Randomized Controlled Trial to Address Unintended Pregnancy Rates in Low Resource Settings
解决资源匮乏环境中意外怀孕率的随机对照试验
基本信息
- 批准号:10617389
- 负责人:
- 金额:$ 64.43万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-05-19 至 2026-04-30
- 项目状态:未结题
- 来源:
- 关键词:AbbreviationsAbsenteeismAccountabilityAddressAgeAreaAwardBehaviorChildbirthClientCollaborationsCommunitiesContraceptive AgentsContraceptive UsageContraceptive methodsCounselingCountryCountyCross-Sectional StudiesDataEffectivenessFamily PlanningFeedbackFeesFocus GroupsFundingGoalsHealthHealth PersonnelHealth care facilityHealthcare SystemsIndividualInfant MortalityInterventionInterviewJob SatisfactionKenyaKnowledgeMaternal MortalityMeasuresMethodsModelingModernizationMonitorNational Institute of Child Health and Human DevelopmentNewborn InfantNulliparityOutcomePathway interactionsPatient RightsPerceptionPerformancePregnancyPregnancy RatePrevalenceProviderPublic FacilitiesPublic HealthPublic SectorQuality of CareRandomizedRandomized, Controlled TrialsReportingResearchResearch DesignResearch Project GrantsResource-limited settingResourcesSamplingSiteSocial AccountabilitySupervisionSurveysTimeUnmarriedWait TimeWomanWorkarmcare providerscommunity engagementempowermentevidence baseexperienceexperimental studyfollow-upimplementation barriersimplementation evaluationimplementation scienceimplementation strategyimprovedinterestlow income countrymemberpaymentpost interventionreinforced behaviorreproductivescale upservice deliveryservice providersservice utilizationtherapy designthree-arm studyunintended pregnancyuptake
项目摘要
ABSTRACT
Unintended pregnancy is a major contributor to maternal and infant mortality in low-income countries (LICs).
More than 300,000 women and 2.7 million newborns die every year in LICs due to complications from
childbirth and pregnancy. Nearly half of the 200 million pregnancies occurring annually in LICs are unintended.
High numbers of unintended pregnancy are primarily the result of non-use of contraception. Non-use of
contraception is more likely to occur among potential users who experience poor provider care. Providers who
are frequently absent, solicit informal payments from clients, and deny methods to unmarried or nulliparous
women are a major barrier to women seeking family planning. Yet, removing these barriers is difficult due to
low supervision and accountability in under-resourced public facilities. Such findings highlight the need for
interventions that increase quality of care via alternative mechanisms for monitoring providers. The social
accountability approach solicits citizen feedback with the goal of improving provider performance and service
delivery. To date, there is limited rigorous evidence on the effectiveness of social accountability interventions to
increase contraceptive use and on the conditions necessary for successful and sustainable scale-up of these
interventions. Further, no prior study has rigorously assessed social accountability in a setting where Universal
Health Coverage (UHC) is already operating. Based on these knowledge gaps, we propose to evaluate the
impact of two social accountability interventions using rigorous methods. We propose this study in Kenya,
which rolled out UHC in late 2018 and where one out of every 42 women will die from complications related to
pregnancy and childbirth. This study seeks a) to implement the Community Score Card and the Citizen Report
Card, b) to evaluate the impact of each of these interventions on contraceptive use, quality of care, and
community engagement within communities in Kisumu County, Kenya, and c) to assess the potential for
sustainability in additional counties in Kenya, using implementation science methods. To evaluate the impact of
the Community Score Card and the Citizen Report Card on our outcomes of interest, a three-armed cluster
randomized controlled trial will be conducted in Kisumu, Kenya, with all public-sector facilities randomly
assigned to one of three study arms: 1. Community Score Card intervention, 2. Citizen Report Card
intervention, or 3. control sites. Outcomes will be assessed via pre- and post-intervention surveys at the
individual (n=2268) and facility levels (n=129). Implementation science methods will be used to assess the
quality, scalability, and replicability of both the Community Score Card and the Citizen Report Card for uptake
by the public-sector healthcare system. Specifically, in-depth interviews will be conducted with community
members and service providers (n=30), and focus groups (n=4) will be conducted with key intervention
facilitators to assess implementation challenges. This research project will develop an evidence base and
implementation strategy for effective community monitoring of publicly funded healthcare facilities in LICs.
摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
KATHERINE M TUMLINSON其他文献
KATHERINE M TUMLINSON的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('KATHERINE M TUMLINSON', 18)}}的其他基金
Randomized Controlled Trial to Address Unintended Pregnancy Rates in Low Resource Settings
解决资源匮乏环境中意外怀孕率的随机对照试验
- 批准号:
10406881 - 财政年份:2021
- 资助金额:
$ 64.43万 - 项目类别:
Service Delivery Factors Influencing Contraceptive Use Dynamics in Developing Countries: A Mixed-Methods and Cross-Disciplinary Approach
影响发展中国家避孕药具使用动态的服务提供因素:混合方法和跨学科方法
- 批准号:
9533765 - 财政年份:2017
- 资助金额:
$ 64.43万 - 项目类别:
Service Delivery Factors Influencing Contraceptive Use Dynamics in Developing Countries: A Mixed-Methods and Cross-Disciplinary Approach
影响发展中国家避孕药具使用动态的服务提供因素:混合方法和跨学科方法
- 批准号:
9767596 - 财政年份:2017
- 资助金额:
$ 64.43万 - 项目类别:
Service Delivery Factors Influencing Contraceptive Use Dynamics in Developing Countries: A Mixed-Methods and Cross-Disciplinary Approach
影响发展中国家避孕药具使用动态的服务提供因素:混合方法和跨学科方法
- 批准号:
9368932 - 财政年份:2016
- 资助金额:
$ 64.43万 - 项目类别:
Service Delivery Factors Influencing Contraceptive Use Dynamics in Developing Countries: A Mixed-Methods and Cross-Disciplinary Approach
影响发展中国家避孕药具使用动态的服务提供因素:混合方法和跨学科方法
- 批准号:
9247239 - 财政年份:2016
- 资助金额:
$ 64.43万 - 项目类别:
相似海外基金
Family socioeconomic status and school absenteeism - The role of behavioural and psychosocial dispositions
家庭社会经济地位和学校缺勤——行为和社会心理倾向的作用
- 批准号:
2744816 - 财政年份:2022
- 资助金额:
$ 64.43万 - 项目类别:
Studentship
Towards a School-Community Based Approach to Addressing Student Absenteeism
采取基于学校社区的方法来解决学生缺勤问题
- 批准号:
DP220101939 - 财政年份:2022
- 资助金额:
$ 64.43万 - 项目类别:
Discovery Projects
CK21-003, Oregon Child Absenteeism due to Respiratory Disease Study - 3
CK21-003,俄勒冈州儿童因呼吸道疾病缺勤研究 - 3
- 批准号:
10320583 - 财政年份:2021
- 资助金额:
$ 64.43万 - 项目类别:
CK21-003, Oregon Child Absenteeism due to Respiratory Disease Study - 3
CK21-003,俄勒冈州儿童因呼吸道疾病缺勤研究 - 3
- 批准号:
10468590 - 财政年份:2021
- 资助金额:
$ 64.43万 - 项目类别:
CK21-003, Oregon Child Absenteeism due to Respiratory Disease Study - 3
CK21-003,俄勒冈州儿童因呼吸道疾病缺勤研究 - 3
- 批准号:
10620797 - 财政年份:2021
- 资助金额:
$ 64.43万 - 项目类别:
CK21-003, Oregon Child Absenteeism due to Respiratory Disease Study - 3
CK21-003,俄勒冈州儿童因呼吸道疾病缺勤研究 - 3
- 批准号:
10833456 - 财政年份:2021
- 资助金额:
$ 64.43万 - 项目类别:
Sleep health intervention against presenteeism and absenteeism
针对出勤和缺勤的睡眠健康干预
- 批准号:
20K07955 - 财政年份:2020
- 资助金额:
$ 64.43万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Exclusion from School : Child Poverty and School Absenteeism
被学校排斥:儿童贫困和缺勤
- 批准号:
20J10970 - 财政年份:2020
- 资助金额:
$ 64.43万 - 项目类别:
Grant-in-Aid for JSPS Fellows
Predictors of Influenza-Associated Absenteeism and Impact of Vaccination in a Cohort of Guatemalan Agricultural Workers
危地马拉农业工人群体中流感相关缺勤的预测因素和疫苗接种的影响
- 批准号:
10686288 - 财政年份:2019
- 资助金额:
$ 64.43万 - 项目类别:
Predictors of Influenza-Associated Absenteeism and Impact of Vaccination in a Cohort of Guatemalan Agricultural Workers
危地马拉农业工人群体中流感相关缺勤的预测因素和疫苗接种的影响
- 批准号:
10016186 - 财政年份:2019
- 资助金额:
$ 64.43万 - 项目类别: