Resolution of Uncertainty Through Testing

Not Applicable

Terminated

• Conditions: Pregnancy Tests
• Interventions: Diagnostic Test: Pregnancy test at Baseline; Diagnostic Test: Pregnancy test at follow up survey

• Registration Number: NCT03179059
• Lead Sponsor: University of Illinois at Urbana-Champaign

Brief Summary

Given the high rate of delayed adoption of antenatal care (ANC), and high rates of unintended pregnancy and unsafe abortion in Uganda, research on the period of time before confirmation of pregnancy is critical to understand underlying beliefs that guide behaviors ultimately important for maternal and neonatal health (UDHS, 2011; Hussain, 2013).

Home pregnancy tests - which now cost less than 10 cents each - have the potential to facilitate FP uptake and significantly improve reproductive, maternal and child health outcomes in sub-Saharan Africa, including Uganda. These tests are easy to administer, disposable, inexpensive, and have a low false positive rate. Yet, for women living in rural areas in sub-Saharan countries, these tests are typically unavailable outside of health centers or they are prohibitively expensive.

This study will investigate women's underlying beliefs about pregnancy status and examine how providing access to home-based pregnancy tests - thus facilitating earlier resolution of uncertainty of pregnancy status - influences such beliefs and decisions to take up family planning (FP) or seek appropriate pregnancy services.

The results will inform the design of a larger study in the future.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-05-24
• Study First Submitted QC: 2017-06-05
• Study First Posted: 2017-06-07
• Study Start: 2017-09-28
• Primary Completion: 2017-12-01
• Study Completion: 2017-12-02
• Status Verified: 2018-11
• Last Update Submitted: 2018-11-12
• Last Update Posted: 2018-11-14

Recruitment & Eligibility

• Status: TERMINATED
• Sex: Female
• Target Recruitment: 600

Inclusion Criteria

• Between the ages of 18-35
• Live in the catchment area

Exclusion Criteria

• Currently attending school

End Survey if

• Women in menopause
• Women with sterilization
• Women with husband/partner with sterilization
• Women who do not understand what menstrual period is

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pregnancy tests at baseline & follow-up	Pregnancy test at follow up survey	We offer free pregnancy test service at baseline and at follow-up survey.
Pregnancy tests only at baseline	Pregnancy test at Baseline	We offer free pregnancy test service at baseline
Pregnancy tests at baseline & follow-up	Pregnancy test at Baseline	We offer free pregnancy test service at baseline and at follow-up survey.

Primary Outcome Measures

Name	Time	Method
Binary measures for the family planning take up	At end line survey, half a year after intervention	Use of any modern family planning method, use of oral contraceptives, use of injectables, use of short-acting reversible methods, use of long-acting reversible methods. We will measure take up as binary variables. We will also conduct sub-group analyses among women who are not using modern family planning at baseline and among women who are using modern family planning at baseline

Secondary Outcome Measures

Name	Time	Method
Binary measure of purchase of pregnancy test kit by price	At end line survey, half a year after intervention	Binary measures for the purchase of pregnancy test kit after baseline. Demand for pregnancy test kit is computed by Becker-DeGroot-Marschak (BDM) or/and Take it or leave it (TIOLI) method. We will also conduct sub-group analyses among women who are not using modern family planning at baseline and among women who are using modern family planning at baseline

Trial Locations

Locations (1)

Ichuli Institute; 🇺🇬 Kampala, Uganda