Contraception
Conditions
Keywords
Contraceptive implant, Task sharing, Nigeria
Brief summary
This proposed study, to be run by Marie Stopes International Organisation Nigeria (MSION) will investigate whether Community Health Extension Workers (CHEWs) in Nigeria can insert and remove contraceptive implants to the same level of safety and quality as a nurse or midwife, and whether this is acceptable to their clients and colleagues. The study will also document feasibility issues which would be relevant to any future national programmatic scale-up.
Interventions
OTHERTraining CHEWs to provide contraceptive implants
Training CHEWs to provide contraceptive implants
Sponsors
Population Council
GRM Futures Group
Marie Stopes International
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* facilities are located with 20km of a referral facility * facilities - facility staff are willing to participate, e.g. willingness to conduct family planning awareness-raising activities, willing to maintain project records * facilities - selected provider at each facility expects to be in the facility for the 12-month period of client recruitment * clients - women present to attending facilities and request a contraceptive implant
Exclusion criteria
* facilities - involved in overlapping interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | Day of implant insertion | Any adverse event recorded by the health provider or the client on the day of the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of implant provision | Day of implant insertion | Supervisor-recorded quality of service provision, which includes includes both clinical dimensions, such as cleanliness, and non-clinical dimensions, such as taking a client focused approach and being responsive to client needs |
| Acceptability of service provision | Day of implant insertion | Client-reported views of implant provision |
| Adverse events | Up to 14 days post insertion | Any adverse event recorded by the health provider at the time of implant insertion or reported by the client on the day of the procedure or up to 14 days after the procedure |
Outcome results
None listed