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Unintended Pregnancy PreventionNCT07527364

Evaluation of Changing the Scripts Intervention in Nigeria

A study testing Multimedia (BBC MA) intervention: Changing the Script in Nigeria and Supply-side interventions (MSI) in people with Unintended Pregnancy Prevention, run by University of California, San Diego at 3 sites in Nigeria.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 15 to 44 years, women only
Conditions the study is for
Unintended Pregnancy Prevention
What is being tested?
Multimedia (BBC MA) intervention: Changing the Script in Nigeria and Supply-side interventions (MSI)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4,000 participants
Where
3 sitesNigeria
Study dates
13 Apr 2026to 31 Oct 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 to 44 years
  • Women only
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • All eligibility criteria based on self-report:
  • Aged 15-44 years old at baseline
  • Female
  • Sexually active (based on self-report; i.e., in union)
  • Able to provide informed consent
  • Current residence in the selected intervention or comparison area

Who cannot join

  • 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 locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Francine E Wood, PhD, MPH contact

+1-424-209-9188

fwood@health.ucsd.edu

Erin Pearson, PhD, MPH contact

1-254-624-6937

eepearson@health.ucsd.edu

Nigeria3 sites, 3 recruiting
  • Household survey

    Kaduna

    OPM Nigeria, +2348030000603, info.nigeriaoffice@opml.co.uk

    Recruiting
  • Household survey

    Kano

    OPM Nigeria, +2348030000603, info.nigeriaoffice@opml.co.uk

    Recruiting
  • Household survey

    Nasarawa

    OPM Nigeria, +2348030000603, info.nigeriaoffice@opml.co.uk

    Recruiting

Other trials in Nigeria

About this study

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.

Read the detailed description

Background: Modern contraception use to space or limit births is an important aspect of reproductive health because it has the potential to improve maternal health and child outcomes, reduce poverty, and promote gender equality. Despite their benefits, modern contraceptive use remains low in many developing countries, including Nigeria. Nigeria has the largest population and one of the lowest modern contraceptive use rates in sub-Saharan Africa. The 2023-2024 Nigerian Demographic and Health Survey (NDHS) found that the prevalence of modern contraceptives among married women was 15.3%, a 3-percentage point increase from the 2018 NDHS. Rates in Kano and Kaduna continue to remain lower than the national average. In Kano, about 10.6% of married women were using a modern method, roughly double the level recorded in the 2018 NDHS, while in Kaduna, a slight decrease was observed (0.6%) over the years and by 2023-2024 survey about 13.1% were using a modern contraceptive method.

Mass media interventions have been used over the years to address low family planning uptake because they can simultaneously influence individuals, families, peer networks and communities. Evidence across these different ecological levels have found that mass media approaches can influence family planning behaviors, knowledge, perceptions, attitudes and expectations . However, despite the large body of evidence documenting the impact of mass media, there's a need for rigorous evaluations that measure multiple outcomes along the behavioral pathway as well as assessments that capture the cost implications.

Objective: The objective of this study is to evaluate a multimedia intervention to be implemented by BBC Media Action in Kano and Kaduna. This evaluation will estimate the intervention's impact on family planning/child spacing method use, examine behavioral mechanisms of change, estimate cost-efficiency, and generate insights into its sustainability.

Methodology: Using a quasi-experimental design, the evaluation will be conducted in Kano, Kaduna, and Nasarawa (comparison) States. It is a three-year (2026 - 2028), mixed-methods, longitudinal evaluation of the BBC Media Action multimedia SBC intervention. Data collected will include a longitudinal cohort survey with women of reproductive age who meet our inclusion criteria at baseline. The baseline survey will be collected before the intervention begins and a follow-up survey will be conducted two years after the start of intervention implementation. In addition, in-depth interviews will be conducted with a subset of the cohort women and their partners, and program monitoring interviews with intervention women, intervention men, and program implementers. Key informant interviews and an online survey will be conducted with key implementing partners to gather insights into sustainability. To inform the cost efficiency analysis, costs associated with implementation will be collected from the financial management systems of partners along with semi-structured interviews with partners.

Being tested
Multimedia (BBC MA) intervention: Changing the Script in Nigeria, Supply-side interventions (MSI)
Keywords
Contraceptive Use, Family Planning, Child Spacing, Multimedia Evaluation, Social and Behavior Change

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Multimedia (BBC MA) intervention: Changing the Script in NigeriaBehavioural

    Led 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

    Family 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.

