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Study Overview

Title:
Evaluation of Family Planning and Business Training for Private Providers in Lagos, Nigeria
Study is 3ie funded:
No
Study ID:
RIDIE-STUDY-ID-545cd04c35a17
Initial Registration Date:
11/07/2014
Last Update Date:
10/30/2014
Study Status:
Ongoing
Location(s):
Nigeria
Abstract:
The SHOPS Nigeria project offers training on business practices and family planning to private healthcare providers in Lagos. We use a randomized controlled design to estimate the impact of the SHOPS Nigeria training on the total number of family planning patients, the number of family planning methods offered, and the quality of family planning counseling at facilities offered the training. 965 private healthcare facilities in Lagos which offered family planning at baseline were randomly assigned to either a control group, which was not offered any training, or a treatment group which was offered all of the training courses. Data on outcomes and covariates was collected using a facility survey and mystery client survey (in which surveyors pose as family planning patients) conducted at baseline and end line. End line data has been collected and is currently being entered.
Registration Citation:
Categories:
Health, Nutrition, and Population
Additional Keywords:
Family planning, training
Secondary ID Number(s):

Principal Investigator(s)

Name of First PI:
Doug Johnson
Affiliation:
Abt Associates
Name of Second PI:
Cynthia Kinnan
Affiliation:
Northwestern University

Study Sponsor

Name:
USAID
Study Sponsor Location:
United States

Research Partner

Name of Partner Institution:
Type of Organization:
Location:
Intervention

Intervention Overview

Intervention:
The Strengthening Private Sector Family Planning and Reproductive Health (SPS FP/RH) project, a USAID/Nigeria-funded 5-year $15.4 million Associate Award under the SHOPS project, aims to increase the provision of quality family planning services from the private sector through several interventions designed to overcome these hurdles. The interventions that are most relevant to this research study are described below. First, SPS FP /RH is conducting a range of FP clinical trainings across multiple topics to increase providers’ knowledge of methods and best practices in counseling. These trainings are intended to both improve the quality of family planning services and counseling provided by private sector providers as well as to encourage providers to provide family planning information in situations where patients do not explicitly ask for but would benefit from family planning advice. Second, SPS FP / RH, in collaboration with Banyan global, is conducting a range of business trainings across multiple topics for providers. The business trainings are intended to increase providers’ business knowledge and allow providers to grow their businesses and serve more clients.
Theory of Change:
Multiple Treatment Arms Evaluated?
No

Implementing Agency

Name of Organization:
Abt Associates
Type of Organization:
Private for profit organization

Program Funder

Name of Organization:
USAID
Type of Organization:
Public Sector, e.g. Government Agency or Ministry

Intervention Timing

Intervention or Program Started at time of Registration?
Yes
Start Date:
02/01/2013
End Date:
06/30/2014
Evaluation Method

Evaluation Method Overview

Primary (or First) Evaluation Method:
Randomized control trial
Other (not Listed) Method:
Additional Evaluation Method (If Any):
Other (not Listed) Method:

Method Details

Details of Evaluation Approach:
This study utilized a randomized design to estimate the impact on facilities that have received the special training. All facilities included in the study were randomly assigned to either a treatment group, which was offered all of the training courses, or a control group, which was offered none of the training courses. Participation in the training courses was voluntary and, for most of the trainings, facilities were free to nominate which staff from their facility would attend the training. As the SHOPS Nigeria project was on-going at the start of the study, great care was taken in selecting facilities for inclusion in the study. We conducted a census of all private health facilities in Lagos at baseline to identify facilities that offered family planning services, had sufficient numbers of family planning patients, and had not already received that specific type of training in the past. A total of 965 private facilities, including 224 clinics, 429 hospitals, 147 medical centers, and 165 nursing homes were included in the study.
Outcomes (Endpoints):
The SHOPS Nigeria training evaluation will estimate the impact of offering the various trainings on three primary outcome variables: 1. Number of family planning methods offered 2. Number of family planning patients per month 3. Quality of family planning care The number of family planning methods offered will be measured using a set of questions in the face-to-face facility survey in which each major family planning method is listed and respondents are asked whether the facility offers the method. The monthly volumes of family planning patients will be measured by asking facility managers the total number of family planning patients, defined as any patient who visited the facility to obtain family planning products, services, and counseling in the previous 30 days. To measure the quality of family planning provision, SHOPS collected additional data using a technique known as mystery client surveys. In these surveys, the surveyor poses as a mother with two young children who is seeking a method of family planning and does not want to have more children for two or three years, who interacts with the provider as a normal patient would, following a standard script.
Unit of Analysis:
Health facility
Hypotheses:
Unit of Intervention or Assignment:
Health facility
Number of Clusters in Sample:
Number of Individuals in Sample:
965
Size of Treatment, Control, or Comparison Subsamples:
481 treatment and 484 control

Supplementary Files

Analysis Plan:
Other Documents:
Data

Outcomes Data

Description:
Data on key outcomes and characteristics were collected from private health facilities using a combination of a facility surveys and independent mystery client surveys (in which surveyors pretended to be patients seeking family planning counseling and recorded key aspects of their experience).
Data Already Collected?
Yes
Data Previously Used?
No
Data Access:
Restricted -- Access requires a formal approval process
Data Obtained by the Study Researchers?
Data Approval Process:
We conducted this survey ourselves.
Approval Status:
Yes-obtained approval and have received the data

Treatment Assignment Data

Participation or Assignment Information:
Yes
Description:
Data Obtained by the Study Researchers?
Data Previously Used?
Data Access:
Data Obtained by the Study Researchers?
Data Approval Process:
Approval Status:

Data Analysis

Data Analysis Status:
No

Study Materials

Upload Study Materials:

Registration Category

Registration Category:
Prospective, Category 3: Data for measuring impacts have been obtained/collected by the research team but analysis for this evaluation has not started
Completion

Completion Overview

Intervention Completion Date:
Data Collection Completion Date:
Unit of Analysis:
Clusters in Final Sample:
Total Observations in Final Sample:
Size of Treatment, Control, or Comparison Subsamples:

Findings

Preliminary Report:
Preliminary Report URL:
Summary of Findings:
Paper:
Paper Summary:
Paper Citation:

Data Availability

Data Availability (Primary Data):
Date of Data Availability:
Data URL or Contact:
Access procedure:

Other Materials

Survey:
Survey Instrument Links or Contact:
Program Files:
Program Files Links or Contact:
External Link:
External Link Description:
Description of Changes:

Study Stopped

Date:
Reason: