Counseling on Injectable Contraception and HIV Risk in Tanzania

Completed

• Conditions: Contraception

• Registration Number: NCT04160169
• Lead Sponsor: University of North Carolina, Chapel Hill

Brief Summary

The main objective of the evaluation was to assess the effect of providing injectable and HIV risk counseling messages on contraceptive knowledge and behavior during a three month pilot intervention in ten healthcare facilities in Tanzania.

Detailed Description

The evaluation assessed the effect of providing injectable and HIV risk counseling messages on contraceptive knowledge and uptake during a three month pilot intervention. The intervention was conducted September-November 2018 in ten healthcare facilities located in the Iringa and Njombe regions of Tanzania. Data collection for the evaluation occurred November-December 2018 and included 471 client exit interviews, 26 healthcare provider interviews, and the extraction of monthly aggregate service statistics for 12 months prior to the intervention and three months of the intervention. Univariate and bivariate analyses were used to assess quantitative interview data. Thematic qualitative assessment was used to assess qualitative interview data from healthcare providers. Interrupted time series analysis was used to assess changes in the trend of monthly contraceptive uptake.

Study Timeline

• Study Start: 2018-09-01
• Primary Completion: 2018-11-30
• Study Completion: 2018-11-30
• Status Verified: 2019-11
• Study First Submitted: 2019-11-07
• Study First Submitted QC: 2019-11-08
• Last Update Submitted: 2019-11-08
• Study First Posted: 2019-11-12
• Last Update Posted: 2019-11-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 10

Inclusion Criteria

• Expressed interest in injectable use
• HIV-negative or unknown HIV status

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Exclusion Criteria

• Positive HIV status known to healthcare provider

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Percent of clients obtaining an injectable during their family planning appointment	After implementation of counseling messages, up to 13 weeks	Injectable uptake of interviewed clients
Monthly total number of family planning clients by method obtained	September 2017 through November 2018	Contraceptive uptake during pilot intervention
Number of clients obtaining an injectable during their family planning appointment	After implementation of counseling messages, up to 13 weeks	Injectable uptake of interviewed clients

Secondary Outcome Measures

Name	Time	Method
Number of correct hormonal contraception and HIV risk counseling messages mentioned during spontaneous recall	After implementation of counseling messages, up to 13 weeks	Knowledge of hormonal contraception and HIV risk messages
Percent of correct hormonal contraception and HIV risk counseling messages mentioned during spontaneous recall	After implementation of counseling messages, up to 13 weeks	Knowledge of hormonal contraception and HIV risk messages
Percent of correct True/False statements on hormonal contraception and HIV (11 total)	After implementation of counseling messages, up to 13 weeks	Knowledge of hormonal contraception and HIV risk messages
Percent of interviewed clients reporting an intention to use condoms as a dual method	After implementation of counseling messages, up to 13 weeks	Intention to use condoms as a dual method
Number of correct True/False statements on hormonal contraception and HIV (11 total)	After implementation of counseling messages, up to 13 weeks	Knowledge of hormonal contraception and HIV risk messages
Number of interviewed clients reporting an intention to use condoms as a dual method	After implementation of counseling messages, up to 13 weeks	Intention to use condoms as a dual method

Trial Locations

Locations (10)

Ipogolo Health Center; 🇹🇿 Iringa, Tanzania

Ipelele Health Center; 🇹🇿 Njombe, Tanzania

Makambako Hospital; 🇹🇿 Njombe, Tanzania

Ihongole Health Center; 🇹🇿 Iringa, Tanzania

Ilula Hospital; 🇹🇿 Ilula, Iringa, Tanzania

Mafinga Hospital; 🇹🇿 Mafinga, Iringa, Tanzania

Kimande Health Center; 🇹🇿 Iringa, Tanzania

Kibena Regional Referral Hospital; 🇹🇿 Njombe, Tanzania

Makete Hospital; 🇹🇿 Njombe, Tanzania

Njombe Health Center; 🇹🇿 Njombe, Tanzania