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.
Age range
18 Years – 49 Years
Sex
FEMALE
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
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)
Percent Change in Provider Absenteeism
Timeframe: Baseline, 12 months
Percent Change in the Number of Mystery Client Observations of Providers in Which the Mystery Client Answered in the Affirmative to the Full Method Information Index Plus (MII+)
Timeframe: Baseline, 12 months
Percent Change in Mystery Client Observations With Informal Payment Solicitation
Timeframe: Baseline, 12 months
Percent Change in the Number of Mystery Client Observations Identifying Patient Mistreatment
Timeframe: Baseline, 12 months
Mean Close-to-Community (CTC) Provider Motivation Indicator Score
Timeframe: Baseline, at the end of 12-month intervention (Endline)