Measuring Ethnic Disparities in Family Planning Services in Peru

Universidad Peruana Cayetano Heredia

Status: Completed

Conditions: Quality of Health Care

Treatments: Behavioral: Mestizo profile; Behavioral: Indigenous profile

Study type: Interventional

Funder types: Other

Identifiers

NCT01885858

59922 (Other Identifier)

UPCH-IADB 2012-2013

Details and patient eligibility

About

This study is designed as a crossover randomized controlled trial, to investigate the effects of client's ethnic characteristics on the quality of family planning services.

Full description

The study aims at evaluating, in a causal way, whether health providers in Peru might be contributing to ethnic health disparities in the provision of family planning services. We perform a field experiment that combines audit studies and simulated patient methodologies. The study population consists of clinics in Metropolitan Lima that are administered by the Ministry of Health and which provide family planning counseling services. The sample in our study includes 351 clinics. The primary outcome measured in the study was a composite of service provider compliance to guideline technical tasks in family planning counseling. We pre-defined indigenous and mestizo profiles using distinctive cultural attributes such as clothing, styling of hair, posture and patterns of speech. With a 1:1 allocation as per a computer generated randomization schedule, and using permuted blocks of four, clinics were assigned to a sequence of ethnic profiles, either to receive the indigenous then the mestizo profile (sequence 1) or mestizo and then the indigenous profile (sequence 2) in two periods. The trial comprises two treatment periods each of five week's duration. The second treatment period followed the same sequence of visits than the first one to obtain at least a five-week 'wash-out' period to mask the study.

Enrollment: 351 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Clinic operated by the Ministry of Health
• Clinic must provide family planning services

Exclusion criteria

• Primary health clinics with the lowest degree of specialization (categorized as I-1) and thus lacking the number of patients required to enable the simulated patient to pass through the facilities undetected.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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351 participants in 2 patient groups

Sequence 1

Other group

Description:

Clinics receive first the indigenous and then the mestizo profile.

Treatment:

Behavioral: Indigenous profile

Behavioral: Mestizo profile

Sequence 2

Other group

Description:

Clinics receive first the mestizo and then the indigenous profile.

Treatment:

Behavioral: Indigenous profile

Behavioral: Mestizo profile