Costs, Efficiency and the Role of Management in HIV Prevention Interventions for Female Sex Workers in Nigeria
- Conditions
- HIV/AIDS
- Interventions
- Behavioral: Management training and data feedback
- Registration Number
- NCT03371914
- Lead Sponsor
- Instituto Nacional de Salud Publica, Mexico
- Brief Summary
This study seeks to measure the costs associated with HIV prevention service delivery to female sex workers (FSW) in Nigeria, as well as examine the relationship between management practices at the community-based organizations (CBOs) and costs. To complete these goals, the study will collect both retrospective and prospective data from CBOs and from centralized information from study partners (Society for Family Health, SFH). In the prospective section of the study, CBOs will be sampled and assigned to either treatment or control groups. Data collected at the CBOs will be aggregated by the CBO managers, and those in the treatment group will receive feedback on their performance on a monthly basis. Those in the treatment group will additionally receive a management training to guide their management practices. Researchers hypothesize that there will be improvements in management indicators and therefore decreases in costs at CBOs in the treatment group. Results will be disseminated to local, national, and international stakeholders.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 32
- Clusters: community-based organizations that serve female sex workers under Society for Family Health, through the SHIPs or Global Fund grants
- Participants: managers ("officers") that oversee the functions of the organization and supervise volunteer staff
- Clusters: excludes organizations not serving female sex workers and not working under Society for Family Health, through Global Fund or SHIPs grants
- Participants: excludes anyone not explicitly working as a manager overseeing volunteer implementation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Treatment: Management + data training Management training and data feedback The treatment group in the study will receive a 5-day training. The first two days of the training will consist of introducing the data collection tools and collecting baseline data. Days three through five of the training will consist of a variety of management topics. On a monthly basis, the treatment group will receive data visualizations that will compare their site's performance that month to pervious performance and to other sites in the study. Both treatment and control groups will collect information regarding input costs and number of services provided on a monthly basis.
- Primary Outcome Measures
Name Time Method Change in cost per female sex worker reached by HIV education services Two years This measures the total cost of HIV education provision, divided by the number of female sex workers (FSWs) reached by the service.
Change in cost per female sex worker treated for STIs (sexually transmitted infections) Two years This measures the total cost of STI treatment, divided by the number of FSWs treated for any STI.
Change in cost per female sex worker tested Two years This measures the total cost of HIV testing and counseling, divided by the number of FSWs tested.
Change in cost per female sex worker tested positive Two years This measures the total cost of HIV testing and counseling, divided by the number of FSWs tested positive for HIV.
- Secondary Outcome Measures
Name Time Method Productivity of HIV testing Two years Productivity of the organizations will be measured as the number of outputs produced for the HIV testing and counseling interventions-number of FSW tested for HIV.
Productivity of STI treatment Two years Productivity of the organizations will be measured as the number of outputs produced for the STI treatment intervention-number of FSW treated for STIs.
Job satisfaction Two years Measured through a composite score of five Likert scale questions about satisfaction, answers ranging from 1-5, 1 being "very dissatisfied" and 5 being "very satisfied".
Productivity of HIV education Two years Productivity of the organizations will be measured as the number of outputs produced for the HIV education intervention-number of FSW reached by HIV education.
Trial Locations
- Locations (1)
Society for Family Health, Headquarters
🇳🇬Abuja, Nigeria