Costs, Efficiency and the Role of Management in HIV Prevention Interventions for Female Sex Workers in Nigeria

NCT03371914 | Terminated

• 1 other identifier: INSaludPublica
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This study seeks to measure the costs associated with HIV prevention service delivery to female sex workers (FSW) in Nigeria, as well as examine the relationship between management practices at the community-based organizations (CBOs) and costs. To complete these goals, the study will collect both retrospective and prospective data from CBOs and from centralized information from study partners (Society for Family Health, SFH). In the prospective section of the study, CBOs will be sampled and assigned to either treatment or control groups. Data collected at the CBOs will be aggregated by the CBO managers, and those in the treatment group will receive feedback on their performance on a monthly basis. Those in the treatment group will additionally receive a management training to guide their management practices. Researchers hypothesize that there will be improvements in management indicators and therefore decreases in costs at CBOs in the treatment group. Results will be disseminated to local, national, and international stakeholders.

Conditions

HIV/AIDS

Keywords

costing; behavioral intervention; management

Outcome Measures

Primary Outcomes (4)

• Change in cost per female sex worker reached by HIV education services

  This measures the total cost of HIV education provision, divided by the number of female sex workers (FSWs) reached by the service.

  Two years

• Change in cost per female sex worker tested

  This measures the total cost of HIV testing and counseling, divided by the number of FSWs tested.

  Two years

• Change in cost per female sex worker treated for STIs (sexually transmitted infections)

  This measures the total cost of STI treatment, divided by the number of FSWs treated for any STI.

  Two years

• Change in cost per female sex worker tested positive

  This measures the total cost of HIV testing and counseling, divided by the number of FSWs tested positive for HIV.

  Two years

Secondary Outcomes (4)

• Productivity of HIV education

  Two years

• Productivity of HIV testing

  Two years

• Productivity of STI treatment

  Two years

• Job satisfaction

  Two years

Study Arms (2)

Treatment: Management + data training

EXPERIMENTAL

The treatment group in the study will receive a 5-day training. The first two days of the training will consist of introducing the data collection tools and collecting baseline data. Days three through five of the training will consist of a variety of management topics. On a monthly basis, the treatment group will receive data visualizations that will compare their site's performance that month to pervious performance and to other sites in the study. Both treatment and control groups will collect information regarding input costs and number of services provided on a monthly basis.

Behavioral: Management training and data feedback

Control: data training only

NO INTERVENTION

The control group will receive only a 2-day training which will focus on data collection alone. Both treatment and control groups will collect information regarding input costs and number of services provided on a monthly basis.

Interventions

Management training and data feedback BEHAVIORAL

The management training will consist of a variety of management topics, such as financial, workplace and staff management. The training will include a number of tools that the managers will be expected to bring back with them and use regularly at their site. There will be monthly refresher trainings for the managers via an online platform, where participants will interact about the topics covered in the training and others relevant to their work as managers. Participants will also receive monthly visualizations that compare the data that they enter via tablet monthly to both (1) their baseline data, and (2) to other sites' data. Outcomes that will be measured and reported back to sites include cost per client tested, number of condoms distributed, and number of FSW reached by educational interventions.

Treatment: Management + data training

Eligibility Criteria

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

You may qualify if:

• Clusters: community-based organizations that serve female sex workers under Society for Family Health, through the SHIPs or Global Fund grants
• Participants: managers ("officers") that oversee the functions of the organization and supervise volunteer staff

You may not qualify if:

• Clusters: excludes organizations not serving female sex workers and not working under Society for Family Health, through Global Fund or SHIPs grants
• Participants: excludes anyone not explicitly working as a manager overseeing volunteer implementation

Sponsors & Collaborators

• Instituto Nacional de Salud Publica, Mexico: lead
• Society For Family Health (SFH): collaborator
• National Agency for the Control of AIDS (NACA): collaborator

Study Sites (1)

Society for Family Health, Headquarters

Abuja, Nigeria

Location

Related Publications (1)

• Bautista-Arredondo S, Nance N, Salas-Ortiz A, Akeju D, Oluwayinka AG, Ezirim I, Anenih J, Chima C, Amanze O, Omoregie G, Ogungbemi K, Aliyu SH. The role of management on costs and efficiency in HIV prevention interventions for female sex workers in Nigeria: a cluster-randomized control trial. Cost Eff Resour Alloc. 2018 Oct 23;16:37. doi: 10.1186/s12962-018-0107-x. eCollection 2018.

  PMID: 30386184 DERIVED

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome

Condition Hierarchy (Ancestors)

HIV Infections; Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Slow Virus Diseases; Genital Diseases; Urogenital Diseases; Immunologic Deficiency Syndromes; Immune System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Health Economics

Study Record Dates

• First Submitted: September 16, 2017
• First Posted: December 13, 2017
• Study Start: August 12, 2017
• Primary Completion: September 1, 2018
• Study Completion: December 1, 2019
• Last Updated: August 5, 2020

Record last verified: 2020-08

Locations

NG (1)