Adults 18 to 49, female only, with Contraceptive Usage or Unintended Pregnancy. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage Change in Current Modern Contraceptive UsePrimary· Baseline, 12 months
The measure of current modern contraceptive use is a binary variable (0=non-use; 1=use), attained by first asking participants, "Are you (or your partner) currently doing something or using any method to delay or avoid getting pregnant?" Those with an affirmative response are then asked, "What method are you using?" Modern contraceptive methods will be defined to include female or male sterilization, intrauterine device, implant, injectable contraception, oral contraceptive pill, male or female condom, and any other modern methods. The percent of women using modern contraceptives at baseline w
Group
Value
95% CI
Community Score Card
-1.1
Citizen Report Card
1.4
Control
1.5
Mean Knowledge of Patient Rights ScorePrimary· Baseline, at the end of 12-month intervention (Endline)
The measure of women's knowledge of patient rights is a 7 item scale with answers on a 5 point Likert scale. Possible scores range from 7 to 35. Higher scores reflect greater knowledge of patient rights. The measure of women's knowledge of patient rights is implemented in the women's individual-level questionnaire in the pre- and post-intervention surveys. The percent change in the mean score across all women is presented, using the formula (endline-baseline)/baseline.
Baseline
Group
Value
95% CI
Community Score Card
18.1
± 3.7
Citizen Report Card
18.0
± 3.6
Control
18.0
± 3.6
Endline
Group
Value
95% CI
Community Score Card
18.0
± 3.8
Citizen Report Card
17.5
± 3.6
Control
17.8
± 3.6
Mean Women's Agency Within Their Community ScorePrimary· Baseline, at the end of 12-month intervention (Endline)
The measure of women's agency within their community is an 8 item scale. Answers are on a 5 point scale with options "Completely sure" "Sure" "Neither sure or unsure" "Not sure" or "Not sure at all." Possible scores range from 8 to 40. Higher scores reflect greater agency for women within their community. The measure of women's agency within their community is implemented in the women's individual-level questionnaire in the pre- and post-intervention surveys.
Baseline
Group
Value
95% CI
Community Score Card
20.8
± 6.5
Citizen Report Card
21.1
± 6.4
Control
21.2
± 6.1
Endline
Group
Value
95% CI
Community Score Card
21.5
± 6.7
Citizen Report Card
21.2
± 7.2
Control
21.7
± 7.1
Mean Women's Agency Within a Healthcare FacilityPrimary· Baseline, at the end of 12-month intervention (Endline)
The measure of women's agency within a healthcare facility is a 2 item scale. Answers are on a 5 point scale with options "Completely sure" "Sure" "Neither sure or unsure" "Not sure" or "Not sure at all." Possible scores range from 2 to 10. Higher scores reflect greater agency for women within a healthcare facility. The measure of women's agency within a healthcare facility is implemented in the women's individual-level questionnaire in the pre- and post-intervention surveys.
Baseline
Group
Value
95% CI
Community Score Card
5.8
± 2.1
Citizen Report Card
6.0
± 2.0
Control
5.9
± 2.2
Endline
Group
Value
95% CI
Community Score Card
5.6
± 2.1
Citizen Report Card
5.7
± 2.2
Control
5.8
± 2.0
Mean Women's Facility Satisfaction ScorePrimary· Baseline, at the end of 12-month intervention (Endline)
The measure of women's facility satisfaction is an 11 item scale with answers on a 5 point Likert scale. Possible scores range from 11 to 55. Higher scores reflect greater facility satisfaction. The measure of women's facility satisfaction is implemented in the women's individual-level questionnaire in the pre- and post-intervention surveys.
Baseline
Group
Value
95% CI
Community Score Card
23.6
± 4.2
Citizen Report Card
23.1
± 4.0
Control
23.2
± 4.1
Endline
Group
Value
95% CI
Community Score Card
22.4
± 4.4
Citizen Report Card
22.5
± 4.7
Control
23.0
± 4.3
Mean Community Empowerment ScorePrimary· Baseline, at the end of 12-month intervention (Endline)
The measure of community empowerment is a 4 item scale with answers on a 5 point Likert scale. Possible scores range from 4 to 20. Higher scores reflect greater community empowerment. The measure of community empowerment is implemented in the women's individual-level questionnaire in the pre- and post-intervention surveys.
Baseline
Group
Value
95% CI
Community Score Card
9.9
± 3.9
Citizen Report Card
10.0
± 3.8
Control
10.4
± 4.1
Endline
Group
Value
95% CI
Community Score Card
9.8
± 4.1
Citizen Report Card
10.0
± 4.5
Control
10.0
± 4.1
Mean Community InvolvementPrimary· Baseline, 12 months
There are three indicators measuring community involvement: In the last 12 months, have you
1. been an active member in any organized group in your community, for example a women's group, a religious group, or other community group?
2. received help from any organized group in your community, for example a women's group, a religious group, or other community group? Help could include emotional support, economic assistance, or helping you to learn or do things.
3. joined together with other people in your community to improve health services for women or children?
