Assessment of Family Planning and Immunization Service Integration in Liberia

Contraception Clinical Trial

Official title:

Assessment of Family Planning and Immunization Service Integration in Liberia

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03571932
• Other study ID #: IRB00007524
• Status: Completed
• Start date: November 2016
• Est. completion date: July 2017

Study information

• Verified date: June 2018
• Source: Jhpiego
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This is a mixed methods process evaluation of a programmatic intervention to integrate family planning and immunization services at health facilities in Lofa and Grand Bassa counties in Liberia. MCSP used a longitudinal, pair-matched design to monitor the effect of integrating immunization and FP services on utilization of FP and routine immunization services. In Lofa and Grand Bassa counties, 36 facilities were pair-matched to intervention and comparison sites based on predetermined criteria. After approximately 9 months of implementation, MCSP conducted a qualitative study employing key informant interviews (KIIs) and focus group discussions (FGDs) at intervention and comparison sites, and with district-, county-, and national-level MOH supervisors and managers.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: July 2017
• Est. primary completion date: July 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• 18 intervention facilities in Lofa and Grand Bassa counties

• 18 pair matched comparison facilities in Lofa and Grand Bassa counties

Exclusion Criteria:

• Facilities not included in the intervention or selected for pair matching

Related Conditions & MeSH terms

• Contraception
• Contraception Behavior
• Contraceptive Usage
• Infant, Newborn, Diseases

Intervention

Behavioral:
• Family planning and immunization service integration
The approach involved integration of immunization and family planning services at health facilities. Vaccinators provided brief FP messages one-on-one to mothers and offered a referral for same-day, co-located FP services at the end of each routine immunization visit. For women coming directly for FP, if women had an infant with them, FP providers asked to see the child's health card, checked the return date for the next vaccination and reminded the mother of the date to return. For women without their child or the child health card with them, FP providers reinforced the importance of vaccination, and encouraged the mothers to bring their child for all their vaccines and complete the immunization schedule in a timely manner. A job aid, referral cards, and IEC materials were introduced to support the integration process.

Locations

Country	Name	City	State
n/a

Sponsors (3)

Lead Sponsor	Collaborator
Jhpiego	John Snow, Inc., United States Agency for International Development (USAID)

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of modern family planning users		November 2016-July 2017
Primary	Number of Penta 1 doses administered		November 2016-July 2017
Primary	Number of Penta 3 doses administered		November 2016-July 2017