Study groups in NCT07527364
Study groupRoleWhat they receive
Arm 1: Multimedia (BBC MA) + Supply Side Interventions (MSI)ExperimentalArm 1 includes local government areas (LGAs) in Kano and Kaduna that will receive the multimedia intervention led by BBC Media Action (BBC MA) and have existing Marie Stopes International (MSI) supply-side interventions
Receives: Behavioral: Multimedia (BBC MA) intervention: Changing the Script in Nigeria; Other: Supply-side interventions (MSI)
Arm 2: Multimedia intervention (BBC MA) onlyExperimentalArm 2 includes LGAs in Kano and Kaduna that will only receive the BBC MA multimedia intervention but do NOT have existing MSI supply-side interventions.
Receives: Behavioral: Multimedia (BBC MA) intervention: Changing the Script in Nigeria
Arm 3: Supply Side Interventions (MSI) onlyActive comparatorArm 3 includes LGAs in Nasarawa that have existing MSI supply side interventions but will NOT receive the multimedia (BBC MA) intervention
Receives: Other: Supply-side interventions (MSI)

What is being measured

The primary outcome is the main question the study is designed to answer.

  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)

    Measured: 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

    Measured: 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)

    Measured: Baseline and follow-up (2 years after implementation start)

Secondary outcomes (7)
  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)

    Measured: 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.

    Measured: 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)

    Measured: 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.

    Measured: Baseline and follow-up (2 years after implementation start)

  5. Concrete plan to use family planning

    Change in prevalence of women reporting that they have a concrete plan to start using an FP method (including having identified a place to access the FP method) between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences)

    Measured: Baseline and follow-up (2 years after implementation start)

  6. Preference-aligned fertility management (PFM)

    Change in prevalence of women whose fertility preferences align with their contraceptive behavior between baseline and 2-year follow-up in each intervention group compared to the comparison group (difference-in-differences). PFM is defined as:

    1. Currently using an FP method (always or sometimes) + Desiring to use that FP method OR
    2. Currently not using an FP method + Do not desire to use an FP method

    Measured: Baseline and follow-up (2 years after implementation start)

  7. Family planning intent actualized

    Change in prevalence of women reporting FP use (1) any FP method or 2) modern FP method) any time within the 2-year follow-up period among those who reported intending to use an FP method at baseline between each intervention group compared to the comparison group at the 2-year follow-up (single time point)

    Measured: Follow-up (2 years after implementation start)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Apr 2026
  2. Study start13 Apr 2026
  3. Primary completion30 May 2028 (estimated)
  4. Study completion31 Oct 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Quasi-experimental design with three study arms (two intervention arms and one comparison arm)
Masking
None (open label)
Enrolment
4,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07527364
Sponsor's protocol ID
813938
Status last verified
May 2026
First submitted
7 Apr 2026
Last updated
11 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The de-identified participant data analysis sets will be uploaded to a public data repository upon publication of findings

Publications

  • National Population Commission - NPC, & ICF. (2019). Nigeria Demographic and Health Survey 2018 - Final Report. http://dhsprogram.com/pubs/pdf/FR359/FR359.pdf

  • High Impact Practices in Family Planning (HIPs). (2017). Mass Media: Reaching audiences far and wide with messages to support healthy reproductive behaviors. https://fphighimpactpractices.org/briefs/mass-media

  • Federal Ministry of Health Social Welfare of Nigeria (FMoHSW), National Population Commission - NPC/Nigeria, & ICF. (2025). Nigeria Demographic and Health Survey 2024. https://www.dhsprogram.com/pubs/pdf/FR395/FR395.pdf

  • Dasgupta, A., Kantorová, V., Ueffing, P., & Wheldon, M. (2022). Contraceptive use and fertility transitions: The distinctive experience of sub-Saharan Africa. Demographic Research, 46(4), 97-130. https://doi.org/10.4054/DemRes.2022.46.4

Questions about this trial

What is this clinical trial studying?

A study testing Multimedia (BBC MA) intervention: Changing the Script in Nigeria and Supply-side interventions (MSI) in people with Unintended Pregnancy Prevention, run by University of California, San Diego at 3 sites in Nigeria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 11 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Nigeria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Francine E Wood, PhD, MPH (+1-424-209-9188, fwood@health.ucsd.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Current family planning use (time frame: Baseline and follow-up (2 years after implementation start)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07527364, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2026.

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