- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03179059
Resolution of Uncertainty Through Testing
Resolution of Uncertainty Through Testing: The Impact of Pregnancy Tests on Reproductive and Maternal Health Beliefs and Behaviors in Uganda
Given the high rate of delayed adoption of antenatal care (ANC), and high rates of unintended pregnancy and unsafe abortion in Uganda, research on the period of time before confirmation of pregnancy is critical to understand underlying beliefs that guide behaviors ultimately important for maternal and neonatal health (UDHS, 2011; Hussain, 2013).
Home pregnancy tests - which now cost less than 10 cents each - have the potential to facilitate FP uptake and significantly improve reproductive, maternal and child health outcomes in sub-Saharan Africa, including Uganda. These tests are easy to administer, disposable, inexpensive, and have a low false positive rate. Yet, for women living in rural areas in sub-Saharan countries, these tests are typically unavailable outside of health centers or they are prohibitively expensive.
This study will investigate women's underlying beliefs about pregnancy status and examine how providing access to home-based pregnancy tests - thus facilitating earlier resolution of uncertainty of pregnancy status - influences such beliefs and decisions to take up family planning (FP) or seek appropriate pregnancy services.
The results will inform the design of a larger study in the future.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Kampala, Uganda
- Ichuli Institute
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Between the ages of 18-35
- Live in the catchment area
Exclusion Criteria:
- Currently attending school
End Survey if
- Women in menopause
- Women with sterilization
- Women with husband/partner with sterilization
- Women who do not understand what menstrual period is
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Pregnancy tests at baseline & follow-up
We offer free pregnancy test service at baseline and at follow-up survey.
|
Among respondents who are randomly selected to receive a free home pregnancy test service, they will be offered the chance to take the test in the presence of the enumerator.
Specifically, this would mean they would be given a cup to collect a sample of urine.
The respondent would do so privately, then bring the cup back to the enumerator who would dip the home pregnancy tests and assist with interpreting the result.
However, respondents can decline to take the test with the enumerator.
Treatment assignment will be stratified by whether respondent use modern family planning at baseline.
We will provide a free pregnancy tests in for the future use, they are randomly selected from intervention #1 treatment group.
|
Experimental: Pregnancy tests only at baseline
We offer free pregnancy test service at baseline
|
Among respondents who are randomly selected to receive a free home pregnancy test service, they will be offered the chance to take the test in the presence of the enumerator.
Specifically, this would mean they would be given a cup to collect a sample of urine.
The respondent would do so privately, then bring the cup back to the enumerator who would dip the home pregnancy tests and assist with interpreting the result.
However, respondents can decline to take the test with the enumerator.
Treatment assignment will be stratified by whether respondent use modern family planning at baseline.
|
No Intervention: Do Not Offer Pregnancy Test
Control group.
No intervention is implemented.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Binary measures for the family planning take up
Time Frame: At end line survey, half a year after intervention
|
Use of any modern family planning method, use of oral contraceptives, use of injectables, use of short-acting reversible methods, use of long-acting reversible methods.
We will measure take up as binary variables.
We will also conduct sub-group analyses among women who are not using modern family planning at baseline and among women who are using modern family planning at baseline
|
At end line survey, half a year after intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Binary measure of purchase of pregnancy test kit by price
Time Frame: At end line survey, half a year after intervention
|
Binary measures for the purchase of pregnancy test kit after baseline.
Demand for pregnancy test kit is computed by Becker-DeGroot-Marschak (BDM) or/and Take it or leave it (TIOLI) method.
We will also conduct sub-group analyses among women who are not using modern family planning at baseline and among women who are using modern family planning at baseline
|
At end line survey, half a year after intervention
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- uganda_study
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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