Momentum was an integrated FP and maternal and newborn health project. The project sought to increase contraceptive uptake and the adoption of health-seeking behaviors and household practices beneficial to mother and baby, and foster gender-equitable attitudes and behaviors among FTMs age 15–24 years and their male partners in Kinshasa, DRC. The study design was quasi-experimental, with three intervention and three comparison health zones. FTMs were recruited through convenience sampling at high-volume maternal health facilities and community sites and were followed up for 16 months. Enrollment criteria were: (a) six-months pregnant with the first child; (b) willing and mentally competent to provide informed consent; (c) ability to speak French or Lingala; and (d) residence in the intervention or comparison health zones. A total of 1,927 FTMs were completely interviewed in both surveys, of whom 761 were currently using a modern contraceptive.
In intervention health zones, trained nursing students conducted monthly group education sessions and home visits that included client-centered counseling on postpartum FP and birth spacing, offered a range of contraceptive methods (Implanon NXT, Sayana® Press, progestin-only pills, combined oral contraceptive pills, male condoms, emergency contraception, and Cycle Beads), and provided referrals. Group education sessions were based on Program M (21 ), a curriculum that focuses on equitable gender roles, empowerment in interpersonal relationships, and sexual and reproductive health and rights. Each FTM was assigned a dedicated pair of trained nursing students (one male and one female) who conducted monthly home visits in the prenatal and postnatal periods.
Data were collected through face-to-face interviews conducted by trained data collectors at baseline (September to November 2019) and endline (May to July 2020). Pretested questionnaires were used to gather data on the following FP-related topics: background characteristics; knowledge of, attitudes toward, and use of contraceptive methods, perceived norms, informed choice, decision making about contraceptive use, method satisfaction, and exposure to Momentum interventions. Questionnaires were administered using Open Data Kit software and Android smartphones.
In intervention health zones, trained nursing students conducted monthly group education sessions and home visits that included client-centered counseling on postpartum FP and birth spacing, offered a range of contraceptive methods (Implanon NXT, Sayana® Press, progestin-only pills, combined oral contraceptive pills, male condoms, emergency contraception, and Cycle Beads), and provided referrals. Group education sessions were based on Program M (21 ), a curriculum that focuses on equitable gender roles, empowerment in interpersonal relationships, and sexual and reproductive health and rights. Each FTM was assigned a dedicated pair of trained nursing students (one male and one female) who conducted monthly home visits in the prenatal and postnatal periods.
Data were collected through face-to-face interviews conducted by trained data collectors at baseline (September to November 2019) and endline (May to July 2020). Pretested questionnaires were used to gather data on the following FP-related topics: background characteristics; knowledge of, attitudes toward, and use of contraceptive methods, perceived norms, informed choice, decision making about contraceptive use, method satisfaction, and exposure to Momentum interventions. Questionnaires were administered using Open Data Kit software and Android smartphones.
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