A Study Comparing Implant Provision by Community Health Extension Workers With Nurses and Midwives in Nigeria
Task-sharing to Expand Access to Contraceptive Implants: A Study Comparing Implant Provision by Community Health Extension Workers With Nurses and Midwives in Nigeria
1 other identifier
interventional
7,903
0 countries
N/A
Brief Summary
This proposed study, to be run by Marie Stopes International Organisation Nigeria (MSION) will investigate whether Community Health Extension Workers (CHEWs) in Nigeria can insert and remove contraceptive implants to the same level of safety and quality as a nurse or midwife, and whether this is acceptable to their clients and colleagues. The study will also document feasibility issues which would be relevant to any future national programmatic scale-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2016
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, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2016
CompletedFirst Submitted
Initial submission to the registry
March 10, 2017
CompletedFirst Posted
Study publicly available on registry
March 23, 2017
CompletedMarch 23, 2017
March 1, 2017
11 months
March 10, 2017
March 17, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adverse events
Any adverse event recorded by the health provider or the client on the day of the procedure
Day of implant insertion
Secondary Outcomes (3)
Quality of implant provision
Day of implant insertion
Acceptability of service provision
Day of implant insertion
Adverse events
Up to 14 days post insertion
Study Arms (2)
Community health extension workers
EXPERIMENTALCommunity health extension workers providing contraceptive implants
Nurses and midwives
NO INTERVENTIONNurses and midwives providing contraceptive implants (existing care)
Interventions
Training CHEWs to provide contraceptive implants
Eligibility Criteria
You may qualify if:
- facilities are located with 20km of a referral facility
- facilities - facility staff are willing to participate, e.g. willingness to conduct family planning awareness-raising activities, willing to maintain project records
- facilities - selected provider at each facility expects to be in the facility for the 12-month period of client recruitment
- clients - women present to attending facilities and request a contraceptive implant
You may not qualify if:
- facilities - involved in overlapping interventions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Marie Stopes Internationallead
- Population Councilcollaborator
- GRM Futures Groupcollaborator
Related Publications (1)
Reiss K, Penfold S, Alabi O, Ali M, Hopkins K, Ngo TD, Odogwu K, Douthwaite M, Ezire O, Udoh U, Effiom E, Munroe ES. Safety, Quality, and Acceptability of Contraceptive Subdermal Implant Provision by Community Health Extension Workers Versus Nurses and Midwives in Nigeria: Protocol for a Quasi-Experimental, Noninferiority Study. JMIR Res Protoc. 2018 Mar 2;7(3):e67. doi: 10.2196/resprot.8721.
PMID: 29500162DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 10, 2017
First Posted
March 23, 2017
Study Start
January 1, 2016
Primary Completion
November 30, 2016
Study Completion
November 30, 2016
Last Updated
March 23, 2017
Record last verified: 2017-03