A Study Comparing Implant Provision by Community Health Extension Workers With Nurses and Midwives in Nigeria

Not Applicable

Completed

• Conditions: Contraception
• Interventions: Other: Training CHEWs to provide contraceptive implants

• Registration Number: NCT03088722
• Lead Sponsor: Marie Stopes International

Brief Summary

This proposed study, to be run by Marie Stopes International Organisation Nigeria (MSION) will investigate whether Community Health Extension Workers (CHEWs) in Nigeria can insert and remove contraceptive implants to the same level of safety and quality as a nurse or midwife, and whether this is acceptable to their clients and colleagues. The study will also document feasibility issues which would be relevant to any future national programmatic scale-up.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-01-01
• Primary Completion: 2016-11-30
• Study Completion: 2016-11-30
• Status Verified: 2017-03
• Study First Submitted: 2017-03-10
• Study First Submitted QC: 2017-03-17
• Last Update Submitted: 2017-03-17
• Study First Posted: 2017-03-23
• Last Update Posted: 2017-03-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 7903

Inclusion Criteria

• facilities are located with 20km of a referral facility
• facilities - facility staff are willing to participate, e.g. willingness to conduct family planning awareness-raising activities, willing to maintain project records
• facilities - selected provider at each facility expects to be in the facility for the 12-month period of client recruitment
• clients - women present to attending facilities and request a contraceptive implant

Exclusion Criteria

• facilities - involved in overlapping interventions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Community health extension workers	Training CHEWs to provide contraceptive implants	Community health extension workers providing contraceptive implants

Primary Outcome Measures

Name	Time	Method
Adverse events	Day of implant insertion	Any adverse event recorded by the health provider or the client on the day of the procedure

Secondary Outcome Measures

Name	Time	Method
Acceptability of service provision	Day of implant insertion	Client-reported views of implant provision
Quality of implant provision	Day of implant insertion	Supervisor-recorded quality of service provision, which includes includes both clinical dimensions, such as cleanliness, and non-clinical dimensions, such as taking a client focused approach and being responsive to client needs
Adverse events	Up to 14 days post insertion	Any adverse event recorded by the health provider at the time of implant insertion or reported by the client on the day of the procedure or up to 14 days after the procedure