Evaluating the Efficacy of Using a Digital Consumption Management Tool for Family Planning in Zambia

Not Applicable

Completed

Brief Summary: The primary objective of this evaluation is to understand the effectiveness of the OpenSRP platform on unmet family planning (FP) demand in rural Zambia. The specific objectives are to:

1. assess the impact of the intervention on satisfaction and use of modern family planning methods among last-mile people of childbearing potential; and

2. understand the impact of the intervention on FP inventory management and dispensing.

The investigators will employ mixed-methods for data collection for this two-arm cluster-randomized trial. This effectiveness evaluation will be paired with a concurrent implementation evaluation, making it a Type 2 Hybrid Design.

For the impact evaluation data will be collected from two main sources at both baseline and endline: 1) existing stock management records (eLMIS and paper records, depending on study arm); and 2) Short phone surveys with people of childbearing potential in the community.

Detailed Description: Rural health facilities catchment areas (HFCAs) and their affiliated CHWs (clusters) will be randomly assigned to the intervention or control arm. The impact evaluation will consist of a cross-sectional baseline assessment of a sample of women living in the catchment areas of both the intervention and control clusters. This will be followed by a six months of implementation phase (mobile device distribution to CHW, CHW training, CHW utilization of the Open SRP). At endline after six months, a new cross-sectional sample of respondents will be assessed in both the intervention and control clusters.

To achieve objective 1, a short questionnaire will be administered over the phone to a cross-sectional sample of last-mile people of childbearing potential living in both the intervention and control clusters. The sample will be drawn from the CHW's client lists and use a short telephone call to reach respondents.

To achieve objective 2, the same quantitative indicators will be abstracted from two different data sources, depending on the study arm: 1) OpenSRP data captured in the CHW tablets among the intervention sites, and 2) data extracted from the paper records maintained by the CHWs or the health facility or the electronic management system in the control sites (and at baseline).

Recruitment & Eligibility

Inclusion Criteria

Resident in a study health facility catchment area (HFCA)
Family planning (FP) client of community health worker (CHW) affiliated with one of the study sites
Access to a mobile phone

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Intervention arm	Intervention package	CHWs affiliated with intervention facilities randomized to the intervention arm will be given the intervention package.

Primary Outcome Measures

Name	Time	Method
Percentage of women using preferred family planning method	6 months	Percentage of women who are still using a FP method they had obtained through the CHW or as result of referral by the CHW at the index visit.

Secondary Outcome Measures

Name	Time	Method
Resupply of family planning of choice	6 months	Percentage women whose method required re-supply were re-supplied, or received a referral for information and services specific to their method of choice, during the follow-up or secondary visit

Locations (3): Kawambwa District Health Office
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Kawambwa, Zambia
Mansa District Health Office
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Mansa, Zambia
Samfya District Health Office
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Samfya, Zambia

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