Clinical trial NCT03725358: A Cluster-RCT to Increase the Uptake of LARCs Among Adolescent Females and Young Women in Cameroon.
Official title: A Cluster-randomized Controlled Trial to Increase the Uptake of Long-acting Reversible Contraceptives Among Adolescent Females and Young Women in Cameroon
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Contraception Behavior
Contraceptive Usage
Contraceptive Method Switching
Contraception
Keywords: adolescent sexual and reproductive health, maternal mortality, teen pregnancy, LARCs
Lead sponsor: World Bank
Sponsor class: OTHER
Collaborators: name: Stanford University
name: George Washington University
name: University of Exeter
name: University of California, San Diego
name: Yaounde Gynecology, Obstetrics and Pediatrics Hospital
First posted: 2018-10-31
Enrollment: 0
Sex: FEMALE
Minimum age (years): 10
Maximum age (years): 49
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Intervention model description: three supply-side interventions (including control condition) are being crossed with three levels of subsidies for LARCs
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The study investigators propose to test various supply-side approaches to increase the numbers of both SARCs (short-acting reversible contraceptives, i.e. the pill and injectable) and especially LARCs (long-acting reversible contraceptives, i.e. the IUD and implant) administered by health facilities to reproductive-age females in Cameroon, particularly adolescents who may be unmarried and/or nulliparous. The study investigators will do this via interventions at primary health facilities, which include training of providers on family planning; the introduction of a tablet-based decision support tool for counseling women on family planning; and increased subsidies for LARCs within the performance-based financing (PBF) system. This approach is expected to benefit the population directly by decreasing maternal mortality and undesired pregnancies and indirectly by reducing side effects that arise due to current one-size-fits-all FP (family planning) counseling; improving the health of children due to improved birth spacing; and increasing human capital accumulation among children and young (often school-age) potential mothers.


Eligibility criteria: Inclusion Criteria:

* Facilities in the East Region of Cameroon providing family planning services under the performance-based financing (PBF) system.

Exclusion Criteria:

* Facilities that have not administered any modern contraceptive methods in the past quarter

Primary outcomes:
measure: The total number of modern contraceptives (SARCs + LARCs) administered per facility per quarter
timeFrame: 12 months
measure: The total number of LARCs administered per facility per quarter
timeFrame: 12 months
Secondary outcomes:
measure: The total number of counseling sessions conducted per facility per quarter
timeFrame: 12 months
measure: Prices charged for LARCs and SARCs per quarter
timeFrame: 12 months
Other outcomes:
Locations:
Study officials:
affiliation: World Bank
name: Berk Ozler, PhD
role: PRINCIPAL_INVESTIGATOR
References: