Improving Person Centered Care for Post Abortion Patients in Kenya (SPARQ_PACK)

University of California San Francisco (UCSF)

Status: Completed

Conditions: Reproductive Health

Treatments: Behavioral: Person Centered Care - Post Abortion Support

Study type: Interventional

Funder types: Other

Identifiers

NCT04206514

15-18008_Kenya Abortion

Details and patient eligibility

About

The purpose of this study is to understand the effect of a phone based post-abortion intervention on the experience of post-abortion care.

Full description

This study evaluates whether personalized text messages and phone calls to post abortion women can improve post abortion person-centered care, perceived social support, post-abortion family planning, and reduce perceptions of social stigma and stress. Women were randomized to one of three study arms: personalized communication with a peer counselor or nurse who received person-centered care (PCC) training, or a control arm where participants received the standard of care.

Enrollment: 371 patients

Sex: Female

Ages: 15 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women of reproductive age
• Had an Safe Abortion (SA)/Post Abortion Care (PAC) procedure at one of six private clinics that day
• Has her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks
• Willing to receive receive short message service (SMS) messages and phone calls from an Marie Stopes Kenya (MSK) or Innovation for Poverty Action (IPA) professional
• Able to communicate in English and/or Swahili
• Willing and able to comprehend and give informed consent
• Willing to participate in a baseline survey immediately after providing consent
• Willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point
• Has not already participated in this study

Exclusion criteria

• Is not a women of reproductive age
• Did not have an SA/PAC procedure at one of six private clinics that day
• Does not have her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks
• Is not willing to SMS messages and phone calls from an MSK/IPA professional
• Is not able to communicate in English and/or Swahili
• Is not willing or is not able to comprehend and give informed consent
• Is not willing to participate in a baseline survey immediately after providing consent
• Is not willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point
• Has already participated in this study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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371 participants in 3 patient groups

Peer Counselor

Experimental group

Description:

Participants receive personalized text messages and phone calls from a peer counselor- a women who had an abortion and was trained in post abortion care and PCC

Treatment:

Behavioral: Person Centered Care - Post Abortion Support

Nurse

Experimental group

Description:

Participants receive personalized text messages and phone calls from a nurse trained in post abortion care and PCC

Treatment:

Behavioral: Person Centered Care - Post Abortion Support

control

No Intervention group

Description:

Participants receive the standard of care for post-abortion patients in Kenya.