Evaluating the Effects of Reproductive Health Training on Provider Behavior - Aim 3 (THP-2 Aim 3)

August 12, 2026 updated by: University of Minnesota

This study will evaluate the real-world effectiveness of a four-day Afrocentric sexual and reproductive health curriculum for health professional students in Tanzania.

Medical, nursing, and midwifery students from the State University of Zanzibar, Kilimanjaro Christian University, and the University of Dodoma will receive the curriculum. The curriculum covers sexual health across the lifespan, sexual dysfunctions, key populations, sexual violence, clinical skills training, ethics, policy writing, community resources, and cultural considerations.

Student outcomes will be assessed using surveys at baseline, immediately after the curriculum, and at 3-month and 12-month follow-up to examine changes in sexual health knowledge, attitudes, and sexual history and counseling skills.

Study Overview

Detailed Description

Training for Health Professionals 2 Aim 3 is designed to evaluate the real-world effectiveness and feasibility of disseminating an Afrocentric sexual and reproductive health curriculum for health professional students in Tanzania. The study builds on prior Training for Health Professionals work, including a previous randomized controlled trial that showed improvements in sexual and reproductive health knowledge, attitudes, and clinical skills among health care students.

This Phase IV implementation study will be conducted at three institutions in Tanzania: the State University of Zanzibar, Kilimanjaro Christian University, and the University of Dodoma. The study will enroll medical, nursing, and midwifery students who are current pre-final year students at one of the participating institutions.

Participants will receive a four-day Afrocentric comprehensive sexual and reproductive health curriculum. The curriculum covers sexual health across the lifespan and male and female sexual dysfunctions on Day 1; key populations, including LGBT persons and sex workers, and sexual violence on Day 2; clinical skills training, ethics, and policy writing on Day 3; and community resources and cultural considerations on Day 4.

Participants will complete study surveys at baseline, immediately after the intervention, and at 3-month and 12-month follow-up. The surveys will assess sexual health knowledge, attitudes, and sexual history and counseling skills. Faculty involved in delivering the curriculum will also complete post-training evaluations assessing their knowledge, comfort, and skills in teaching the curriculum.

The study will evaluate whether participants increase and retain sexual health knowledge, attitudes, and skills after participating in the curriculum in a real-world educational setting. The study will also assess implementation fidelity and faculty training outcomes to inform future dissemination of the curriculum.

Study Type

Interventional

Enrollment (Estimated)

650

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

  • Name: B. R. Simon Rosser, PhD
  • Phone Number: 612-624-0358
  • Email: rosser@umn.edu

Study Locations

      • Dodoma, Tanzania
        • University of Dodoma
        • Contact:
          • B. R. Simon Rosser, PhD
          • Phone Number: 612-624-0358
          • Email: rosser@umn.edu
        • Principal Investigator:
          • Dickson Mkoka, PhD
      • Moshi, Tanzania
        • Kilimanjaro Christian University
        • Contact:
          • B. R. Simon Rosser, PhD
          • Phone Number: 612-624-0358
          • Email: rosser@umn.edu
        • Principal Investigator:
          • Dickson Mkoka, PhD
      • Zanzibar, Tanzania
        • State University of Zanzibar
        • Contact:
          • B. R. Simon Rosser, PhD
          • Phone Number: 612-624-0358
          • Email: rosser@umn.edu
        • Principal Investigator:
          • Dickson Mkoka, PhD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Current pre-final year student at the State University of Zanzibar, Kilimanjaro Christian University, or the University of Dodoma in midwifery, nursing, or medicine
  • Able to attend the full 4-day training
  • Fluent in English and Kiswahili
  • Willing to volunteer to complete all evaluation procedures

Exclusion Criteria:

  • Unable to attend all days of the seminar at SUZA, KCMC, or UDOM
  • Unable to be on the SUZA, KCMC, or UDOM campus for the follow-up dates
  • Expresses reservations about attending, including religious objections
  • Expresses fear of violence due to attending, including fear from a spouse or relative
  • Prior exposure to the Training for Health Professionals curriculum or either of the previous pilots
  • Younger than 18 years of age
  • Non-English speaker
  • Unable to read
  • Employee of the researcher
  • Prisoner
  • Adult lacking capacity to consent or with diminished capacity to consent
  • Active member of the military or DoD personnel

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Afrocentric Sexual and Reproductive Health Curriculum
Participants will receive a four-day Afrocentric comprehensive sexual and reproductive health curriculum at SUZA, KCMC, or UDOM in Tanzania. Outcomes will be assessed using surveys at baseline, immediately after the curriculum, and at 3- and 12-month follow-up.
The intervention is a four-day Afrocentric comprehensive sexual and reproductive health curriculum. It covers sexual health across the lifespan, male and female sexual dysfunctions, key populations including LGBT persons and sex workers, sexual violence, clinical skills training, ethics, policy writing, community resources, and cultural considerations.
Other Names:
  • Training for Health Professionals Curriculum

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Sexual and Reproductive Health Knowledge
Time Frame: Baseline, immediately post-intervention, 3 months, and 12 months
Change in sexual and reproductive health knowledge will be assessed using participant survey responses collected before the curriculum, immediately after the curriculum, and at 3-month and 12-month follow-up.
Baseline, immediately post-intervention, 3 months, and 12 months
Change in Sexual and Reproductive Health Attitudes
Time Frame: Baseline, immediately post-intervention, 3 months, and 12 months
Change in attitudes related to sexual and reproductive health care will be assessed using participant survey responses collected before the curriculum, immediately after the curriculum, and at 3-month and 12-month follow-up.
Baseline, immediately post-intervention, 3 months, and 12 months
Change in Sexual History Taking and Counseling Skills
Time Frame: Baseline, immediately post-intervention, 3 months, and 12 months
Change in sexual history taking and counseling skills will be assessed using participant survey responses collected before the curriculum, immediately after the curriculum, and at 3-month and 12-month follow-up.
Baseline, immediately post-intervention, 3 months, and 12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: B. R. Simon Rosser, PhD, University of Minnesota

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 17, 2026

Primary Completion (Estimated)

August 17, 2027

Study Completion (Estimated)

August 17, 2027

Study Registration Dates

First Submitted

August 12, 2026

First Submitted That Met QC Criteria

August 12, 2026

First Posted (Actual)

August 18, 2026

Study Record Updates

Last Update Posted (Actual)

August 18, 2026

Last Update Submitted That Met QC Criteria

August 12, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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