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Mental and Reproductive Health Integration and Access

NCT07659509 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 920

Last updated 2026-06-22

No results posted yet for this study

Summary

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

Conditions

  • Family Planning Services
  • Post Partum Depression

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 3. Provider training 4. Supportive Supervision 5. Communication/educational material (brochures, pamphlets, videos in waiting area) 6. A project website and automated electronic Edinburgh Postnatal Depression Scale tool accessible via QR code for use by providers, community health workers, and women 7. online learning courses on implementation research and leadership and management

Sponsors & Collaborators

  • Eastern Mediterranean Public Health Network

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
15 Years
Max Age
49 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-09-30
Primary Completion
2027-06-30
Completion
2027-10-31

Countries

  • Jordan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07659509 on ClinicalTrials.gov