Evaluation of a Peer Education Program to Promote Family Planning Among Female Sex Workers in Kenya

NCT01957813 | Completed

• 1 other identifier: 10285
• Study Type: interventional
• Target: 719
• Locations: 1 country
• Sites: 2

Brief Summary

-Purpose: To develop and evaluate an intervention designed to improve consistent contraceptive use and dual method use in particular, among female sex workers (FSWs) in Rift Valley Province in Kenya. Design: A qualitative descriptive study will be conducted to develop the intervention. A quasi-experimental, non-randomized, two-group, pre-/post-intervention design will be used to evaluate the intervention. Study Population: FSWs living in Naivasha, Gilgil, and Nanyuki, Rift Valley Province. Study Duration: Phase I - 3 months Phase II - 12 months Objectives: Develop an intervention designed to increase contraceptive use among FSWs by incorporating formative data and behavioral theory and by involving the target audience and service providers in the development of the intervention. Examine the effectiveness of the intervention at increasing non-barrier modern contraceptive use and dual method use among FSWs. Assess the feasibility and acceptability of the intervention, on the parts of both the clients (FSW) and service providers. Estimate the unit cost to provide these services to one client. Study Site: Rift Valley Province, Kenya

Conditions

Contraception

Keywords

APHIA AIDS, Population and Health Integrated Assistance; DIC Drop-in center; DMPA depot medroxyprogesterone acetate; DRH Division of Reproductive Health; FAIR Family AIDS Initiative Response; FHOK Family Health Options Kenya; FP Family planning; FGD Focus group discussion; FSW Female sex worker; GSKenya Gold Star Kenya; HTC HIV testing and counseling; HIV Human Immunodeficiency Virus; KNASP Kenya National AIDS Strategic Plan; MARPS Most at-risk populations; MoPHS Ministry of Public Health and Sanitation; MMS Ministry of Medical Services; NASCOP National AIDS and STI Control Program; RH Reproductive health; SRH Sexual and reproductive health; STI Sexually transmitted infection; USAID United States Agency for International Development

Outcome Measures

Primary Outcomes (1)

• Dual Method Contraceptive Use

  Dual method use is the use of a non-condom modern method in the past month plus reported use of a condom (male or female) at last sex with both paying and non-paying partner (if applicable).

  6 months

Secondary Outcomes (3)

• Acceptability and Feasibility among providers

  6 months

• Acceptability and feasibility of intervention among Clients

  6 months

• Acceptability and feasibility of Intervention among Peer Educators (PE)

  6 months

Study Arms (2)

Standard Health Services

OTHER

Service currently being provided to FSW in Naivasha include peer education and health services delivered through a drop-in center (DIC) staff by a counselor and a nurse. For peer education, there are six modules that the peer educators walk all peers through with sessions being held once a week.

Other: Standard Health Services

LifeStyle Counseling

EXPERIMENTAL

A package of enhancements to the current package of services delivered to FSW will be implemented and evaluated.

Behavioral: Lifestyle Counseling

Interventions

Lifestyle Counseling BEHAVIORAL

Peer educators will be trained using existing materials to deliver accurate messaging on FP/dual method use, during individual encounters and in group sessions. Screening for unmet FP need in DICs Providing job aids to FP counselors Expanding FP methods with intra-uterine contraceptive devices (IUCD) and implants Time change in DIC hours of operation

LifeStyle Counseling

Standard Health Services OTHER

Peer education and health services

Standard Health Services

Eligibility Criteria

• Age: 16 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Self-identifies as a FSW. For the purposes of this study, a FSW is defined as a woman who is sexually active and reports receiving money or goods in exchange for sex in the last 6 months as part of her source of income/livelihood.
• Is between the ages of 16 and 49 years
• Provides oral informed consent

Sponsors & Collaborators

• FHI 360: lead
• Gold Star Kenya (GSKenya): collaborator

Study Sites (2)

APHIA Plus HIV Prevention Drop-in Centers

Naivasha, Rift Valley Province, Kenya

Location

APHIA Plus HIV Prevention Drop-in Centers

Nanyuki, Rift Valley, Kenya

Location

Related Publications (1)

• Dulli L, Field S, Masaba R, Ndiritu J. Addressing broader reproductive health needs of female sex workers through integrated family planning/ HIV prevention services: A non-randomized trial of a health-services intervention designed to improve uptake of family planning services in Kenya. PLoS One. 2019 Jul 24;14(7):e0219813. doi: 10.1371/journal.pone.0219813. eCollection 2019.

  PMID: 31339919 DERIVED

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome; Sexually Transmitted Diseases

Condition Hierarchy (Ancestors)

HIV Infections; Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Slow Virus Diseases; Genital Diseases; Urogenital Diseases; Immunologic Deficiency Syndromes; Immune System Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Lisa Dulli, PhD, MHS

  FHI 360

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 4, 2013
• First Posted: October 8, 2013
• Study Start: June 20, 2013
• Primary Completion: May 30, 2014
• Study Completion: May 30, 2014
• Last Updated: September 21, 2017

Record last verified: 2017-09

Data Sharing

• IPD Sharing: Will not share

Locations

KE (2)