PAFP Provider Feedback Trial in Nepal

NCT03071029 | Completed

• 1 other identifier: 001-16
• Study Type: interventional
• Target: 12,000
• Locations: 1 country
• Sites: 36

Brief Summary

A six-month RCT conducted within 36 health centres throughout urban and rural Nepal. The purpose of the RCT is to test the effectiveness of a peer comparison intervention at increasing uptake of long-acting reversible contraceptives (LARCs) as a percentage of PAFP uptake among clients who receive a safe abortion at a Marie Stopes International Nepal. The total sample size will be \~12,000 safe abortion clients. The primary outcome of interest is LARCs among safe abortion clients at Marie Stopes Centres in Nepal. The secondary outcome is to evaluate the impact of behaviorally designed intervention on the service providers' engagement in discussing measures to increase PAFP LARC uptake among women.

Conditions

Health Behavior

Keywords

family planning; reproductive health; abortion; health providers

Outcome Measures

Primary Outcomes (1)

• Long term reversible contraceptives uptake as a percentage of post-abortion family planning uptake among safe abortion clients within 2 weeks

  The study aims to observe a minimum 4% difference in PAFP LARC rates at two weeks post-abortion between intervention and control participants.

  2 weeks post-abortion

Secondary Outcomes (1)

• Types of family planning method used after safe abortion procedure

  2 weeks post abortion

Study Arms (2)

Intervention (receive data updates)

EXPERIMENTAL

Intervention clinics will receive a monthly poster that centres will receive which informs service providers of the PAFP LARC uptake rate at their centre. This is a step-wedged randomised controlled trial where all the clinics will eventually receive an intervention by the end of the study.

Behavioral: Monthly PAFP rates displayed at clinics.

Control (no data updates)

NO INTERVENTION

Service providers at these clinics will not receive monthly information on PAFP LARC rates.

Interventions

Monthly PAFP rates displayed at clinics. BEHAVIORAL

Providers will receive visual and text feedback on their centre's PAFP uptake rates as they compare to the uptake rates of other centres. The feedback will be delivered monthly in a physical paper format.

Intervention (receive data updates)

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All women over the age of 18 who receive safe abortion services at the 36 centres are eligible to participate in the study. Women will be opted in to the study.

You may not qualify if:

• Women \<18

Sponsors & Collaborators

• Marie Stopes International: lead
• Ideas42: collaborator

Study Sites (36)

Marie Stopes Chuchchepati

Kathmandu, Bagati, Nepal

Location

Marie Stopes Gongabu

Kathmandu, Bagati, Nepal

Location

Marie Stopes Putalisadak

Kathmandu, Bagmati, Nepal

Location

Marie Stopes Satdobato

Kathmandu, Bagmati, Nepal

Location

Marie Stopes Banepa

Kavre, Bagmati, Nepal

Location

Marie Stopes Nuwakot

Nuwakot, Bagmati, Nepal

Location

Marie Stopes Kohalpur

Bānke, Bheri, Nepal

Location

Marie Stopes Surkhet

Surkhet, Bheri, Nepal

Location

Marie Stopes Parbat

Parbat, Dhaulagiri, Nepal

Location

Marie Stopes Gorkha

Gorkha, Gandaki, Nepal

Location

Marie Stopes Pokhara

Kāski̇̄, Gandaki, Nepal

Location

Marie Stopes Dumre

Tanahun, Gandaki, Nepal

Location

Marie Stopes Janakpur

Dhanusa, Janakpur, Nepal

Location

Marie Stopes Bardibas

Mahottari, Janakpur, Nepal

Location

Marie Stopes Lalbandi

Sarlahi, Janakpur, Nepal

Location

Marie Stopes Jumla

Jumla, Karnali, Nepal

Location

Marie Stopes Hile

Dhankutā, Koshi, Nepal

Location

Marie Stopes Biratnagar

Morang, Koshi, Nepal

Location

Marie Stopes Itahari

Sunsari, Koshi, Nepal

Location

Marie stopes Arghakhachi

Arghakhachi, Lumbini, Nepal

Location

Marie Stopes Gulmi

Gulmi, Lumbini, Nepal

Location

Marie Stopes Chandrauta

Kapilbastu, Lumbini, Nepal

Location

Marie Stopes Taulihawa

Kapilbastu, Lumbini, Nepal

Location

Marie Stopes Bhairahawa

Lumbini, Lumbini, Nepal

Location

Marie Stopes Butwal

Lumbini, Lumbini, Nepal

Location

Marie Stopes Bardghat

Nawalparasi, Lumbini, Nepal

Location

Marie Stopes Dadheldhura

Dadheldhura, Mahakali, Nepal

Location

Marie Stopes Ilam

Ilām, Mechi, Nepal

Location

Marie Stopes Birtamod

Jhapa, Mechi, Nepal

Location

Marie Stopes Narayanghat

Chitwan, Narayani, Nepal

Location

Marie Stopes Hetauda

Makwanpur, Narayani, Nepal

Location

Marie Stopes Birgunj

Parsa, Narayani, Nepal

Location

Marie Stopes Dang

Dāng, Rapti, Nepal

Location

Marie Stopes Pyuthan

Pyūthān, Rapti, Nepal

Location

Marie Stopes Lahan

Siraha, Sagarmatha, Nepal

Location

Marie Stopes Attariya clinic

Kailāli̇̄, Seti, Nepal

Location

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Saugato Datta

  Ideas42

  PRINCIPAL INVESTIGATOR

• Karina Lorenzana

  Ideas42

  PRINCIPAL INVESTIGATOR

• Pragya Gartoulla, PhD

  Marie Stopes Nepal

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Scientific Advisor

Study Record Dates

• First Submitted: March 1, 2017
• First Posted: March 6, 2017
• Study Start: July 1, 2016
• Primary Completion: February 1, 2017
• Study Completion: February 1, 2017
• Last Updated: May 9, 2017

Record last verified: 2017-05

Locations

NE (36)