HIV/AIDS
Conditions
Keywords
costing, behavioral intervention, management
Brief summary
This study seeks to measure the costs associated with HIV prevention service delivery to female sex workers (FSW) in Nigeria, as well as examine the relationship between management practices at the community-based organizations (CBOs) and costs. To complete these goals, the study will collect both retrospective and prospective data from CBOs and from centralized information from study partners (Society for Family Health, SFH). In the prospective section of the study, CBOs will be sampled and assigned to either treatment or control groups. Data collected at the CBOs will be aggregated by the CBO managers, and those in the treatment group will receive feedback on their performance on a monthly basis. Those in the treatment group will additionally receive a management training to guide their management practices. Researchers hypothesize that there will be improvements in management indicators and therefore decreases in costs at CBOs in the treatment group. Results will be disseminated to local, national, and international stakeholders.
Interventions
BEHAVIORALManagement training and data feedback
The management training will consist of a variety of management topics, such as financial, workplace and staff management. The training will include a number of tools that the managers will be expected to bring back with them and use regularly at their site. There will be monthly refresher trainings for the managers via an online platform, where participants will interact about the topics covered in the training and others relevant to their work as managers. Participants will also receive monthly visualizations that compare the data that they enter via tablet monthly to both (1) their baseline data, and (2) to other sites' data. Outcomes that will be measured and reported back to sites include cost per client tested, number of condoms distributed, and number of FSW reached by educational interventions.
Sponsors
Society For Family Health (SFH)
National Agency for the Control of AIDS (NACA)
Instituto Nacional de Salud Publica, Mexico
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Clusters: community-based organizations that serve female sex workers under Society for Family Health, through the SHIPs or Global Fund grants * Participants: managers (officers) that oversee the functions of the organization and supervise volunteer staff
Exclusion criteria
* Clusters: excludes organizations not serving female sex workers and not working under Society for Family Health, through Global Fund or SHIPs grants * Participants: excludes anyone not explicitly working as a manager overseeing volunteer implementation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in cost per female sex worker tested positive | Two years | This measures the total cost of HIV testing and counseling, divided by the number of FSWs tested positive for HIV. |
| Change in cost per female sex worker reached by HIV education services | Two years | This measures the total cost of HIV education provision, divided by the number of female sex workers (FSWs) reached by the service. |
| Change in cost per female sex worker tested | Two years | This measures the total cost of HIV testing and counseling, divided by the number of FSWs tested. |
| Change in cost per female sex worker treated for STIs (sexually transmitted infections) | Two years | This measures the total cost of STI treatment, divided by the number of FSWs treated for any STI. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Productivity of HIV education | Two years | Productivity of the organizations will be measured as the number of outputs produced for the HIV education intervention-number of FSW reached by HIV education. |
| Productivity of HIV testing | Two years | Productivity of the organizations will be measured as the number of outputs produced for the HIV testing and counseling interventions-number of FSW tested for HIV. |
| Productivity of STI treatment | Two years | Productivity of the organizations will be measured as the number of outputs produced for the STI treatment intervention-number of FSW treated for STIs. |
| Job satisfaction | Two years | Measured through a composite score of five Likert scale questions about satisfaction, answers ranging from 1-5, 1 being very dissatisfied and 5 being very satisfied. |
Countries
Nigeria
Outcome results
None listed