SihatMand Khandaan Healthy Families for Pakistan

NCT06125470 | Active Not Recruiting

• 1 other identifier: 2020-3606-11051
• Study Type: interventional
• Target: 236,000
• Locations: 1 country
• Sites: 2

Brief Summary

The SMK project's primary goal is to improve the status of SRH of women and adolescents within those targeted areas which feature inadequate progress on existing SRH indicators. The focus remains on empowering increasingly marginalized and vulnerable populations to exercise their reproductive rights, free of coercion, discrimination and violence. This will be achieved through the implementation of evidence-based and socio-culturally sensitive FP/ SRH interventions within ten districts of Pakistan. The aim of this project is therefore to evaluate the impact of a package of community and facility-based interventions on improving the SRH/ FP of the targeted population. In order to achieves this, a quasi-experimental pre \& post evaluation intervention study with a formative phase, baseline assessment, intervention phase and finally an end-line assessment, consisting of both qualitative \& quantitative monitoring \& evaluation tools will be applied at the household, community, healthcare facility and district levels in all project areas. Furthermore, descriptive statistics will be tabulated on key indicators and stratified on selected variables. Means for continuous variables and proportion for categorical variables will be calculated at a 95% confidence interval within this study

Conditions

Contraception; Contraception Behavior; Reproductive Behavior; Maternal Behavior

Outcome Measures

Primary Outcomes (1)

• Contraceptive Prevalence Rate

  Contraceptive prevalence is the percentage of women who are currently using, or whose sexual partner is currently using, at least one method of contraception, regardless of the method used. It is usually reported for married or in-union women aged 15 to 49.

  over the period of 3 years

Secondary Outcomes (3)

• Unmeet need for Family planning

  over the period of 3 years

• Skilled birth rate

  over the period of 3 years

• Antenatal coverage

  over the period of 3 years

Study Arms (1)

Intervention areas

EXPERIMENTAL

Health facilities and other service delivery points including outreach health workers receiving FP supplies, trainings and renovations to create enabling environment at health and Family planning facilities Community engagement and creating creating adolescents friendly spaces roll out of Gender responsive strategies

Behavioral: Uptake of quality Reproductive health and Family planning products, information and Services; Behavioral: Capacity building of facility based and community based healthcare providers (public and private sector) on FP /SRH; Behavioral: Adolescent Engagement; Behavioral: Renovation and Refurbishment of selected healthcare facilities; Behavioral: Use of Data for Effective Decision-making; Behavioral: Procurement of FP/SRH medical supplies and equipment

Interventions

Uptake of quality Reproductive health and Family planning products, information and Services BEHAVIORAL

Strengthening capacity of health facilities and outreach to deliver quality reproductive and family planning services and address demand side barriers to the uptake of the services

Intervention areas

Capacity building of facility based and community based healthcare providers (public and private sector) on FP /SRH BEHAVIORAL

Training sessions on FP / SRH including FP Methods - LARC, PPIUD - Task Sharing \& Shifting for facility based healthcare providers at provincial level for Master Trainers with trickle down sessions at district level. Training on Sayana Press, ECP, Balance Counselling Strategy and Life Skills Based Education for community-based healthcare providers including LHWs at district level.

Intervention areas

Adolescent Engagement BEHAVIORAL

Identification of adolescent-friendly spaces through community based platforms including LHW health houses for girls and village health committees for boys with context-appropriate arrangements for LSBE and SRH counselling.

Intervention areas

Renovation and Refurbishment of selected healthcare facilities BEHAVIORAL

Identification and improvement/ renovation of public and private healthcare facilities to strengthen the quality, provision and delivery of FP/SRH services, especially counselling, to catchment population

Intervention areas

Use of Data for Effective Decision-making BEHAVIORAL

Improvement in data recording at the source level with reporting at existing platforms i.e. DHIS and LHW-MIS and use of this data for local decision making

Intervention areas

Procurement of FP/SRH medical supplies and equipment BEHAVIORAL

Provision of commodities / supplies for shortest-time possible in facilities having stock-outs

Intervention areas

Eligibility Criteria

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

You may qualify if:

• Married women of reproductive age living in the project areas

You may not qualify if:

• Not residing in the area for more than six months

Sponsors & Collaborators

• Aga Khan University: lead
• Global Affairs Canada: collaborator
• United Nations: collaborator

Study Sites (2)

Aga Khan University

Karachi, Sindh, 74800, Pakistan

Location

Aga Khan University

Karachi, Sindh, Pakistan

Location

MeSH Terms

Conditions

Contraception Behavior; Reproductive Behavior

Interventions

Private Sector; Equipment and Supplies

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Ownership; Organization and Administration; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Distinguished University Professor

Model Details: Strengthened technical capacity of healthcare workforce to provide quality gender-responsive SRH /FP services to women of reproductive age, youth and adolescents. . Increased availability of quality gender-responsive materials, equipment and appropriate infrastructure for FP/SRH Enhanced ability of district and provincial health authorities to maintain adequate and sustainable supplies of FP commodities Improved knowledge and attitudes regarding FP/SRH amongst male and female community members Enhanced ability of local community structures, institutions and leaders to identify and respond to gender and social barriers to utilization of FP/SRH services.

Study Record Dates

• First Submitted: August 31, 2021
• First Posted: November 9, 2023
• Study Start: April 1, 2021
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: July 31, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)