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ClinicalTrials.gov ID

NCT07659509

Lead Sponsor

Eastern Mediterranean Public Health NetworkOTHER

Overall Status

Not yet recruiting

Study Type

Interventional

Phase

Not Applicable

Enrollment

920Estimated

Last Update Posted

Jun 22, 2026Actual

Start Date

Sep 2026Estimated

Primary Completion Date

Jun 2027Estimated

Completion Date

Oct 2027Estimated

Official Title

Integrating Family Planning and Mental Health Services Into Postnatal Care for Migrant, Refugee, and Underserved Jordanian Women

Brief 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

• Family Planning Services
• Post Partum Depression

• MARIA Integrated Maternal Mental Health and Family Planning Package

Ages Eligible for Study

Child (0-17)Adult (18-64)

Sexes Eligible for Study

Female

Accepts Healthy Volunteers

No

Eligibility Criteria

Inclusion Criteria

• Postpartum women aged 15-49 years
• Attending selected primary healthcare centers for infant immunization or healthy child visits
• Unmet family planning need: interested in using contraception but currently not doing so
• Living in study villages (Mafraq or Al-Ghour)
• Migrant, refugee, or underserved Jordanian women Exclusion Criteria
• Currently using a modern contraceptive method
• Unmarried women
• Unable to provide informed consent
• Planning to leave the study area within 7 months

Primary Purpose

Health Services Research

Allocation

Randomized

Interventional Model

Parallel Assignment

Masking

Double

Lead Sponsor

Eastern Mediterranean Public Health NetworkOTHER

rsaad@emphnet.net962781665060