Safety and Feasibility of Community Based DMPA Provision in Tigray, Ethiopia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,062
- 试验地点
- 4
- 主要终点
- Equivalence of injection administration
研究概览
简要总结
The purpose of this study was to demonstrate that with appropriate training, the provision of injectable contraceptives by community based reproductive health agents (CBRHAs) does not significantly differ from low-level clinic-based providers, or health extension workers (HEWs).
详细描述
The overall goal of this project was to increase contraceptive prevalence and reduce the current high unmet need for family planning in rural areas of Ethiopia. In addition, the project was intended to provide evidence to policy makers to expand community based distribution (CBD) of the injectible contraceptive, depot medroxyprogesterone acetate (DMPA), in both Tigray and other regions of Ethiopia where community based reproductive health agents (CBRHAs) or other community health workers (CHWs) are present.
Following from that, the specific aims of this project were to:
- Provide evidence that CBRHAs can safely and effectively distribute and facilitate supply of DMPA to rural women
- Demonstrate that CBRHAs can deliver DMPA with the same safety, effectiveness, and acceptability outcomes as HEWs
- Increase access to DMPA by using CBRHAs
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •All adult women of reproductive age who approached a provider for a contraceptive method and wished to use DMPA were recruited to participate in the study
- •Medically eligible to use injectable contraceptives
排除标准
- •Health problems preventing or counter-indications for use of hormonal contraceptives
- •Suspicion of pregancy
- •FHI validated check list of eligibility use injectable contraceptives
- •Minors age <18 years old
研究组 & 干预措施
Injection by Health Extension Worker
Women who receive injectable contraceptive from clinic based health extension workers (HEWs) during the study period
干预措施: Community Based administration of DMPA (Other)
Injection by Community Health Worker
Women who receive injectable contraceptive through community based distributors from community based reproductive health agents (CBRHAs) during the study period
干预措施: Community Based administration of DMPA (Other)
结局指标
主要结局
Equivalence of injection administration
时间窗: every 3 months
Injection site morbidities, induration etc
次要结局
- Knowledge of side effects among clients(Every 3 months)
- Equivalent continuation rates(Every 3 months)