All indicators have a binary
Baseline
Group
Value
95% CI
Community Score Card
1.3
± 1.1
Citizen Report Card
1.3
± 1.1
Control
1.3
± 1.1
Endline
Group
Value
95% CI
Community Score Card
1.4
± 1.0
Citizen Report Card
1.4
± 1.0
Control
1.4
± 1.1
Mean Perceived Quality of Family Planning Service Delivery ScorePrimary· Baseline, at the end of 12-month intervention (Endline)
Perceived quality of family planning service delivery is measured via 20 survey questions with different answer options, ranging from binary to four response options. All but two of the 20 variables were binary yes/no (0/1) response options; the remaining two variables were initially variables with four response options that were collapsed to binary response options (0/1). Possible scores range from 0 to 20. Higher scores reflect greater perceived quality of family planning service delivery. The measure of perceived quality is implemented in the women's individual-level questionnaire in the pr
Baseline
Group
Value
95% CI
Community Score Card
17.3
± 2.3
Citizen Report Card
17.4
± 2.2
Control
17.3
± 2.6
Endline
Group
Value
95% CI
Community Score Card
17.0
± 2.6
Citizen Report Card
17.1
± 2.5
Control
17.1
± 2.5
Percent Change in Provider AbsenteeismPrimary· Baseline, 12 months
The measure of absenteeism is a binary variable obtained using a roster of healthcare providers to assess provider absence. Response options for each provider include Yes and No and up to 10 providers at each facility will be assessed for absence. The percent of providers absent will be measured by taking the number of providers absent and dividing by the total number of providers listed on the roster. The percent change in absenteeism is calculated by subtracting the baseline from the endline and dividing by the baseline. The measure of provider absenteeism is implemented in the facility-leve
Group
Value
95% CI
Community Score Card
-5.9
Citizen Report Card
15.2
Control
-8.3
Percent Change in the Number of Mystery Client Observations of Providers in Which the Mystery Client Answered in the Affirmative to the Full Method Information Index Plus (MII+)Primary· Baseline, 12 months
The Method Information Index Plus (MII+) consists of four indicators: "Were you informed about other methods?" "Were you informed about side effects?" "Were you told what to do if you experienced side effects?" "Were you told about the possibility of switching to another method if the method you selected was not suitable?" The reported value is the percentage of mystery client (MC) observations in which the mystery client answered in the affirmative for all four indicators in the index. The percent change in affirmative observations is calculated by subtracting the baseline from the endline an
Group
Value
95% CI
Community Score Card
-22.8
Citizen Report Card
-67.0
Control
-64.1
Percent Change in Mystery Client Observations With Informal Payment SolicitationPrimary· Baseline, 12 months
The measure of informal payment solicitation is a binary variable obtained by asking mystery clients whether they were asked by facility staff to pay when seeking family planning services at a public-sector healthcare facility. Response options include Yes and No. The percent of mystery client visits in which an informal payment is solicited will be measured by taking the number of mystery client visits for which an informal fee is solicited and dividing by the total number of mystery client visits. The percent change in mystery client observations with informal payment solicitation is calcula
Group
Value
95% CI
Community Score Card
-34.0
Citizen Report Card
-20.6
Control
-25.2
Percent Change in the Number of Mystery Client Observations Identifying Patient MistreatmentPrimary· Baseline, 12 months
The measure of patient mistreatment is a binary variable obtained by asking mystery clients "Did your provider do any of the following?" Response options include Shouted at me; Scolded me or treated me with scorn; Threatened to withhold services; Called me by an insulting name; Laughed at me; Other type of disrespect, please explain. If the mystery client selects any of the response options, patient mistreatment is identified. The percent of mystery client visits in which patient mistreatment occurs will be measured by taking the number of mystery client visits for which mistreatment occurs an
Group
Value
95% CI
Community Score Card
53.2
Citizen Report Card
161.9
Control
118.4
Sponsor's own description
This is a clinical trial investigating the impact of social accountability interventions on contraceptive use in Western Kenya. Social accountability interventions aim to improve the performance of healthcare providers via public monitoring of provider performance. This study aims to implement and evaluate two social accountability interventions: the community score card and the citizen report card. All public-sector healthcare facilities in Kisumu Country will be considered for enrollment; facility staff and residents of corresponding facility catchment areas will be randomized to one of the two treatments or the control arm.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
NCT07039591 — Assess Performance Attributes and Acceptability of Non-medicated Intravaginal Rings Among Sexually Active Women in Atlan
· EARLY_PHASE1
· recruiting
NCT06682065 — Telemedicine Contraceptive Counselling (TECC) Versus Standard Care
· NA
· recruiting
NCT04558229 — RCT Evaluating Standardized Counseling on Early Discontinuation for Irregular Bleeding in Nexplanon Users
· Phase 4
· active not recruiting
NCT03984695 — Sexual Health Empowerment for Women's Health
· NA
· active not recruiting
Other University of North Carolina, Chapel Hill trials
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by University of North Carolina, Chapel Hill
Last refreshed: 23 May 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05328648.