A Cluster-RCT to Increase the Uptake of LARCs Among Adolescent Females and Young Women in Cameroon.
- Conditions
- Contraception BehaviorContraceptive UsageContraceptionContraceptive Method Switching
- Interventions
- Behavioral: AppBehavioral: ControlBehavioral: Training
- Registration Number
- NCT03725358
- Lead Sponsor
- World Bank
- Brief Summary
The study investigators propose to test various supply-side approaches to increase the numbers of both SARCs (short-acting reversible contraceptives, i.e. the pill and injectable) and especially LARCs (long-acting reversible contraceptives, i.e. the IUD and implant) administered by health facilities to reproductive-age females in Cameroon, particularly adolescents who may be unmarried and/or nulliparous. The study investigators will do this via interventions at primary health facilities, which include training of providers on family planning; the introduction of a tablet-based decision support tool for counseling women on family planning; and increased subsidies for LARCs within the performance-based financing (PBF) system. This approach is expected to benefit the population directly by decreasing maternal mortality and undesired pregnancies and indirectly by reducing side effects that arise due to current one-size-fits-all FP (family planning) counseling; improving the health of children due to improved birth spacing; and increasing human capital accumulation among children and young (often school-age) potential mothers.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- Female
- Target Recruitment
- Not specified
- Facilities in the East Region of Cameroon providing family planning services under the performance-based financing (PBF) system.
- Facilities that have not administered any modern contraceptive methods in the past quarter
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Training+App, low-level subsidies App Providers being trained on modern contraception and receiving a tablet-based decision-support tool (app), but receiving low-level (status quo) PBF payments for contraceptive methods provided Training+App, high-level subsidies App Providers being trained on modern contraception and receiving a tablet-based decision-support tool (app), but receiving high-level (status quo) PBF payments for contraceptive methods provided Control: no training, low subsidies Control No provider training and low (status quo) subsidies received: business as usual No training, medium-level subsidies Control No provider training, but receiving medium-level PBF payments for contraceptive methods provided No training, high-level subsidies Control No provider training, but receiving high-level PBF payments for contraceptive methods provided Training, low-level subsidies Training Providers being trained on modern contraception, but receiving low-level (status quo) PBF payments for contraceptive methods provided Training, medium-level subsidies Training Providers being trained on modern contraception, but receiving medium-level (status quo) PBF payments for contraceptive methods provided Training, high-level subsidies Training Providers being trained on modern contraception, but receiving high-level (status quo) PBF payments for contraceptive methods provided Training+App, medium-level subsidies App Providers being trained on modern contraception and receiving a tablet-based decision-support tool (app), but receiving medium-level (status quo) PBF payments for contraceptive methods provided
- Primary Outcome Measures
Name Time Method The total number of LARCs administered per facility per quarter 12 months The total number of modern contraceptives (SARCs + LARCs) administered per facility per quarter 12 months
- Secondary Outcome Measures
Name Time Method The total number of counseling sessions conducted per facility per quarter 12 months Prices charged for LARCs and SARCs per quarter 12 months