Testing Implementation Strategies to Improve Delivery of Pre-exposure Prophylaxis (PrEP) for Pregnant and Postpartum Women in Kenya (K01)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pre-Exposure Prophylaxis
- Sponsor
- University of Washington
- Enrollment
- 5173
- Locations
- 1
- Primary Endpoint
- Change in PrEP Penetration
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study tests strategies for improving PrEP implementation in maternal and child health clinics using an interrupted time series.
Detailed Description
This study aims to improve integrated delivery of PrEP to women seeking health services in maternal and child health clinics by piloting and evaluating four strategies or bundles of strategies for optimized PrEP delivery. Strategies to be tested include three packages of strategies identified by stakeholders.
Investigators
Anjuli Wagner
Assistant Professor, Global Health
University of Washington
Eligibility Criteria
Inclusion Criteria
- •Women receiving Maternal and Child Health (MCH) services HCW participating in satisfaction surveys
Exclusion Criteria
- •Unwilling or unable to provide informed consent
Outcomes
Primary Outcomes
Change in PrEP Penetration
Time Frame: 6 months
Proportion of women who are screened for PrEP / total women receiving antenatal or postnatal services
Change in PrEP Fidelity
Time Frame: 6 months
Proportion of women who receive all PrEP specific steps in a visit: HIV testing, HIV risk screening, PrEP counseling. Assessed among the subset of women who are due for an HIV test, as per Kenyan guidelines, which is a subset of the overall sample.
Timeliness of Services
Time Frame: 6 months
Time (minutes) spent receiving services from health care workers
Waiting Time
Time Frame: 6 months
Time (minutes) spent waiting to receive services
HCW Acceptability
Time Frame: 6 months
Total on 4 item Acceptability of Intervention Measures (AIM) score, 1 (Completely disagree) to 5 (Completely Agree) Likert scale. The minimum score on the 4 items is 4 points (scoring 1 on each of the 4 items) while the maximum is 20 points (scoring 5 on each of the 4 items). A higher score indicates a better outcome. The sub-scores on each of the 4 items are summed.
Health Care Worker (HCW) Appropriateness
Time Frame: 6 months
Total on 4 item Intervention Appropriateness Measure (IAM) score, 1 (Completely disagree) to 5 (Completely Agree) Likert scale. The minimum score on the 4 items is 4 points (scoring 1 on each of the 4 items) while the maximum is 20 points (scoring 5 on each of the 4 items). A higher score indicates a better outcome. The sub-scores on each of the 4 items are summed.
Client Satisfaction
Time Frame: 6 months
Total on 7 item exit survey of clients to assess their satisfaction with services received at the facility, 1 (worse) to 4 (better) scale. The minimum score on the 7 items is 7 points (scoring 1 on each of the 7 items) while the maximum is 24 points (scoring 4 on each of the 7 items). A higher score indicates a better outcome. The sub-scores on each of the 4 items are summed.
Secondary Outcomes
- PrEP Continuation(6 months)
- PrEP Uptake(6 months)
- Client PrEP Knowledge(6 months)
- PrEP Adherence(6 months)
- PrEP Efficiency(6 months)