A hybrid,effectiveness-implementation research study protocol targeting antenatal care providers to provide female genital mutilation prevention and care services in Guinea,Kenya and Somalia (2021)
This study is a Descriptive research regarding All FGM/C with the following characteristics:
Author(s): Ahmed W,Mochache V,Stein K,Ndavi P,Esho T,Balde MD,et al.
FGM/C Type(s): All
Health area of focus: training for ANC providers to enable them to deliver person centered communication on FGM prevention.
Objective: The objective of this implementation research study is
to test the effectiveness of a two-level,complex intervention package in ANC clinics at the primary health care
level in three sub-Saharan African countries namely,
Guinea,Kenya and Somalia.
Specifically,the study aims to achieve the following:
Primary aims:
To determine if a health system strengthening (HSS)
intervention within the ANC context improves
preparedness to provide FGM prevention and care
services
To determine if training ANC providers on personcentered communication (PCC) improves delivery of
FGM prevention counseling for ANC clients in primary care settings
Secondary aims:
To determine if ANC providers who receive training
on PCC for FGM prevention are more likely to
have: 1) improved knowledge about FGM; 2)
improved interpersonal communication skills; 3)
improved self-efficacy and 4) less supportive attitudes towards FGM and its medicalization
To understand ‘how’ and ‘why’ an intervention that
uses a social norm change approach achieves its
implementation outcomes,by measuring parameters
such as fidelity,coverage,feasibility and acceptability
of the delivered intervention
Study Population: Health care providers
Findings: The training on PCC for FGM prevention developed
for this study draws on existing literature on personcentred care,a key component of quality health care.
Available evidence suggests that person-centred care can
lead to improved clinical outcomes for patients since
health providers are better able to understand patient
concerns and communicate more effectively,resulting in
improved patient satisfaction.
Effective interpersonal communication skills are essential for the delivery of person-centred care. Existing evidence suggests that health care providers tend to have
poor interpersonal communication skills,low selfefficacy and knowledge regarding FGM prevention and
care . Finally,the intervention package to be
implemented and tested in this study builds on existing
tools and knowledge,responds to country needs,draws
on relevant evidence-based materials,is based in behavioural theory,while also recognizing the complexity of
FGM as a social norm. For these reasons,the proposed
study will generate timely scientific evidence on the effectiveness of strengthening the health systems,including building the capacity of the health workforce,
towards effective FGM prevention and care
Geographical coverage
Region(s):Western Africa,Eastern Africa
Country(ies):Guinea,Kenya,Somalia