An Evaluation of Integration of Family Planning Into HIV/AIDS Care and Treatment Clinics in Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- FHI 360
- 入组人数
- 864
- 试验地点
- 1
- 主要终点
- Proportion of female CTC clients with unmet need for contraception
研究概览
简要总结
HIV positive women and couples have broad reproductive health needs that are not always met within HIV services. The integration of family planning (FP) services into Tanzania's HIV Care and Treatment Clinics (CTC) will address the fertility desires of CTC clients and ultimately result in the reduction of unintended pregnancies and HIV incidence. One strategy for integrating FP and CTC services is to use a "facilitated referral" model. Facilitated referrals are enhanced referrals for additional services that have been used in other settings and which are the preferred intervention strategy the Government of Tanzania would like to pilot test. This study will evaluate the feasibility, effectiveness, and costs of implementing a "facilitated referrals" intervention by examining FP use among female clients attending HIV/AIDS Care and Treatment Centers. This study will measure whether there is a reduction in unmet need for contraception among female CTC clients after the facilitated referral integration intervention has been implemented.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Female clients of Care & Treatment Clinics with CD4 counts >100, and are WHO Stage I - III. (CTC Clients)
- •Care and Treatment providers who provide services to clients (CTC Providers)
- •Care and Treatment supervisors who are the immediate in-charge supervisor for the CTC clinic. (CTC supervisor)
- •Family Planning providers who provide services to clients. (FP providers)
- •Family Planning supervisors who are the immediate in-charge supervisor for the FP clinic. (FP supervisor)
排除标准
- 未提供
结局指标
主要结局
Proportion of female CTC clients with unmet need for contraception
时间窗: Before intervention begins (baseline) and 3 months after full implementation of intervention
次要结局
- Proportion of female CTC clients screened on fertility intentions and unmet need for contraception(Three months after full implementation of intervention)
- Proportion of female CTC clients provided counseling on contraception or safe pregnancy(Three months after full implementation of intervention)
- Proportion of female CTC clients who received referral slip for FP services(Three months after full implementation of intervention)
- Proportion of female CTC clients whose contraceptive use/fertility intentions are recorded on their patient record form(Three months after full implementation of intervention)
- Proportion of female CTC clients who are accompanied to FP services(Three months after full implementation of intervention)
- Proportion of female CTC clients who receive a FP method same-day or make an appointment for sterilization(Three months after full implementation of intervention)
- Proportion of referrals to FP services that are tracked by the FP clinic(Three months after full implementation of intervention)
- Incremental cost per clinic of adding facilitated referral process for FP to existing CTC services(First month of implementation)
- Descriptive data on the experiences and perception of CTC and FP providers and supervisors on how the facilitated referral for FP was feasible and effective within CTC services(Three months after full implementation of intervention)