Evaluation of Changing the Scripts Intervention in Nigeria
ConditionUnintended Pregnancy Prevention
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age15-44
SponsorUniversity of California, San Diego
About this trial
The Center on Gender Equity and Health is evaluating a multimedia social and behavior change (SBC) intervention in Kano and Kaduna states in Nigeria to assess its impact, cost-efficiency and how it works. The intervention, led by BBC Media Action, uses radio, TV, other media, community outreach and SBC approaches to increase women's and couples' ability to make and act on reproductive and family planning decisions. Over a three-year period (2025- 2028), we will use a mixed-methods prospective longitudinal cohort study design to meet the research objectives. This includes estimating the impact of the intervention on use and intent to use modern contraception (alone, when combined with other family planning programs, and among non-users), exploring the pathways through which the intervention increases contraceptive use, estimating the cost-efficiency of the intervention and, evaluating the sustainability of the intervention. Data will be collected from three states - Kano and Kaduna (intervention states) and Nasarawa (comparison state). Through this evaluation, we aim to contribute to the family planning and mass media SBC fields by strengthening the evidence on the impact of a multimedia SBC intervention as well as the additional impact of combining the intervention with family planning service delivery interventions.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 15-44 years old at baseline
Female
Sexually active (based on self-report; i.e., in union)
Able to provide informed consent
Disqualifiers
Are not considered sexually active (i.e. not in union)
Are unable to provide consent
Are younger than 15 years and older than 44 years at baseline
Trial design
Design model
Parallel
Treatments tested in this trial
Multimedia (BBC MA) intervention: Changing the Script in Nigeria
BehavioralLed BBC Media Action (BBC MA) and implemented in collaboration with multiple partners, the intervention will create an integrated "story world" designed to shift knowledge, attitudes, and beliefs, spark conversations, and reshape social norms around family planning or child spacing. The aim is to empower women and couples to make and act on informed family planning/child spacing decisions, ultimately increasing uptake and continuation of contraception. This will be achieved through a range of multimedia channels and formats, including TV drama, radio drama, radio discussion and call-in shows, public service announcements, social media, mobile IVR drama, and community engagement.
Supply-side interventions (MSI)
Other interventionFamily planning services in the public sector in Nigeria supported by supply-side interventions implemented by Marie Stopes International (MSI) Nigeria. Supply-side interventions include health provider training on family planning service provision, supporting family planning commodity supply, and monitoring family planning service quality.
Treatment groups
4,000 Participants
are divided into 3 treatment groupsGroup A: Arm 1: Multimedia (BBC MA) + Supply Side Interventions (MSI)Experimental treatment 2 interventions
Group B: Arm 2: Multimedia intervention (BBC MA) onlyExperimental treatment 1 intervention
Group C: Arm 3: Supply Side Interventions (MSI) onlyActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Current family planning use
Change in prevalence of women's self-reported FP use (1) any FP method; 2) modern FP method) between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences)
Time frame
Baseline and follow-up (2 years after implementation start)2
Intent to use a family planning method
Change in prevalence of women's self-reported intent to use an FP method between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences). This will be a categorical variable measured among all participants, defined as 0=No intent, 1=Intent, 2=FP User. Intent to use FP will be assessed in the following scenarios: 1. At any time in the future 2. In the next 12 months/within 12 months of giving birth (for pregnant women) 3. After the birth of the next child to delay a subsequent pregnancy 4. After the birth of the next child to allow for rest before another pregnancy 5. Once ideal family size is reached 6. If she needs to avoid or delay a pregnancy for health reasons
Time frame
Baseline and follow-up (2 years after implementation start)3
Favorable attitude towards family planning
Change in prevalence of women reporting that they are in favor of the use of family planning/child spacing methods between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences)
Time frame
Baseline and follow-up (2 years after implementation start)Secondary outcomes
1
Confidence in ability to use family planning
Change in prevalence of women reporting that they feel confident they could use FP if they wanted to between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences)
Time frame
Baseline and follow-up (2 years after implementation start)2
Self-efficacy to discuss family planning/child spacing with partner/husband
Change in women's mean self-efficacy score (CSESSA Nigeria husband/partner communication sub-scale) between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in differences). Range: 0-40 with higher values indicating higher levels of self-efficacy.
Time frame
Baseline and follow-up (2 years after implementation start)3
Frequency of communication about family planning/child spacing with husband/partner
Change in prevalence of women reporting that they communicate about family planning/child spacing methods with their husband/partner "often" or "sometimes" between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences)
Time frame
Baseline and follow-up (2 years after implementation start)4
Perceived prevalence of family planning use
Change in mean number of married women in the community (out of 10) that participants think use family planning/child spacing methods between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences). Range: 0-10 with higher values indicating a higher perceived prevalence of FP use among married women in their community.
Time frame
Baseline and follow-up (2 years after implementation start)Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of California, San Diego
Lead sponsor
Oxford Policy Management
Collaborator
Source ClinicalTrials.gov