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Integration of Family Planning and HIV Services in Tanzania

This study has been completed.
Sponsor:
Collaborator:
Muhimbili University of Health and Allied Sciences
Information provided by:
FHI 360
ClinicalTrials.gov Identifier:
NCT00941876
First received: July 17, 2009
Last updated: August 10, 2011
Last verified: August 2011
History of Changes

July 17, 2009
August 10, 2011
August 2009
September 2010   (final data collection date for primary outcome measure)
Proportion of female CTC clients with unmet need for contraception [ Time Frame: Before intervention begins (baseline) and 3 months after full implementation of intervention ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00941876 on ClinicalTrials.gov Archive Site
  • Proportion of female CTC clients screened on fertility intentions and unmet need for contraception [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Proportion of female CTC clients provided counseling on contraception or safe pregnancy [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Proportion of female CTC clients who received referral slip for FP services [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Proportion of female CTC clients whose contraceptive use/fertility intentions are recorded on their patient record form [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Proportion of female CTC clients who are accompanied to FP services [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Proportion of female CTC clients who receive a FP method same-day or make an appointment for sterilization [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Proportion of referrals to FP services that are tracked by the FP clinic [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
  • Incremental cost per clinic of adding facilitated referral process for FP to existing CTC services [ Time Frame: First month of implementation ] [ Designated as safety issue: No ]
  • Descriptive data on the experiences and perception of CTC and FP providers and supervisors on how the facilitated referral for FP was feasible and effective within CTC services [ Time Frame: Three months after full implementation of intervention ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Integration of Family Planning and HIV Services in Tanzania
An Evaluation of Integration of Family Planning Into HIV/AIDS Care and Treatment Clinics in Tanzania

HIV positive women and couples have broad reproductive health needs that are not always met within HIV services. The integration of family planning (FP) services into Tanzania's HIV Care and Treatment Clinics (CTC) will address the fertility desires of CTC clients and ultimately result in the reduction of unintended pregnancies and HIV incidence. One strategy for integrating FP and CTC services is to use a "facilitated referral" model. Facilitated referrals are enhanced referrals for additional services that have been used in other settings and which are the preferred intervention strategy the Government of Tanzania would like to pilot test. This study will evaluate the feasibility, effectiveness, and costs of implementing a "facilitated referrals" intervention by examining FP use among female clients attending HIV/AIDS Care and Treatment Centers. This study will measure whether there is a reduction in unmet need for contraception among female CTC clients after the facilitated referral integration intervention has been implemented.
Not Provided
Interventional
Not Provided
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
  • HIV Infection
  • HIV Infections
Behavioral: Facilitated Referral
Seven key steps carried out by CTC and FP staff to encourage completion of FP referral by CTC.
Experimental: A. Facilitated Referral
Seven key steps carried out by CTC and FP staff to encourage completion of FP referral by CTC.
Intervention: Behavioral: Facilitated Referral
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
864
September 2010
September 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. Female clients of Care & Treatment Clinics with CD4 counts >100, and are WHO Stage I - III. (CTC Clients)
  2. Care and Treatment providers who provide services to clients (CTC Providers)
  3. Care and Treatment supervisors who are the immediate in-charge supervisor for the CTC clinic. (CTC supervisor)
  4. Family Planning providers who provide services to clients. (FP providers)
  5. Family Planning supervisors who are the immediate in-charge supervisor for the FP clinic. (FP supervisor)
Both
18 Years to 45 Years
No
Contact information is only displayed when the study is recruiting subjects
Tanzania
 
NCT00941876
10121
No
Mackenzie Green, FHI
FHI 360
Muhimbili University of Health and Allied Sciences
Principal Investigator: Joy N Bumgartner, MSW, PhD FHI 360
Principal Investigator: Thecla W Kohi, PhD Muhimbili University of Health and Allied Services
FHI 360
August 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP