Long-acting and permanent contraceptive method (LAPM) uptake, and client experience of counselling amongst family planning switchers and adopters Pregnancy and Childbirth
Conditions
Interventions
The intervention being tested is the Digital Counselling Application (DCA). It is a job aid for use by the provider during client FP counselling. It is designed as an application on a tablet, to assi
termed here as ‘usual care’.
Clients are followed up at 4 months.
Sponsors
Marie Stopes UK
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Recruiting clients: 1. All female clients recruited must be between 18 and 49, and have received FP counselling 2. They must be adopting an FP method, or switching from one FP method to another 3. In the intervention arm, they must have received counselling using the app 4. Clients who consented to participate in the research Recruiting providers: 1. Providers who work in clinics assigned to the intervention
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Uptake of LAPM of contraception, measured via telephone questionnaire with client within 1 day of counselling 2. Client satisfaction (scaled), measured via telephone questionnaire with client within 1 day of counselling | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Length of and quality of consultation using the DCA based on pre-defined quality checklist, measured via 14 structured observations of provider client counselling with 1 provider over three days, for each of the 8 intervention clinics in Ethiopia and 6 intervention clinics in Vietnam) 2. Association between provider cadre and experience on adherence to DCA, measured via 14 structured observations of provider client counselling for each of the 8 intervention clinics in Ethiopia and 6 intervention clinics in Vietnam 3. Themed responses from the providers on their experience of using the DCA, measured via in-depth interviews with providers in Vietnam and Ethiopia who are observed using the DCA during the 3 days of structured observation 4. Themed responses from clients on their experience of the FP counselling and its influence on method choice and continuation, measured via in-depth interviews with clients who receive DCA counselling, and are observed by a researcher, within 3 days receiving counselling 5. Continuation rates of methods chosen by clients, measured via telephone interviews with clients who received telephone questionnaires and subsequently agreed to a follow up phone questionnaire 4 months after their FP counselling 6. Clients’ post counselling response to their chosen FP method, measured via telephone interviews with clients who received telephone questionnaires and subsequently agreed to a follow up phone questionnaire 4 months after their FP counselling | — |
Countries
Ethiopia, Viet Nam
Contacts
Public ContactEmily Robinson
Outcome results
None listed