Testing a multi-level family planning program called Family Health = Family Wealth

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a cluster randomized trial comparing a multi-level, community-based family planning program (FH=FW) to a water, sanitation, and hygiene (WASH) intervention among couples in selected Ugandan communities. The FH=FW arm receives six group sessions of transformative community dialogues plus links to facility-based family planning and health system strengthening activities, while control communities receive the WASH intervention. Primary outcomes include unintended pregnancy, contraceptive uptake, and contraceptive discontinuation measured over 24 months, with parallel assessment of implementation factors. Clusters (communities) are randomized, and couples are followed longitudinally to measure behavioral and service-use changes.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Women aged 18 (or emancipated minors - those 15-17 who are married and/or have children) to 49 and men aged 18 (or emancipated minors age 15-17) to 54. The upper age limits follow those used by the Demographic and Health Surveys (DHS) to define "reproductive age."
* Married or considers themselves married and living together most of the time
* Residing in communities selected for study inclusion
* Luganda speaking
* Sexually active with spouse within the past 3 months or planning to resume sex within the next 3 months if the woman is within 2 months postpartum
* Not currently pregnant (confirmed via pregnancy test); can be eligible to enroll later once postpartum
* The woman has an unmet need for family planning, i.e., the woman reports not wanting to become pregnant within the next 2 years but is not using any effective methods (IUD, injection, oral pill, implant, vasectomy, tubal ligation, condoms 90% of the time or more) or is using only lower-efficacy methods (condoms less than 90% of the time, lactational amenorrhea, fertility-awareness based methods e.g., counting method, withdrawal).

Exclusion Criteria:

* At least one person in the couple does not expect to be available for all sessions
* The woman or man is not able to reproduce due to a known medical reason (e.g., hysterectomy, as told by a doctor) or last period greater than 6 months for women that are not postpartum.

Where it's running

• Makerere School of Public Health
  Kampala, Uganda Recruiting

Study contacts

• Study coordinator: Katelyn M Sileo, PhD, MPH
• Email: sileoka@bc.edu
• Phone: 860-977-8447

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• How AMH testing and AI counseling might help women plan family and ease fertility worries

  This study tests whether AMH blood testing plus AI-guided counseling or traditional education can improve fertility understanding and reduce anxiety among women aged 25–38 in Hong Kong.

  Recruiting City University of Hong Kong · Hong Kong, Kowloon · NCT07894302

• Family-building support for young women after cancer

  This pilot tests whether a nurse-delivered four-session videoconference program helps young female cancer survivors make informed, values-based decisions about having children.

  Recruiting Duke University · Durham, North Carolina · NCT07471685

• Changing the Script multimedia program to support family planning in Nigeria

  This project will test whether the Changing the Script multimedia program helps women aged 15–44 and their partners in Kano, Kaduna, and Nasarawa make and act on family planning decisions.

  Recruiting at 3 sites University of California, San Diego · Kaduna and 2 other locations · NCT07527364

• Self-Efficacy and Knowledge program to improve sexual and reproductive health and wellbeing for young Syrian refugee women in Lebanon

  This project will test a low-intensity program combining sexual and reproductive health education and psychosocial support to see if it increases family planning use and wellbeing among married Syrian refugee girls and young women aged 15–24 in the Beqaa, Lebanon.

  Recruiting American University of Beirut Medical Center · Beirut · NCT07008950

• Tracking weight loss to improve cancer detection

  This study is testing if tracking weight loss in people aged 40 to 80 can help catch cancer earlier using a new blood test.

  Recruiting Case Comprehensive Cancer Center · Cleveland, Ohio · NCT05481697

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.