Contraception Perspectives in Adolescents in Haiti

Study Overview
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Brief Summary
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The overall goal of this study is to assess facilitators and barriers to contraception with a focus on long-acting reversible contraception (LARC) among adolescents and health care providers (HCPs) in rural Haiti. The investigator plans to accomplish the following objectives:

Detailed Description
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Objective 1: Develop locally-informed surveys and in-depth interview guides, based on the ecologically-expanded Theory of Planned Behavior, to assess attitudes, social norms, perceived behavioral control, and intentions regarding contraception, with a focus on LARC, among adolescents and HCPs in rural Haiti. Objective 2: Conduct a formative mixed methods study of attitudes, social norms, perceived behavioral control, and intentions regarding contraception, with a focus on LARC, among female adolescents (N=150 survey, 25-50 in-depth interviews) and HCPs (N=15; survey and in-depth interviews) in rural Haiti.

Official Title
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Barriers and Facilitators to Long-Acting Reversible Contraception: Perspectives of Adolescents and Healthcare Providers in Rural Haiti

Conditions
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Contraception

Intervention / Treatment
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* Other: Interviews/Surveys


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria:• Adolescents who are biologically female and have reproductive potential (14-24 years old) Adolescents who reside in the birthing clinic catchment area Health care providers, including nurse midwives, who work at the local birthing clinic and providers at the local hospital Exclusion Criteria: -Subjects who are determined to have severe psychiatric illness or cognitive impairment (based on research team assessment).

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 24 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Adolescents 14-24 years old<br>Adolescents 14-24 years old | Other: Interviews/Surveys<br>* This is a cross sectional survey and interviews of adolescents 14- 18 years old and HCPs living in rural Haiti<br>|
| Health care providers in rural Haiti<br>Health care providers in rural Haiti | Other: Interviews/Surveys<br>* This is a cross sectional survey and interviews of adolescents 14- 18 years old and HCPs living in rural Haiti<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Identification of facilitators and barriers to contraception use | The primary outcome is identification of facilitators and barriers to contraception use among adolescent participants based on responses to the eTPB domains described in Table 1. The investigator will also explore facilitators and barriers to contraception use among HCP participants. | Data collection will occur over one day for individual participants. Study data collection will occur over 18 months |