Cluster Randomized Controlled Trial of the Mittin Intervention in Addis Ababa, Ethiopia
The goal of this clinical trial is to learn if the Mittin intervention can improve women's ability to manage their fertility in line with their preferences among women aged 15-49 using hormonal contraceptives or intrauterine devices and attending public health centers in Addis Ababa, Ethiopia. The main question it aims to answer is: Does the Mittin intervention increase preference-aligned fertility management, contraceptive method satisfaction, and preferred contraceptive method use among participants compared to standard care? Researchers will compare women's outcomes in health centers providing the Mittin intervention to women's outcomes in health centers that offer standard care to see if Mittin improves women's ability to act in line with their contraceptive preferences. Participants will * Receive either standard contraception services (control arm) or enhanced services (intervention arm) * Participate in a survey at the beginning of the study * Participate in surveys 4 and 8 months later
• Woman
• Started or continued using hormonal contraceptive method or copper IUD on day of recruitment
• Ages 15-49 years
• Willing to provide phone number and receive follow-up phone call