Simulation Training for Labor and Delivery Providers to Address HIV Stigma During Childbirth in Tanzania

Utah System of Higher Education (USHE)

Status: Completed

Conditions: Pregnancy Related; Hiv; Stigmatization

Treatments: Behavioral: MAMA Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05271903

R21TW012001 (U.S. NIH Grant/Contract)

1R21TW012001-01

Details and patient eligibility

About

This study will work in Tanzania to develop and pilot test a simulation and experiential learning intervention for labor and delivery providers, in order to address HIV stigma during childbirth. The primary endpoint will be patient-rated changes in respectful maternity care, comparing women who deliver in the pre-intervention time period and women who deliver in the post-intervention period.

Full description

The study will pilot test the MAMA intervention in six clinics in the Kilimanjaro Region. 60 L&D providers will be enrolled across the sites. Patient level outcomes will be assessed using an interrupted time series design. Approximately 206 participants will be enrolled (103 in the pre-intervention period and 103 in the post-intervention period). The primary outcome will be patients' reported experiences of respectful maternity care (RMC). Secondary outcomes will be internalized HIV stigma, trust in health care, birth outcomes, HIV care engagements at 3 months, anticipated HIV stigma, and attitudes to long-term antiretroviral therapy. Our enrollment targets (103 per condition) will allow for detection of a medium effect of 0.4 in the change of RMC overall scores with 80% power and α=0.05. Pre- and post- surveys will be conducted for providers enrolled in the intervention, assessing outcomes related to practices of RMC, stigma toward WLHIV, self efficacy and clinical knowledge.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Labor and delivery providers who are:

• Over age 18
• Employed by a study clinic
• Work in the labor and delivery ward

Exclusion criteria

• Has not provided clinical care in the labor and delivery ward in past 6 months

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 1 patient group

Intervention

Experimental group

Description:

The MAMA intervention, which is a simulation training intervention for labor and delivery prviders.

Treatment:

Behavioral: MAMA Intervention