ArticleBMJ global health2018
Free contraception and behavioural nudges in the postpartum period: evidence from a randomised control trial in Nairobi, Kenya.
Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Assessing the impact of SMS-based interventions in promoting family planning uptake and modern contraceptive utilization in sub-Saharan Africa: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Antenatal Care Interventions to Increase Contraceptive Use Following Birth in Low- and Middle-Income Countries: Systematic Review and Narrative Synthesis.Global health, science and practice · 2024Pooled it
- Postpartum Primary Care Engagement Using Default Scheduling and Tailored Messaging: A Randomized Clinical Trial.JAMA network open · 2024Trial
- The effects of text reminders on the use of family planning services: evidence from a randomised controlled trial in urban Mozambique.BMJ global health · 2022Trial
- Increasing Postpartum Primary Care Engagement through Default Scheduling and Tailored MessagingmedRxiv : the preprint server for health sciences · 2024Article
- Intimate partner violence and postpartum healthcare access in Kenya: a cross-sectional study.BMC pregnancy and childbirth · 2024Article
- A systematic review of behaviour change interventions to improve maternal health outcomes in sub-Saharan Africa.PLOS global public health · 2024Article
- mHealth interventions for postpartum family planning in LMICs: A realist review.PLOS global public health · 2024Article
- The Impact of Behavioral Economics-Based Counseling and Mobile Phone Text Educational and Reminder Messages on the Use of Modern Family Planning in Jordan: A Cluster Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2023Article
- Use of implementation science to advance family planning programs in low- and middle-income countries: A systematic review.Frontiers in global women's health · 2022Review
- Locus of Control and Self-Esteem as Predictors of Maternal and Child Healthcare Services Utilization in Nigeria.Frontiers in health services · 2022Article
- Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub-Saharan Africa.Studies in family planning · 2021Article
- Mobile Technology for Sexual and Reproductive Health Interventions in Low- and Middle-Income Countries.American journal of public health · 2019Article
- Application of behavioral economics principles to reduce injectable contraceptive discontinuation in rural Ethiopia: A stratified-pair, cluster-randomized field trial.Gates open research · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShort birth intervals are a major risk factor for poor maternal and newborn outcomes. Utilisation of modern contraceptive methods during the postpartum period can reduce risky birth intervals but contraceptive coverage during this critical period remains low.
methodsWe conducted a randomised controlled experiment to test whether vouchers for free contraception, provided with and without behavioural 'nudges', could increase modern contraceptive use in the postpartum period. 686 pregnant women attending antenatal care in two private maternity hospitals in Nairobi, Kenya, were enrolled in the study. The primary outcomes were the use of modern contraceptive methods at nearly 3 months and 6 months after expected delivery date (EDD). We tested the impact of a standard voucher that could be redeemed for free modern contraception, a deadline voucher that expired 2 months after delivery and both types of vouchers with and without a short message service (SMS) reminder, relative to a control group that received no voucher and no SMS reminder.
resultsBy nearly 6 months after EDD, we find that the combination of the standard voucher with an SMS reminder increased the probability of reporting utilisation of a modern contraceptive method by 25 percentage points (pp) (95% CI 6 pp to 44 pp) compared with the control group. Estimated impacts in other treatment arms were not statistically significantly different from the control group.
conclusionsReducing financial barriers to postpartum contraception alone may not be enough to encourage take-up. Programmes targeting the postpartum period should consider addressing behavioural barriers to take-up.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.