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Abstract The objective of this evaluation is to use a randomized design to evaluate the effect of sending a series of mobile SMS follow-ups to beneficiaries who have received referrals for family planning services from a family planning promoter in urban and peri-urban Mozambique (Nampula and Sofala provinces). Currently, only about 50% of beneficiaries who receive referrals ever redeem them by visiting a family planning clinic. This evaluation seeks to understand whether behaviorally informed SMS messages can be a cost-effective means of increasing the referral redemption rate among beneficiaries. The project is implemented by the Office of Evaluation Sciences, supporting the USAID-funded Integrated Family Planning Program (IFPP) in Mozambique led by Pathfinder International; the component of the IFPP that will be evaluated in this project is led by Population Services International (PSI). The objective of this evaluation is to use a randomized design to evaluate the effect of sending a series of mobile SMS follow-ups to beneficiaries who have received referrals for family planning services from a family planning promoter in urban and peri-urban Mozambique (Nampula and Sofala provinces). Currently, only about 50% of beneficiaries who receive referrals ever redeem them by visiting a family planning clinic. This evaluation seeks to understand whether behaviorally informed SMS messages can be a cost-effective means of increasing the referral redemption rate among beneficiaries. The project is implemented by the Office of Evaluation Sciences, supporting the USAID-funded Integrated Family Planning Program (IFPP) in Mozambique led by Pathfinder International; the component of the IFPP that will be evaluated in this project is led by Population Services International (PSI).
Trial End Date January 01, 2021 May 01, 2021
Last Published March 24, 2020 04:40 PM November 17, 2020 07:13 PM
Intervention (Public) The proposed intervention is a series of mobile message follow-ups for beneficiaries who have received referrals to encourage them to redeem their referral. The reminders will include basic information about when the referral was received, a reminder to redeem it, and encouragement to contact the promoter. Six substantive messages will be sent within the first month following the promoter's visit, on the following schedule: one day post-visit (or as soon as the respondent's consent can be verified), three days post-visit, and at one week, two weeks, three weeks, and four weeks. These messages will be supplemented by an additional introductory message and a thank-you message at the end of the month. The proposed intervention is a series of mobile message follow-ups for beneficiaries who have received referrals to encourage them to redeem their referral. The reminders will include basic information about when the referral was received, a reminder to redeem it, and encouragement to contact the promoter. Six substantive messages will be sent within the first month following the promoter's visit, on the following schedule: one day post-visit (or as soon as the respondent's consent can be verified), three days post-visit, and at one week, two weeks, three weeks, and four weeks. These messages will be supplemented by an additional introductory message and a thank-you message at the end of the month.
Intervention End Date October 05, 2020 December 20, 2020
Experimental Design (Public) Beneficiaries will be randomized at the individual level into the following conditions. Control (status quo) — Promoters will follow up as normal, according to the schedule laid out above based on each woman’s segment type. Treatment — Beneficiaries will receive a series of electronic follow-ups reminding them to redeem their referrals or follow up with their promoter, as described above. Enrollment will be conducted on an ongoing basis as promoters visit new beneficiaries; eligible beneficiaries who provide consent will be enrolled into the sample, and randomization will be conducted twice weekly. Beneficiaries will be randomized at the individual level into the following conditions. Control (status quo) — Promoters will follow up as normal, according to the schedule laid out above based on each woman’s segment type. Treatment — Beneficiaries will receive a series of electronic follow-ups reminding them to redeem their referrals or follow up with their promoter, as described above. Enrollment will be conducted on an ongoing basis as promoters visit new beneficiaries; eligible beneficiaries who provide consent will be enrolled into the sample, and randomization will be conducted at least twice weekly.
Randomization Method Randomization will be conducted bi-weekly in Stata. Randomization will be conducted at least bi-weekly in Stata.
Planned Number of Clusters The projected sample size is between 3700 and 5100; the numbers will vary based on the promoters' ability to rapidly verify consent for beneficiaries in the field. These projections reflect estimates constructed post-piloting. The projected sample size is between 3700 and 5100; the numbers will vary based on the promoters' ability to rapidly verify consent for beneficiaries in the field. These projections reflect estimates constructed post-piloting.
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