A Study Comparing Implant Provision by Community Health Extension Workers With Nurses and Midwives in Nigeria

Marie Stopes International7,903 enrolled

Overview

This proposed study, to be run by Marie Stopes International Organisation Nigeria (MSION) will investigate whether Community Health Extension Workers (CHEWs) in Nigeria can insert and remove contraceptive implants to the same level of safety and quality as a nurse or midwife, and whether this is acceptable to their clients and colleagues. The study will also document feasibility issues which would be relevant to any future national programmatic scale-up.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

7,903

Conditions

Contraception

Interventions

Training CHEWs to provide contraceptive implantsOTHER

Training CHEWs to provide contraceptive implants

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 49 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * facilities are located with 20km of a referral facility * facilities - facility staff are willing to participate, e.g. willingness to conduct family planning awareness-raising activities, willing to maintain project records * facilities - selected provider at each facility expects to be in the facility for the 12-month period of client recruitment * clients - women present to attending facilities and request a contraceptive implant Exclusion Criteria: * facilities - involved in overlapping interventions

Outcomes

Primary Outcomes

Adverse events

Any adverse event recorded by the health provider or the client on the day of the procedure

Time frame: Day of implant insertion

Secondary Outcomes

Quality of implant provision

Supervisor-recorded quality of service provision, which includes includes both clinical dimensions, such as cleanliness, and non-clinical dimensions, such as taking a client focused approach and being responsive to client needs

Time frame: Day of implant insertion

Acceptability of service provision

Client-reported views of implant provision

Time frame: Day of implant insertion

Adverse events

Any adverse event recorded by the health provider at the time of implant insertion or reported by the client on the day of the procedure or up to 14 days after the procedure

Time frame: Up to 14 days post insertion

Data from ClinicalTrials.gov

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