scholarly journals CHARM, a gender equity and family planning intervention for men and couples in rural India: protocol for the cluster randomized controlled trial evaluation

2016 ◽  
Vol 13 (1) ◽  
Author(s):  
Jennifer Yore ◽  
Anindita Dasgupta ◽  
Mohan Ghule ◽  
Madhusadana Battala ◽  
Saritha Nair ◽  
...  
Contraception ◽  
2016 ◽  
Vol 94 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Elizabeth Miller ◽  
Daniel J. Tancredi ◽  
Michele R. Decker ◽  
Heather L. McCauley ◽  
Kelley A. Jones ◽  
...  

2021 ◽  
Author(s):  
Glenn Wagner ◽  
Rhoda Wanyenze ◽  
Jolly Beyeza-Kashesya ◽  
Violet Gwokyalya ◽  
Emily Hurley ◽  
...  

Abstract Background: Safer conception counseling (SCC) to promote safer conception methods (SCM) is not yet part of routine family planning or HIV care, and to date there are no published controlled evaluations of SCC.Methods: In a hybrid, cluster randomized controlled trial, six HIV clinics were randomly assigned to implement the SCC intervention Our Choice using either a high (SCC1) or low intensity (SCC2) approach, or existing family planning services (usual care). 389 HIV clients considering childbearing with an HIV-negative partner enrolled. The primary outcome was self-reported use of appropriate reproductive method (SCM if trying to conceive; modern contraceptives if not) over 12 months or until pregnancy. Results: The combined intervention groups used appropriate reproductive methods more than usual care [20.8% vs. 6.9%; adjusted OR (95% CI)=10.63 (2.79, 40.49)], and SCC1 reported a higher rate than SCC2 [27.1% vs. 14.6%; OR (95% CI)=4.50 (1.44, 14.01)]. Among those trying to conceive, the intervention arms reported greater accurate use of SCM compared to usual care [24.1% vs. 0%; OR (95% CI)=91.84 (4.94, 1709.0)], and SCC1 performed better than SCC2 [34.6% vs. 11.5%; OR (95% CI)=6.43 (1.90, 21.73)]; the arms did not vary on modern contraception use among those not trying to conceive. A cost of $631 per person was estimated to obtain accurate use of SCM in SCC1, compared to $1014 in SCC2. Conclusions: More intensive training and supervision leads to greater adoption of complex SCM behaviors and is more cost-effective than the standard implementation approach.Trial registration: Clinicaltrials.gov, NCT03167879; date registered May 23, 2017; https://clinicaltrials.gov/ct2/show/NCT03167879.


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