Community and Provider Driven Social Accountability Intervention (CaPSAI) Project: a study to evaluate how social accountability processes in family planning programs influence quality of care and client satisfaction and whether this results in increased contraceptive uptake and use

Not Applicable

Completed

• Conditions: Contraceptive uptake; Contraceptive use; Public Health - Health promotion/education; Reproductive Health and Childbirth - Contraception

• Registration Number: ACTRN12619000378123
• Lead Sponsor: Department of Reproductive Health and Research, which includes the the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development, World Health Organization

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-03-11
• Study Completion: 2020-08-31
• Last Update Posted: 14 June 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 4700

Inclusion Criteria

For the measurement of changes in contraceptive uptake (facility audit), facilities meeting the following inclusion criteria will be included:
•Providing family planning
•In the study catchment area
•Public and where cost is not a barrier to access at the point of access by the client
•Agree to participate in the study
•Recorded family planning service data

For measurement of changes in contraceptive use (cohort study), individuals meeting the following inclusion criteria will be included:
•Women aged 15-49
•Accessing family planning at a participating study facility
•First time using contraception in previous 6 months
New” users of family planning methods are defined as clients who have:
-Never used a family planning method (new acceptors)
-Are switching from a traditional to a modern family planning method (additional users)
-Are re-starting a family planning method after a period of not using it for at least 6 months (additional users)
•Willing to/anticipates to stay in the study area/district during the period of the study.
•Providing consent to participate

For evaluating social accountability intermediate outcomes (cross sectional survey), the following inclusion criteria are used:
Health professionals:
•Health professionals working in the intervention facility.
Women from the community:
•Women aged 15 to 49 years
•Accessing family planning at a participating study facility
•First time or continuing users of contraception
•Providing consent to participate

For the process evaluation, participants will be purposively and snowball sampled based on criteria including their exposure to the social accountability intervention or their role, such as a health provider or duty bearer.

Exclusion Criteria

For measurement of changes in contraceptive uptake (facility audit), the following exclusion criteria will be used:
Facilities:
•Where fee for service acts as barrier to access
•Outside the study catchment area
•Not providing regular family planning services
•Do not agree to participate
•Do not record regular family planning service data

For measurement of changes in contraceptive use (cohort study), the following exclusion criteria will be used:
•Women below 15 or over 49
•Women who desire to/wish to become pregnant
•Women who have used contraception in the past 6 months
•Women who are unable or unwilling to provide consent to participate

For evaluating social accountability intermediate outcomes (cross sectional survey), the following inclusion criteria are used:
Exclusion criteria for health professional:
•Health professionals who are unable or unwilling to agree to participate
Exclusion criteria for women from the community:
•Women below 15 years
•Women who are unable or unwilling to provide consent to participate

Study & Design

• Study Type: Interventional
• Study Design: Not specified