Integration of Family Planning and HIV Services in Tanzania
- Conditions
- HIV InfectionHIV Infections
- Interventions
- Behavioral: Facilitated Referral
- Registration Number
- NCT00941876
- Lead Sponsor
- FHI 360
- Brief Summary
HIV positive women and couples have broad reproductive health needs that are not always met within HIV services. The integration of family planning (FP) services into Tanzania's HIV Care and Treatment Clinics (CTC) will address the fertility desires of CTC clients and ultimately result in the reduction of unintended pregnancies and HIV incidence. One strategy for integrating FP and CTC services is to use a "facilitated referral" model. Facilitated referrals are enhanced referrals for additional services that have been used in other settings and which are the preferred intervention strategy the Government of Tanzania would like to pilot test. This study will evaluate the feasibility, effectiveness, and costs of implementing a "facilitated referrals" intervention by examining FP use among female clients attending HIV/AIDS Care and Treatment Centers. This study will measure whether there is a reduction in unmet need for contraception among female CTC clients after the facilitated referral integration intervention has been implemented.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 864
- Female clients of Care & Treatment Clinics with CD4 counts >100, and are WHO Stage I - III. (CTC Clients)
- Care and Treatment providers who provide services to clients (CTC Providers)
- Care and Treatment supervisors who are the immediate in-charge supervisor for the CTC clinic. (CTC supervisor)
- Family Planning providers who provide services to clients. (FP providers)
- Family Planning supervisors who are the immediate in-charge supervisor for the FP clinic. (FP supervisor)
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description A. Facilitated Referral Facilitated Referral Seven key steps carried out by CTC and FP staff to encourage completion of FP referral by CTC.
- Primary Outcome Measures
Name Time Method Proportion of female CTC clients with unmet need for contraception Before intervention begins (baseline) and 3 months after full implementation of intervention
- Secondary Outcome Measures
Name Time Method Proportion of female CTC clients screened on fertility intentions and unmet need for contraception Three months after full implementation of intervention Proportion of female CTC clients provided counseling on contraception or safe pregnancy Three months after full implementation of intervention Proportion of female CTC clients who received referral slip for FP services Three months after full implementation of intervention Proportion of female CTC clients whose contraceptive use/fertility intentions are recorded on their patient record form Three months after full implementation of intervention Proportion of female CTC clients who are accompanied to FP services Three months after full implementation of intervention Proportion of female CTC clients who receive a FP method same-day or make an appointment for sterilization Three months after full implementation of intervention Proportion of referrals to FP services that are tracked by the FP clinic Three months after full implementation of intervention Incremental cost per clinic of adding facilitated referral process for FP to existing CTC services First month of implementation Descriptive data on the experiences and perception of CTC and FP providers and supervisors on how the facilitated referral for FP was feasible and effective within CTC services Three months after full implementation of intervention
Trial Locations
- Locations (1)
Muhimbili University of Health and Allied Services
🇹🇿Dar es Salaam, Tanzania