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Behavioural intervention for adolescent uptake of family planning: a randomized controlled trial, Uganda
Flanagan, Sara; Nicholson, Martha; Bradish, Stephanie; Amanyire, Diana; Gidudu, Andrew; Aucur, Francis; Twesigye, Julius; Kyateka, Faith; Marie Stopes Uganda, Kampala,; Balamaga, Samuel; Buttenheim, Alison; Zimmerman, Emily.
Afiliação
  • Flanagan, Sara; ideas42. New York. US
  • Nicholson, Martha; MSI Reproductive Choices. London. GB
  • Bradish, Stephanie; MSI Reproductive Choices. London. GB
  • Amanyire, Diana; MSI Reproductive Choices. London. GB
  • Gidudu, Andrew; Marie Stopes Uganda. Kampala. GB
  • Aucur, Francis; Marie Stopes Uganda. Kampala. GB
  • Twesigye, Julius; Marie Stopes Uganda. Kampala. GB
  • Kyateka, Faith; Marie Stopes Uganda, Kampala. Kampala. UG
  • Marie Stopes Uganda, Kampala,; Marie Stopes Uganda. Kampala. UG
  • Balamaga, Samuel; Marie Stopes Uganda. Kampala. UG
  • Buttenheim, Alison; University of Pennsylvania School of Nursing. Philadelphia. US
  • Zimmerman, Emily; ideas42. New York. US
Bull. W.H.O. (Online) ; Bull. W.H.O. (Online);99(11): 795-804, 2021. Tables, figures
Article em En | AIM | ID: biblio-1343745
Biblioteca responsável: CG1.1
ABSTRACT

Objective:

To evaluate the impact of a peer-referral and clinic welcome programme for reducing barriers to adolescents' uptake of family planning services in Uganda.

Methods:

We developed an intervention using behavioural design and carried out a stratified, randomized controlled evaluation of the intervention in girls aged 15­19 years. Sexual and reproductive health clinics were randomized into control (56 clinics) and intervention groups (60 clinics). All intervention clinics received the core intervention (materials to create an adolescent-friendly environment and referral cards to give to friends), while a subset of clinics additionally received training in youth-friendly service provision. We collected clinics' routine data on monthly numbers of visits by adults and adolescents over a 15-month baseline and 6-month intervention period, 2018­2020.

Findings:

In multivariate regression analysis we found significant effects of the intervention on primary outcomes in the pooled intervention group compared with control. Mean monthly visits by adolescents increased by 45% (incidence rate ratio, IRR 1.45; 95% confidence interval, CI 1.14­1.85), or over five additional adolescent clients per clinic per month. The mean adolescent proportion of total clients improved by 5.3 percentage points (95% CI 0.02­0.09). Within treatment arms, clinics receiving the training in youth-friendly service provision showed the strongest effects a 62% increase (IRR 1.62; 95% CI 1.21­2.17) in adolescent clients, or over seven additional adolescents per clinic per month, relative to the control group.

Conclusion:

A behavioural change intervention designed to target identified barriers can increase adolescents' uptake of family planning counselling and services.
Assuntos

Texto completo: 1 Índice: AIM Assunto principal: Encaminhamento e Consulta / Serviços de Planejamento Familiar / Instituições de Assistência Ambulatorial Tipo de estudo: Clinical_trials Limite: Adolescent / Adult / Female / Humans Idioma: En Revista: Bull. W.H.O. (Online) Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Índice: AIM Assunto principal: Encaminhamento e Consulta / Serviços de Planejamento Familiar / Instituições de Assistência Ambulatorial Tipo de estudo: Clinical_trials Limite: Adolescent / Adult / Female / Humans Idioma: En Revista: Bull. W.H.O. (Online) Ano de publicação: 2021 Tipo de documento: Article