A Cluster-RCT to Increase the Uptake of LARCs Among Adolescent Females and Young Women in Cameroon.

World Bank

Status: Withdrawn

Conditions: Contraception; Contraception Behavior; Contraceptive Usage; Contraceptive Method Switching

Treatments: Behavioral: App; Behavioral: Training; Behavioral: Control

Study type: Interventional

Funder types: Other

Identifiers

NCT03725358

LARCs-2019

Details and patient eligibility

About

The study investigators propose to test various supply-side approaches to increase the numbers of both SARCs (short-acting reversible contraceptives, i.e. the pill and injectable) and especially LARCs (long-acting reversible contraceptives, i.e. the IUD and implant) administered by health facilities to reproductive-age females in Cameroon, particularly adolescents who may be unmarried and/or nulliparous. The study investigators will do this via interventions at primary health facilities, which include training of providers on family planning; the introduction of a tablet-based decision support tool for counseling women on family planning; and increased subsidies for LARCs within the performance-based financing (PBF) system. This approach is expected to benefit the population directly by decreasing maternal mortality and undesired pregnancies and indirectly by reducing side effects that arise due to current one-size-fits-all FP (family planning) counseling; improving the health of children due to improved birth spacing; and increasing human capital accumulation among children and young (often school-age) potential mothers.

Sex: Female

Ages: 10 to 49 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Facilities in the East Region of Cameroon providing family planning services under the performance-based financing (PBF) system.

Exclusion criteria

• Facilities that have not administered any modern contraceptive methods in the past quarter

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

---

0 participants in 9 patient groups

Control: no training, low subsidies

Experimental group

Description:

No provider training and low (status quo) subsidies received: business as usual

Treatment:

Behavioral: Control

No training, medium-level subsidies

Experimental group

Description:

No provider training, but receiving medium-level PBF payments for contraceptive methods provided

Treatment:

Behavioral: Control

No training, high-level subsidies

Experimental group

Description:

No provider training, but receiving high-level PBF payments for contraceptive methods provided

Treatment:

Behavioral: Control

Training, low-level subsidies

Experimental group

Description:

Providers being trained on modern contraception, but receiving low-level (status quo) PBF payments for contraceptive methods provided

Treatment:

Behavioral: Training

Training, medium-level subsidies

Experimental group

Description:

Providers being trained on modern contraception, but receiving medium-level (status quo) PBF payments for contraceptive methods provided

Treatment:

Behavioral: Training

Training, high-level subsidies

Experimental group

Description:

Providers being trained on modern contraception, but receiving high-level (status quo) PBF payments for contraceptive methods provided

Treatment:

Behavioral: Training

Training+App, low-level subsidies

Experimental group

Description:

Providers being trained on modern contraception and receiving a tablet-based decision-support tool (app), but receiving low-level (status quo) PBF payments for contraceptive methods provided

Treatment:

Behavioral: App

Training+App, medium-level subsidies

Experimental group

Description:

Providers being trained on modern contraception and receiving a tablet-based decision-support tool (app), but receiving medium-level (status quo) PBF payments for contraceptive methods provided

Treatment:

Behavioral: App

Training+App, high-level subsidies

Experimental group

Description:

Providers being trained on modern contraception and receiving a tablet-based decision-support tool (app), but receiving high-level (status quo) PBF payments for contraceptive methods provided

Treatment:

Behavioral: App