CompletedNot Applicable

Randomized Controlled Trial to Address Unintended Pregnancy Rates in Low Resource Settings

Kenya5,726 participantsStarted 2022-05-25

Plain-language summary

This is a clinical trial investigating the impact of social accountability interventions on contraceptive use in Western Kenya. Social accountability interventions aim to improve the performance of healthcare providers via public monitoring of provider performance. This study aims to implement and evaluate two social accountability interventions: the community score card and the citizen report card. All public-sector healthcare facilities in Kisumu Country will be considered for enrollment; facility staff and residents of corresponding facility catchment areas will be randomized to one of the two treatments or the control arm.

Who can participate

Age range18 Years – 49 Years

SexFEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: Women's level survey: * Women aged 18-49 years; * Reside in randomly selected households. Provider Survey: * Healthcare service provider; * Provides family planning or reproductive health services; * Works in a public-sector healthcare facility located in Kisumu County. Focus Group Discussions: * Key intervention facilitators; * Over the age of 18 years Qualitative In-Depth Interviews: * Community members in Kisumu County who participated in intervention activities; * Family planning service providers who work within a public-sector healthcare facility in Kisumu County; * Over 18 years of age.

What they're measuring

Percentage Change in Current Modern Contraceptive Use

Timeframe: Baseline, 12 months

Mean Knowledge of Patient Rights Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Women's Agency Within Their Community Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Women's Agency Within a Healthcare Facility

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Women's Facility Satisfaction Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Community Empowerment Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Community Involvement

Timeframe: Baseline, 12 months

Mean Perceived Quality of Family Planning Service Delivery Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Trial details

NCT IDNCT05328648

SponsorUniversity of North Carolina, Chapel Hill

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-05-15

Results submitted2024-12-16

View on ClinicalTrials.gov More Contraceptive Usage trials

Plain-language summary

Who can participate

Age range18 Years – 49 Years

SexFEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Percentage Change in Current Modern Contraceptive Use

Timeframe: Baseline, 12 months

Mean Knowledge of Patient Rights Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Women's Agency Within Their Community Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Women's Agency Within a Healthcare Facility

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Women's Facility Satisfaction Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Community Empowerment Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)

Mean Community Involvement

Timeframe: Baseline, 12 months

Mean Perceived Quality of Family Planning Service Delivery Score

Timeframe: Baseline, at the end of 12-month intervention (Endline)