Evaluation of Dynamics of Contraceptive Use, Discontinuation and Method Switching in Migori and Kitui Counties, Kenya

NCT03973593 | Completed

• 1 other identifier: 00009062
• Study Type: observational
• Target: 1,016
• Locations: 1 country
• Sites: 2

Brief Summary

Kenya has made tremendous strides in improving contraceptive prevalence rate for the last 20 years, however the rate of contraceptive discontinuation as remained almost constant at 1 out of 3 women using a family planning method. Contraceptive discontinuation increases unmet need of family planning. Hence understanding the underlying reasons for discontinuation helps in designing programs that improve method satisfaction. The primary goal of the study is to understand the factors leading to contraceptive discontinuation and switching among women of reproductive age (15 - 49 years) in Migori and Kitui counties, Kenya. The secondary goal is to assess whether a client-centered intervention focusing on contraceptive counseling can reduce modern contraceptive discontinuation and increase client satisfaction with use of modern contraceptive methods among women of reproductive age in the two counties. The specific objectives are to:

1. 1.To assess the quality of family planning services offered in health facilities in Migori and Kitui counties, Kenya
2. 2.To explore describe barriers and facilitators of modern contraceptive discontinuation and method switch among women of reproductive age in Migori and Kitui counties.
3. 3.To assess the client-centered intervention focusing on contraceptive counseling in reducing contraceptive discontinuation among women of reproductive age in Migori and Kitui counties, Kenya

Conditions

Family Planning; Contraception

Outcome Measures

Primary Outcomes (1)

• Contraceptive discontinuation rate among FP users

  The rate of contraceptive discontinuation among the prospective cohort FP users. Discontinuation will be of the baseline contraceptive method that the woman has initiated.

  up to 12 months

Secondary Outcomes (1)

• Proportion of women reporting satisfaction with the quality of FP services offered at baseline

  12 months

Interventions

Enhancing contraceptive counseling on method continuation and switching BEHAVIORAL

Health care workers and Community Health Volunteers will be trained on a contraceptive counseling package that enhances information on method continuation and switching. This will be done in the ten intervention facilities prior to enrollment of clients into the cohort study.

Eligibility Criteria

• Age: 15 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Women of reproductive age 15-49 years receiving a contraceptive method in the intervention facilities as new users to either the method or family planning

You may qualify if:

• Women of reproductive age (15-49 years) taking up a contraceptive method in the participating study facilities during the study enrollment period
• A resident of the selected study region
• Has access to a phone that they control for follow-up
• Willing to be followed up to a period of 24 months after enrollment; four contacts.

You may not qualify if:

• Women of reproductive age taking up a condom as their primary FP method, sterilization or an emergency contraceptive method
• Participants not willing to consent
• No access to phone

Sponsors & Collaborators

• Jhpiego: lead
• United States Agency for International Development (USAID): collaborator

Study Sites (2)

Kitui County Health facilities

Kitui, Kenya

Location

Migori County facilities

Migori, Kenya

Location

Related Publications (1)

• Ontiri S, Mutea L, Muganda M, Mutanda P, Ajema C, Okoth S, Orero S, Odhiambo R, Biesma R, Stekelenburg J, Kabue M. Protocol for a prospective mixed-methods longitudinal study to evaluate the dynamics of contraceptive use, discontinuation, and switching in Kenya. Reprod Health. 2019 Sep 5;16(1):134. doi: 10.1186/s12978-019-0797-3.

  PMID: 31488170 DERIVED

Study Officials

• Gathari Ndirangu, ObGyn

  Jhpiego

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 27, 2019
• First Posted: June 4, 2019
• Study Start: November 1, 2019
• Primary Completion: June 30, 2021
• Study Completion: June 30, 2021
• Last Updated: October 19, 2021

Record last verified: 2021-10

Locations

KE (2)