Study Stopped
The study was stopped prematurely due to the COVID-19 pandemic
Developing and Testing Interventions to Address Conscientious Objection to Abortion Care in Mexico and South Africa
1 other identifier
interventional
317
2 countries
2
Brief Summary
The primary purpose of this research is to develop strategies and interventions to mitigate the impact of conscientious objection on women's access to safe abortion care in Mexico and South Africa using a user-centered design approach and test the feasibility and effectiveness of these interventions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2020
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 13, 2020
CompletedFirst Submitted
Initial submission to the registry
February 27, 2020
CompletedFirst Posted
Study publicly available on registry
March 2, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 17, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2020
CompletedJuly 29, 2020
July 1, 2020
1 month
February 27, 2020
July 27, 2020
Conditions
Outcome Measures
Primary Outcomes (3)
Behavior making it easier for women to access abortion care
Proportion of health facility staff exhibiting at least one behavior to make it easier for women to access abortion care (e.g. helped a woman find the abortion care unit, provided positive support to a woman seeking abortion care, gave accurate information to a woman seeking abortion care, etc.).
Past 30 days
Behavior making it more difficult for women to access abortion care
Proportion of health facility staff exhibiting at least one behavior to make it more difficult for women to access abortion care (e.g. gave incorrect directions to a woman seeking abortion care, told a woman abortion services were not available at the facility, tried to convince a woman that she should not have an abortion, etc.).
Past 30 days
Intention to provide abortion service, referral, or information
Proportion of health facility staff reporting they would provide abortion service, referral or information to women seeking abortion care in their health unit in the next few days if needed.
Next few days
Secondary Outcomes (2)
Interest in attending an abortion care training
Assessed at baseline and at 30-day follow-up
Stigmatizing Attitudes Beliefs and Actions Scale (SABAS) score
Assessed at baseline and at 30-day follow-up
Study Arms (2)
CO intervention
EXPERIMENTALSouth Africa: All health facility staff working in facilities assigned to the intervention arm receive standard Ipas support (including monitoring of abortion service provision and support to Ipas-trained abortion providers) plus the CO intervention. Mexico: Doctors/anyone eligible to be an abortion provider working in facilities assigned to the intervention arm receive the CO intervention.
Control
NO INTERVENTIONSouth Africa: All health facility staff working in facilities assigned to the control arm receive standard Ipas support (including monitoring of abortion service provision and support to Ipas-trained abortion providers). Mexico: No intervention
Interventions
South Africa: Values clarification and attitude transformation (VCAT) workshop with conscientious objection content, debrief session(s) with termination of pregnancy (TOP) providers to give them an opportunity to share concerns/challenges, meeting(s) with facility mangers to facilitate continued support and provision of TOP care Mexico: Training on abortion and conscientious objection law, posters on law, offer of legal assistance for abortion providers, scholarship to attend conference awarded on basis of quality of abortion care
Eligibility Criteria
You may qualify if:
- All staff currently working in selected health facilities
- Able to provide informed consent
You may not qualify if:
- Unable to provide informed consent
- Mexico
- Doctors/anyone eligible to be an abortion provider working in selected health facilities
- Able to provide informed consent
- Unable to provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ipaslead
Study Sites (2)
Ipas Central America and Mexico
Mexico City, Mexico
Ipas South Africa
Johannesburg, South Africa
Related Publications (1)
Jim A, Magwentshu M, Menzel J, Kung SA, August SA, van Rooyen J, Chingwende R, Pearson E. Stigma towards women requesting abortion and association with health facility staff facilitation and obstruction of abortion care in South Africa. Front Glob Womens Health. 2023 Jun 15;4:1142638. doi: 10.3389/fgwh.2023.1142638. eCollection 2023.
PMID: 37396569DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Erin Pearson, PhD, MPH
Ipas
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 27, 2020
First Posted
March 2, 2020
Study Start
February 13, 2020
Primary Completion
March 17, 2020
Study Completion
June 30, 2020
Last Updated
July 29, 2020
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share