Contraception
Conditions
Keywords
Counseling, Tanzania
Brief summary
The main objective of the evaluation was to assess the effect of providing injectable and HIV risk counseling messages on contraceptive knowledge and behavior during a three month pilot intervention in ten healthcare facilities in Tanzania.
Detailed description
The evaluation assessed the effect of providing injectable and HIV risk counseling messages on contraceptive knowledge and uptake during a three month pilot intervention. The intervention was conducted September-November 2018 in ten healthcare facilities located in the Iringa and Njombe regions of Tanzania. Data collection for the evaluation occurred November-December 2018 and included 471 client exit interviews, 26 healthcare provider interviews, and the extraction of monthly aggregate service statistics for 12 months prior to the intervention and three months of the intervention. Univariate and bivariate analyses were used to assess quantitative interview data. Thematic qualitative assessment was used to assess qualitative interview data from healthcare providers. Interrupted time series analysis was used to assess changes in the trend of monthly contraceptive uptake.
Interventions
OTHERCounseling messages on injectable use and HIV acquisition risk
Counseling messages based on 2017 World Health Organization guidance, a review of the Strategic Communication Framework for Hormonal Contraceptive Methods and Potential HIV-related Risks, and the Family Planning Global Handbook were provided to clients expressing interest in injectables during regular family planning appointments.
Sponsors
United States Agency for International Development (USAID)
Ministry of Health, Tanzania
Johns Hopkins Bloomberg School of Public Health
University of North Carolina, Chapel Hill
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 49 Years
Inclusion criteria
* Expressed interest in injectable use * HIV-negative or unknown HIV status
Exclusion criteria
* Positive HIV status known to healthcare provider
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of clients obtaining an injectable during their family planning appointment | After implementation of counseling messages, up to 13 weeks | Injectable uptake of interviewed clients |
| Percent of clients obtaining an injectable during their family planning appointment | After implementation of counseling messages, up to 13 weeks | Injectable uptake of interviewed clients |
| Monthly total number of family planning clients by method obtained | September 2017 through November 2018 | Contraceptive uptake during pilot intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of correct True/False statements on hormonal contraception and HIV (11 total) | After implementation of counseling messages, up to 13 weeks | Knowledge of hormonal contraception and HIV risk messages |
| Number of correct hormonal contraception and HIV risk counseling messages mentioned during spontaneous recall | After implementation of counseling messages, up to 13 weeks | Knowledge of hormonal contraception and HIV risk messages |
| Percent of interviewed clients reporting an intention to use condoms as a dual method | After implementation of counseling messages, up to 13 weeks | Intention to use condoms as a dual method |
| Number of interviewed clients reporting an intention to use condoms as a dual method | After implementation of counseling messages, up to 13 weeks | Intention to use condoms as a dual method |
| Percent of correct hormonal contraception and HIV risk counseling messages mentioned during spontaneous recall | After implementation of counseling messages, up to 13 weeks | Knowledge of hormonal contraception and HIV risk messages |
| Number of correct True/False statements on hormonal contraception and HIV (11 total) | After implementation of counseling messages, up to 13 weeks | Knowledge of hormonal contraception and HIV risk messages |
Countries
Tanzania
Outcome results
None listed