Consumer-focused Research to Accelerate Voluntary Uptake of Modern Contraceptives: Using Novel Data and Artificial Intelligence to Assess Consumer Intent, Identify Barriers and Enablers, and Uncover High-Impact Practices in Sindh, Pakistan
Trial ID: NCT06733831
Status: ACTIVE_NOT_RECRUITING
Study type: OBSERVATIONAL
Start date: 2024-07-15
Completion date: 2026-12-31
Sponsor: Aga Khan University
Collaborators: Surgo Health Washington DC; The Clinton Health Access Initiative (CHAI)
Conditions: Intention to Use Modern Contraception
Locations: Aga Khan University
Countries: Pakistan
Enrollment: 9230
Age range: 15 Years - 49 Years
Sex: FEMALE

Summary:
This is a multi-country cross-sectional study that will use mixed methods to better understand the extent to which women of reproductive age have intention to use modern contraception, what barriers and enablers exist, and what practices would support them to voluntarily adopt a modern contraceptive method. The study will take place in four countries i.e., Senegal, Côte d'Ivoire, Nigeria, and Pakistan, each with an adapted quantitative tool that will be administered to women of reproductive age and to men who live in their households. Qualitative data collection will be used to better understand the results of the quantitative survey.

The study aims to identify the proportion of women who have the intention to use family planning but are not currently using modern contraceptive methods and to determine why women with FP intent are not adopting modern contraceptive methods. Further it will also assess the characteristics of women who show intention-action gaps, and the interventions that enable them to adopt a modern contraceptive method. The findings of this study will support on-the-ground programs in identifying which population segment a woman might belong to.

The research will address its objectives by addressing the following research questions:

1. Who has the intention to use family planning but is not currently using modern contraceptive methods?
2. Why are women with FP intent not adopting modern contraceptive methods? Which methods are preferred, accessed, and intended?
3. Who should be targeted to diminish intention-action gaps, and how?
4. How can on-the-ground programs identify which population segment a woman might belong to?

Eligibility criteria:
Inclusion Criteria:

* Married women aged 15-49
* Married women providing written informed consent to participate in the study
* One married woman from each selected household

Exclusion Criteria:

* Women below 15 years and above 49 years are not eligible to participate
* Women aged 15-18 will be excluded unless a parent, guardian, or spouse consents to her participation in the study,
* Participants who do not speak the languages in which the surveys and interviews are conducted may be excluded to ensure accurate communication and understanding of the study materials.
* Individuals with severe cognitive impairments or intellectual disabilities that could affect their ability to comprehend the study objectives or provide meaningful responses may be excluded.
* Participants who are unable or unwilling to provide informed consent for participation in the study will be excluded to uphold ethical standards and protect participant rights.

Outcomes:
Predictors of modern contraceptive intent and uptake; Contextual barriers on contraceptive uptake; Causal patterns of contraceptive uptake; Impact of high-impact practices on contraceptive uptake; Understanding Intention-Action Gaps and Enabling Interventions for Modern Contraceptive Adoption in Women