Male Engagement in PMTCT Services
Promoting Constructive Male Engagement to Increase Use of Prevention of Mother to Child Transmission (PMTCT) Services
1 other identifier
interventional
3,806
1 country
7
Brief Summary
The study employs a quasi-experimental design in 8 public health centers in southwest Uganda offering care and treatment (C\&T) services. In 4 health centers, a basic intervention is introduced, whereby HIV/AIDS providers are trained on contraception for HIV-positive women. They are charged with counseling C\&T clients on FP; offering condoms, pills and injectables; and referring clients for other FP methods. In the other 4 health centers, the basic intervention is introduced along with an intervention for constructive male engagement in HIV and FP services. This includes training of C\&T providers on gender-based influences on health behaviors; provision of couples' HIV testing and FP counseling services; and community-based education for men to promote gender equitable norms and male participation in health services.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable hiv
Started Jan 2013
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 17, 2013
CompletedFirst Posted
Study publicly available on registry
July 19, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2014
CompletedJanuary 9, 2015
January 1, 2015
1.3 years
July 17, 2013
January 8, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To assess the effectiveness of an intervention aimed at constructively engaging men in FP decision making
Dual method use among couples with at least one partner using C\&T services
12 months
Secondary Outcomes (5)
To measure changes over time in uptake of Prong 3 PMTCT services, comparing facilities that are and are not exposed to the constructive male engagement intervention
6 months
To assess the effect of reinforcements introduced to enhance C&T providers' capacity to serve the FP needs of HIV-positive clients, as reflected in C&T clients' knowledge, attitudes, and behaviors related to FP.
12 months
To explore condom use dynamics and the factors favoring and discouraging consistent use by cohabiting couples
1 month
To evaluate men's knowledge and attitudes related to gender norms and FP and HIV services before and after participation in a 10-week community education and mobilization program.
10 months
To document the technical, human, and material resources required to implement the study interventions and to estimate the financial cost of implementation at scale.
12 months
Study Arms (2)
Clinic based intervention
ACTIVE COMPARATORbasic intervention is introduced, whereby HIV/AIDS providers are trained on contraception for HIV-positive women. They are charged with counseling C\&T clients on FP; offering condoms, pills and injectables; and referring clients for other FP methods
clinic and community based intervention
EXPERIMENTALThe basic intervention is introduced along with an intervention for constructive male engagement in HIV and FP services. This includes training of C\&T providers on gender-based influences on health behaviors; provision of couples' HIV testing and FP counseling services; and community-based education for men to promote gender equitable norms and male participation in health services.
Interventions
counseling C\&T clients on FP; offering condoms, pills and injectables; and referring clients for other FP methods
basic intervention is introduced along with an intervention for constructive male engagement in HIV and FP services
Eligibility Criteria
You may qualify if:
- female participants
- attending pre-ART and ART services;
- non-pregnant women;
- age 18 to 45;
- sexually active with any type of partner within the past 3 months.
- male participants
- attending pre-ART and ART services;
- age 18 to 60;
- sexually active within the past 3 months with partner, either co-habiting partner or steady, with partner aged 18 to 45 and is not pregnant.
You may not qualify if:
- For the post-intervention interviews, clients who initiated Care \& Treatment services in one of the intervention facilities less than 3 months prior will be excluded given insufficient exposure to the intervention.
- Clients unable to speak Runyankole, the dominant language in the region, will also be excluded
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- FHI 360lead
- Elizabeth Glaser Pediatric AIDS Foundationcollaborator
- Mbarara University of Science and Technologycollaborator
Study Sites (7)
Bukinda Health Center
Kabale, Uganda
Kamkira Health Center
Kabale, Uganda
Kamwezi Health Center
Kabale, Uganda
Maziba Health Center
Kabale, Uganda
Mparo Health Center
Kabale, Uganda
Muko Health Center
Kabale, Uganda
Rubaya Health Center
Kabale, Uganda
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Theresa Hoke, Ph.D., MPH
FHI 360
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 17, 2013
First Posted
July 19, 2013
Study Start
January 1, 2013
Primary Completion
May 1, 2014
Study Completion
August 1, 2014
Last Updated
January 9, 2015
Record last verified: 2015-01