Counseling on Injectable Contraception and HIV Risk in Tanzania

Study Overview
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Brief Summary
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The main objective of the evaluation was to assess the effect of providing injectable and HIV risk counseling messages on contraceptive knowledge and behavior during a three month pilot intervention in ten healthcare facilities in Tanzania.

Detailed Description
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The evaluation assessed the effect of providing injectable and HIV risk counseling messages on contraceptive knowledge and uptake during a three month pilot intervention. The intervention was conducted September-November 2018 in ten healthcare facilities located in the Iringa and Njombe regions of Tanzania. Data collection for the evaluation occurred November-December 2018 and included 471 client exit interviews, 26 healthcare provider interviews, and the extraction of monthly aggregate service statistics for 12 months prior to the intervention and three months of the intervention. Univariate and bivariate analyses were used to assess quantitative interview data. Thematic qualitative assessment was used to assess qualitative interview data from healthcare providers. Interrupted time series analysis was used to assess changes in the trend of monthly contraceptive uptake.

Official Title
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Counseling on Injectable Contraception and HIV Risk: Evaluation of a Pilot Intervention in Tanzania

Conditions
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Contraception

Intervention / Treatment
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* Other: Counseling messages on injectable use and HIV acquisition risk


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Expressed interest in injectable use HIV-negative or unknown HIV status Exclusion Criteria: Positive HIV status known to healthcare provider

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Counseling messages on injectable use and HIV acquisition risk|Counseling messages based on 2017 World Health Organization guidance, a review of the Strategic Communication Framework for Hormonal Contraceptive Methods and Potential HIV-related Risks, and the Family Planning Global Handbook were provided to clients expressing interest in injectables during regular family planning appointments.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of clients obtaining an injectable during their family planning appointment | Injectable uptake of interviewed clients | After implementation of counseling messages, up to 13 weeks | 
| Percent of clients obtaining an injectable during their family planning appointment | Injectable uptake of interviewed clients | After implementation of counseling messages, up to 13 weeks | 
| Monthly total number of family planning clients by method obtained | Contraceptive uptake during pilot intervention | September 2017 through November 2018 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of correct hormonal contraception and HIV risk counseling messages mentioned during spontaneous recall | Knowledge of hormonal contraception and HIV risk messages | After implementation of counseling messages, up to 13 weeks | 
| Percent of correct hormonal contraception and HIV risk counseling messages mentioned during spontaneous recall | Knowledge of hormonal contraception and HIV risk messages | After implementation of counseling messages, up to 13 weeks | 
| Number of correct True/False statements on hormonal contraception and HIV (11 total) | Knowledge of hormonal contraception and HIV risk messages | After implementation of counseling messages, up to 13 weeks | 
| Percent of correct True/False statements on hormonal contraception and HIV (11 total) | Knowledge of hormonal contraception and HIV risk messages | After implementation of counseling messages, up to 13 weeks | 
| Number of interviewed clients reporting an intention to use condoms as a dual method | Intention to use condoms as a dual method | After implementation of counseling messages, up to 13 weeks | 
| Percent of interviewed clients reporting an intention to use condoms as a dual method | Intention to use condoms as a dual method | After implementation of counseling messages, up to 13 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Counseling, Tanzania