Pregnancy Testing in Northern Uganda
1 other identifier
interventional
1,033
1 country
1
Brief Summary
Given the high rate of delayed adoption of antenatal care (ANC), and high rates of unintended pregnancy and unsafe abortion in Uganda, research on the period of time before confirmation of pregnancy is critical to understand underlying beliefs that guide behaviors ultimately important for maternal and neonatal health (UDHS, 2011; Hussain, 2013). Home pregnancy tests - which now cost less than 10 cents each - have the potential to facilitate FP uptake and significantly improve reproductive, maternal and child health outcomes in sub-Saharan Africa, including Uganda. These tests are easy to administer, disposable, inexpensive, and have a low false positive rate. Yet, for women living in rural areas in sub-Saharan countries, these tests are typically unavailable outside of health centers or they are prohibitively expensive. This study will investigate women's underlying beliefs about pregnancy status and examine how providing access to home-based pregnancy tests - thus facilitating earlier resolution of uncertainty of pregnancy status - influences such beliefs and decisions to take up family planning (FP). The results will inform the design of a larger study in the future.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2019
1 active site
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
First Submitted
Initial submission to the registry
July 30, 2018
CompletedStudy Start
First participant enrolled
May 14, 2019
CompletedFirst Posted
Study publicly available on registry
June 5, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 10, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2020
CompletedNovember 13, 2019
January 1, 2019
4 months
July 30, 2018
November 12, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Binary measures for the family planning take up
Use of short-term modern family planning short-acting reversible methods. We will measure take up as binary variables.
1 month after baseline
Binary measure of purchase of pregnancy test kit by price
Binary measures for the purchase of pregnancy test kit after baseline. Demand for pregnancy test kit is computed by Take it or leave it (TIOLI) method.
1 month after baseline
Study Arms (6)
Free pregnancy tests at baseline but not for the future
EXPERIMENTALWe offer free pregnancy test service at baseline but the respondents do not have an opportunity to receive or buy a pregnancy test.
Free pregnancy tests at baseline and for the future
EXPERIMENTALWe offer free pregnancy test service at baseline and a free pregnancy test for future use.
Free pregnancy tests at baseline and future use (random price)
EXPERIMENTALWe offer free pregnancy test service at baseline and the respondents have an opportunity to buy a pregnancy test.
Control Group
NO INTERVENTIONControl group. No intervention is implemented.
Pregnancy test for the future use
EXPERIMENTALNo free pregnancy tests at baseline, but receive a free pregnancy test for the future.
Pregnancy test for the future with random price
EXPERIMENTALNo free pregnancy tests at baseline, but receive an opportunity to buy a pregnancy test for the future (ranodmized price).
Interventions
Among respondents who are randomly selected to receive a free home pregnancy test service, they will be offered the chance to take the test in the presence of the enumerator. Specifically, this would mean they would be given a cup to collect a sample of urine. The respondent would do so privately, then bring the cup back to the enumerator who would dip the home pregnancy tests and assist with interpreting the result. However, respondents can decline to take the test with the enumerator. Treatment assignment will be stratified by whether respondent use modern family planning at baseline.
We will provide a free pregnancy test in for the future use.
We will provide an opportunity to buy a pregnancy test for the future use with randomized price.
Eligibility Criteria
You may qualify if:
- Between the ages of 18-35
- Live in the catchment area
- Sexually Active
You may not qualify if:
- Currently, pregnant women or women who recently gave birth (within 6 weeks of interview)
- Already using long-term family planning methods (IUD, implant, sterilization)
- End Survey if
- Women in menopause
- Women with sterilization
- Women with husband/partner with sterilization
- Women with long-term family planning methods (IUD and implant)
- Women who do not understand what menstrual period is
- Women who is currently pregnant or who recently gave a birth (within 6 weeks of interview)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ichuli Institute
Kampala, Uganda
Related Publications (2)
Kamei A, Sato R, Thornton R. Factors associated with knowledge and use of home pregnancy test kits in Uganda. PLOS Glob Public Health. 2023 Jul 13;3(7):e0002165. doi: 10.1371/journal.pgph.0002165. eCollection 2023.
PMID: 37440465DERIVEDKamei A, Sato R, Thornton R. Effect of pregnancy tests on demand for family planning: evidence from a randomized controlled trial in Uganda. Reprod Health. 2021 Nov 15;18(1):231. doi: 10.1186/s12978-021-01279-5.
PMID: 34781969DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rebecca Thornton, Ph.D.
University of Illinois at Urbana-Champaign
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 30, 2018
First Posted
June 5, 2019
Study Start
May 14, 2019
Primary Completion
September 10, 2019
Study Completion
December 31, 2020
Last Updated
November 13, 2019
Record last verified: 2019-01
Data Sharing
- IPD Sharing
- Will not share