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September 7, 2026Journal of Epidemiology and Global HealthOpen Access

The Effectiveness of Family Planning Mobile Application and Enhanced Counseling on the Use of Modern Family Planning Methods Among Postpartum Women in Jordan

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Authors

YKYousef KhaderSKSara Abu KhudairMNMohannad Al Nsour

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Overview

Controlled trial demonstrates enhanced counseling combined with a mobile app increases modern contraceptive uptake in postpartum women, indicating the value of digital reproductive health tools.

Key Points

  • To evaluate the effect of midwife-led enhanced family planning counseling, both alone and combined with an Arabic-language mHealth mobile application, on modern contraceptive use among postpartum married women.
  • Conducted a three-arm, parallel-group controlled trial with systematic individual allocation (1:3:3 sequence) across six primary healthcare centers in Jordan.
  • Assigned postpartum married women to standard care, enhanced family planning counseling delivered by trained midwives, or enhanced counseling plus an mHealth app providing reproductive health information and 40 push notifications over four months.
  • At four months, modern family planning method use was 17.2% with standard care, 49.7% with enhanced counseling (aOR = 4.49; 95% CI: 3.05–6.62; p < 0.001), and 59.9% with enhanced counseling plus mHealth (aOR = 7.18; 95% CI: 4.85–10.63; p < 0.001).
  • Any family planning method use was reported by 79.6% in the control group, 83.5% with counseling alone (aOR = 1.15; 95% CI: 0.77–1.73; p = 0.494), and 96.9% with counseling plus mHealth (aOR = 8.49; 95% CI: 4.72–15.28; p < 0.001).
  • Exclusive breastfeeding rates were significantly higher with counseling alone (aOR = 1.52; 95% CI: 1.09–2.13; p = 0.014) and counseling plus mHealth (aOR = 2.49; 95% CI: 1.78–3.49; p < 0.001) compared to control.

Cite This Study

Khader et al. (2026) studied this question.

synapsesocial.com/papers/6a9e858ac3034f961570dcfehttps://doi.org/10.1007/s44197-026-00635-7
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