[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100641418":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":25,"locations":34,"responsibleParty":57,"collaborators":18,"id":59,"slug":60,"hasResults":61,"nctId":62,"briefTitle":63,"officialTitle":64,"acronym":65,"eligibilityCriteria":66,"healthyVolunteers":61,"sex":67,"minAge":68,"maxAge":69,"enrollmentInfo":70,"targetDuration":18,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":18,"overallStatus":80,"whyStopped":18,"lastUpdateSubmitDate":81,"lastUpdatePostDateStruct":82,"startDateStruct":85,"completionDateStruct":87,"leadSponsor":89,"locationsCount":90},{"fullName":5,"class":6},"Eastern Mediterranean Public Health Network","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"MARIA Integrated Family Planning and Mental Health Intervention","EXPERIMENTAL","Primary healthcare centers randomized to the intervention arm, where the MARIA package is delivered: mental health screening using the Edinburgh Postnatal Depression Scale, stepped-care psychosocial support (Protocols P1-P4), integrated family planning counseling, community health worker follow-up, and supportive supervision of primary healthcare providers.",[13],"Behavioral: MARIA Integrated Maternal Mental Health and Family Planning Package",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard Care (Control)","NO_INTERVENTION","Primary healthcare centers randomized to the control arm, where women receive routine primary health care services - standard immunization and child health visits - without any MARIA package components. No Edinburgh Postnatal Depression Scale screening, no structured psychosocial protocols, no MARIA provider training, and no community health worker outreach are delivered.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"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\n\n1. 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.\n2. Community health workers community outreach\n3. Provider training\n4. Supportive Supervision\n5. Communication\u002Feducational material (brochures, pamphlets, videos in waiting area)\n6. A project website and automated electronic Edinburgh Postnatal Depression Scale tool accessible via QR code for use by providers, community health workers, and women\n7. online learning courses on implementation research and leadership and management",[9],[26,31],{"name":27,"role":28,"phone":29,"phoneExt":18,"email":30},"Randa K. Saad, MD","CONTACT","+962781665060","rsaad@emphnet.net",{"name":32,"role":28,"phone":18,"phoneExt":18,"email":33},"Sara Abu Khudair","sabukhudair@emphnet.net",[35,46],{"facility":36,"status":18,"city":37,"state":38,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":18,"geoPoint":18,"contacts":42},"Alsheikh Hussein","Irbid","Amman Governorate","11181","Jordan","JO",[43],{"name":44,"role":28,"phone":45,"phoneExt":18,"email":30},"Randa Saad","962781665060",{"facility":47,"status":18,"city":48,"state":18,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Alkhaldieh","Al Mafraq",{"type":50,"coordinates":51},"Point",[52,53],36.20804,32.34289,{"lat":53,"lon":52},[56],{"name":44,"role":28,"phone":45,"phoneExt":18,"email":30},{"type":58,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR","100641418","mental-and-reproductive-health-integration-and-access-100641418",false,"NCT07659509","Mental and Reproductive Health Integration and Access","Integrating Family Planning and Mental Health Services Into Postnatal Care for Migrant, Refugee, and Underserved Jordanian Women","MARIA","Inclusion Criteria\n\n* Postpartum women aged 15-49 years\n* Attending selected primary healthcare centers for infant immunization or healthy child visits\n* Unmet family planning need: interested in using contraception but currently not doing so\n* Living in study villages (Mafraq or Al-Ghour)\n* Migrant, refugee, or underserved Jordanian women Exclusion Criteria\n* Currently using a modern contraceptive method\n* Unmarried women\n* Unable to provide informed consent\n* Planning to leave the study area within 7 months","FEMALE","15 Years","49 Years",{"count":71,"type":72},920,"ESTIMATED","INTERVENTIONAL",[75],"NA","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:\n\n1. Does the MARIA intervention increase the use of modern contraceptive methods among postnatal women compared to standard care?\n2. Does the MARIA intervention reduce the prevalence and severity of postpartum depression symptoms compared to standard care?\n\nResearchers 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.\n\nParticipants will:\n\n* Complete a 10-question mental health screening tool (Edinburgh Postnatal Depression Scale) at their routine immunization visit\n* Receive a brief educational session, psychosocial support, or a referral to specialist mental health services - depending on their screening result\n* Receive family planning counseling and information about contraceptive options during the same visit\n* Be followed up by a community health worker, as needed\n* Participate in three interviews - one in person at enrollment and two by telephone at 4 and 7 months after joining",[78,79],"Family Planning Services","Post Partum Depression","NOT_YET_RECRUITING","2026-06-16",{"date":83,"type":84},"2026-06-22","ACTUAL",{"date":86,"type":72},"2026-09",{"date":88,"type":72},"2027-10",{"name":5,"class":6},2]