Integrating Family Planning Into Postabortion Care

Study Overview
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Brief Summary
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A descriptive post-intervention study designed to provide data to decision-makers at the Kenyan Ministry of Health, the Extending Service Delivery Project (ESD), and Pathfinder International about whether and how to scale-up the ESD Project's postabortion care (PAC) services package. Approximately three months of data will be collected following the introduction of postabortion care job aids in eight public sector health facilities in Central Province and Nairobi, Kenya. Postabortion clients and providers will be interviewed; facilities providing PAC services will be inventoried using facility checklists.

Detailed Description
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A descriptive post-intervention study designed to provide data to decision-makers at the Kenyan Ministry of Health, the Extending Service Delivery Project (ESD), and Pathfinder International about whether and how to scale-up the ESD Project's postabortion care (PAC) services package. Approximately three months of data will be collected following the introduction of postabortion care job aids in eight public sector health facilities in Central Province and Nairobi, Kenya. Postabortion clients and providers will be interviewed; facilities providing PAC services will be inventoried using facility checklists.

Official Title
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ESD: Integrated Services for Women Seeking Postabortion Care in Kenya

Conditions
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Postabortion Care

Intervention / Treatment
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* Other: Provision of PAC job aids and provider training on the use of the job aids


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For Facilities: APHIA II facilities supported by the ESD project in Central Province and Nairobi, Kenya where: (1) PAC services are provided, (2) at least one provider has received PAC and Youth-friendly PAC training, (3) Community mobilization has been initiated, (4) PAC equipment and supplies have been procured, (5) PAC job aids have been distributed. For Clients: Women aged 15 years or older who have received PAC services at a study facility and who have a telephone on which they can be contacted For Providers: Any person who offers PAC services at a study facility

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Provision of PAC job aids and provider training on the use of the job aids|Facility-level intervention applied to all study facilities|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge, attitudes, and practice regarding PAC job aids (clients and providers) |  | Anticipated end of data collection 12/31/09 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Client-report of provider counseling, by client age |  | Anticipated end of analysis/report writing 4/28/10 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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APHIA II, AIDS, Population, and Health Integrated Assistance project, DCF, data collection forms, FDA, Federal Drug Administration, FP, family planning, IRB, Institutional Review Board, PAC, postabortion care, To document the ESD PAC svc pkg including the provision of services, client satisfaction with those services and provider attitudes towards PAC services, To examine any differences in implementation of the ESD PAC services package for youth and adult clients, To assess the usefulness of five Youth-Friendly PAC Job Aids developed by ESD