A Study Comparing Implant Provision by Community Health Extension Workers With Nurses and Midwives in Nigeria

Study Overview
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Brief Summary
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This proposed study, to be run by Marie Stopes International Organisation Nigeria (MSION) will investigate whether Community Health Extension Workers (CHEWs) in Nigeria can insert and remove contraceptive implants to the same level of safety and quality as a nurse or midwife, and whether this is acceptable to their clients and colleagues. The study will also document feasibility issues which would be relevant to any future national programmatic scale-up.

Official Title
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Task-sharing to Expand Access to Contraceptive Implants: A Study Comparing Implant Provision by Community Health Extension Workers With Nurses and Midwives in Nigeria

Conditions
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Contraception

Intervention / Treatment
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* Other: Training CHEWs to provide contraceptive implants


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: facilities are located with 20km of a referral facility facilities - facility staff are willing to participate, e.g. willingness to conduct family planning awareness-raising activities, willing to maintain project records facilities - selected provider at each facility expects to be in the facility for the 12-month period of client recruitment clients - women present to attending facilities and request a contraceptive implant Exclusion Criteria: facilities - involved in overlapping interventions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Community health extension workers<br>Community health extension workers providing contraceptive implants | Other: Training CHEWs to provide contraceptive implants<br>* Training CHEWs to provide contraceptive implants<br>|
| No Intervention: Nurses and midwives<br>Nurses and midwives providing contraceptive implants (existing care) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse events | Any adverse event recorded by the health provider or the client on the day of the procedure | Day of implant insertion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of implant provision | Supervisor-recorded quality of service provision, which includes includes both clinical dimensions, such as cleanliness, and non-clinical dimensions, such as taking a client focused approach and being responsive to client needs | Day of implant insertion | 
| Acceptability of service provision | Client-reported views of implant provision | Day of implant insertion | 
| Adverse events | Any adverse event recorded by the health provider at the time of implant insertion or reported by the client on the day of the procedure or up to 14 days after the procedure | Up to 14 days post insertion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Contraceptive implant, Task sharing, Nigeria