SihatMand Khandaan Healthy Families for Pakistan (SMK)

Aga Khan University

Status: Active, not recruiting

Conditions: Contraception; Contraception Behavior; Maternal Behavior; Reproductive Behavior

Treatments: Behavioral: Use of Data for Effective Decision-making; Behavioral: Renovation and Refurbishment of selected healthcare facilities; Behavioral: Adolescent Engagement; Behavioral: Capacity building of facility based and community based healthcare providers (public and private sector) on FP /SRH; Behavioral: Procurement of FP/SRH medical supplies and equipment; Behavioral: Uptake of quality Reproductive health and Family planning products, information and Services

Study type: Interventional

Funder types: Other

Identifiers

NCT06125470

2020-3606-11051

Details and patient eligibility

About

The SMK project's primary goal is to improve the status of SRH of women and adolescents within those targeted areas which feature inadequate progress on existing SRH indicators. The focus remains on empowering increasingly marginalized and vulnerable populations to exercise their reproductive rights, free of coercion, discrimination and violence. This will be achieved through the implementation of evidence-based and socio-culturally sensitive FP/ SRH interventions within ten districts of Pakistan. The aim of this project is therefore to evaluate the impact of a package of community and facility-based interventions on improving the SRH/ FP of the targeted population.

In order to achieves this, a quasi-experimental pre & post evaluation intervention study with a formative phase, baseline assessment, intervention phase and finally an end-line assessment, consisting of both qualitative & quantitative monitoring & evaluation tools will be applied at the household, community, healthcare facility and district levels in all project areas.

Furthermore, descriptive statistics will be tabulated on key indicators and stratified on selected variables. Means for continuous variables and proportion for categorical variables will be calculated at a 95% confidence interval within this study

Full description

A Quasi experimental pre & post evaluation intervention study with a formative research design will be adopted. This study will have three phases; (i) pre-assessment (baseline assessment, quantitative assessment & qualitative assessment - FGDs & In-depth Interviews), (ii) intervention and (iii) post assessment. The pre and post assessment will employ a mixed methodology approach.

The primary purpose of the pre-evaluation is to identify the FP / SRH related needs of the targeted population and existing gaps in health service delivery. These will effectively inform the interventions to be implemented. The post-evaluation will encompass mechanisms for quality assurance and monitoring of project impact and sustainability. Both pre and post- evaluations will be conducted using the same tools.

The overarching objective is therefore to evaluate the impact of a package of community and facility-based interventions on the SRH of the targeted population as delivered through the specific objectives outlined below:

1. To roll out effective, gender-responsive and COVID-19 appropriate interventions related to maternal, reproductive and newborn health in the public and private sector for the selected districts in the three provinces of Pakistan.
2. To generate data on knowledge, attitude, practices, access and use of health services for the selected districts.
3. To identify areas for capacity building and training for healthcare providers to improve quality and delivery of FP /SRH (as affected by the ongoing COVID-19 pandemic) for the selected districts.
4. To understand and explore the gender and social barriers to utilization and uptake of FP /SRH services by members of the community within the selected districts.

Enrollment: 236,000 estimated patients

Sex: Female

Ages: 15 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Married women of reproductive age living in the project areas

Exclusion criteria

• Not residing in the area for more than six months

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Sequential Assignment

Masking: None (Open label)

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236,000 participants in 1 patient group

Intervention areas

Experimental group

Description:

Health facilities and other service delivery points including outreach health workers receiving FP supplies, trainings and renovations to create enabling environment at health and Family planning facilities Community engagement and creating creating adolescents friendly spaces roll out of Gender responsive strategies

Treatment:

Behavioral: Uptake of quality Reproductive health and Family planning products, information and Services

Behavioral: Procurement of FP/SRH medical supplies and equipment

Behavioral: Capacity building of facility based and community based healthcare providers (public and private sector) on FP /SRH

Behavioral: Adolescent Engagement

Behavioral: Renovation and Refurbishment of selected healthcare facilities

Behavioral: Use of Data for Effective Decision-making