Integration of Family Planning and HIV Services in Tanzania
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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.
Condition | Intervention |
---|---|
HIV Infection HIV Infections |
Behavioral: Facilitated Referral |
Study Type: | Interventional |
Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Health Services Research |
Official Title: | An Evaluation of Integration of Family Planning Into HIV/AIDS Care and Treatment Clinics in Tanzania |
- 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 ]
- 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 ]
Enrollment: | 864 |
Study Start Date: | August 2009 |
Study Completion Date: | September 2010 |
Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Experimental: A. Facilitated Referral
Seven key steps carried out by CTC and FP staff to encourage completion of FP referral by CTC.
|
Behavioral: Facilitated Referral
Seven key steps carried out by CTC and FP staff to encourage completion of FP referral by CTC.
|
Ages Eligible for Study: | 18 Years to 45 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Female clients of Care & Treatment Clinics with CD4 counts >100, and are WHO Stage I - III. (CTC Clients)
- Care and Treatment providers who provide services to clients (CTC Providers)
- Care and Treatment supervisors who are the immediate in-charge supervisor for the CTC clinic. (CTC supervisor)
- Family Planning providers who provide services to clients. (FP providers)
- Family Planning supervisors who are the immediate in-charge supervisor for the FP clinic. (FP supervisor)
Tanzania | |
Muhimbili University of Health and Allied Services | |
Dar es Salaam, Tanzania |
Principal Investigator: | Joy N Bumgartner, MSW, PhD | FHI 360 |
Principal Investigator: | Thecla W Kohi, PhD | Muhimbili University of Health and Allied Services |
No publications provided
Responsible Party: | Mackenzie Green, FHI |
ClinicalTrials.gov Identifier: | NCT00941876 History of Changes |
Other Study ID Numbers: | 10121 |
Study First Received: | July 17, 2009 |
Last Updated: | August 10, 2011 |
Health Authority: | United States: Institutional Review Board |
Keywords provided by FHI 360:
AE adverse event AIDS acquired immunodeficiency syndrome ALT (SGPT) alanine aminotransferase ART antiretroviral therapy AST (SGOT) aspartate aminotransferase DCF data collection forms DMC Data Monitoring Committee FDA |
(U.S.) Food and Drug Administration GCP Good Clinical Practice guidelines HB sAg Hepatitis B surface antigen ICH International Conference of Harmonisation IND Investigational New Drug Application IRB Institutional Review Board IU International units mg milligram(s) |
Additional relevant MeSH terms:
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases |
Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases |
ClinicalTrials.gov processed this record on February 28, 2013