussions of family planning methods increased from 39% to 63%.
Individual counseling led to discussions of all methods being four times more likely (aOR 4.28).
The decision to select a contraceptive method was made in 49.5% of post-intervention encounters compared to 18.3% pre-intervention (aOR 4.45).
Higher uptake of family planning methods was noted with individual counseling (aOR 1.74).

Sonalkar et al. (2026) studied this question.

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