Measuring Ethnic Disparities in Family Planning Services in Peru

NCT01885858 | Completed

• 2 other identifiers: UPCH-IADB 2012-201359922
• Study Type: interventional
• Target: 351
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study is designed as a crossover randomized controlled trial, to investigate the effects of client's ethnic characteristics on the quality of family planning services.

Conditions

Quality of Health Care

Keywords

health services research; family planning; ethnicity; healthcare disparities

Outcome Measures

Primary Outcomes (1)

• Mean differences between ethnic profiles in the proportion of items on which providers exchanged information with simulated patients during counseling session

  within the first 30 minutes after counseling session

Secondary Outcomes (4)

• Mean differences between ethnic profiles in the proportion of items on which providers complied with standards of interpersonal relations during counseling session

  Within the first 30 minutes after counseling session

• Mean differences between ethnic profiles in the length counseling session

  Within the first 30 minutes after counseling session

• Mean differences between ethnic profiles in the length of visit to the clinic

  Within the first 30 minutes after counseling session

• Mean differences between ethnic profiles in costs of appointment for counseling session

  Within the first 30 minutes after counseling session

Study Arms (2)

Sequence 1

OTHER

Clinics receive first the indigenous and then the mestizo profile.

Behavioral: Indigenous profile; Behavioral: Mestizo profile

Sequence 2

OTHER

Clinics receive first the mestizo and then the indigenous profile.

Behavioral: Indigenous profile; Behavioral: Mestizo profile

Interventions

Indigenous profile BEHAVIORAL

Clinics receive simulated patients (SPs) enacting the indigenous profile, and interpreting a standardized script with a biographical and clinical background. The indigenous SP wears a lliclla (a traditional woven cloth that covers the back and shoulders), long braids, a woven cardigan and loose pants; she uses no make-up and, her patterns of speech are slower and her posture and movement more rigid than the mestizo SP. The script indicates that SPs do not want to have any more children and that her choice of method is the pill.

Sequence 1; Sequence 2

Mestizo profile BEHAVIORAL

Clinics receive simulated patients (SPs) enacting the mestizo profile, and interpreting a standardized script with a biographical and clinical background. The mestizo SP does not wear a lliclla (a traditional woven cloth that covers the back and shoulders) or long braids, but a pony tail or loose hair; she wears make-up and, a vest made of polar fleece, tight pants and culturally salient accessories; her patterns of speech are faster and her posture and movement less rigid than the indigenous SP. The script indicates that SPs do not want to have any more children and that her choice of method is the pill.

Sequence 1; Sequence 2

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinic operated by the Ministry of Health
• Clinic must provide family planning services

You may not qualify if:

• Primary health clinics with the lowest degree of specialization (categorized as I-1) and thus lacking the number of patients required to enable the simulated patient to pass through the facilities undetected.

Sponsors & Collaborators

• Universidad Peruana Cayetano Heredia: lead
• Inter-American Development Bank: collaborator

Study Officials

• Patricia J Garcia, PhD

  Universidad Peruana Cayetano Heredia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhDc

Study Record Dates

• First Submitted: June 15, 2013
• First Posted: June 25, 2013
• Study Start: September 1, 2012
• Primary Completion: November 1, 2012
• Study Completion: October 1, 2013
• Last Updated: November 13, 2013

Record last verified: 2013-11