An interventional study of Gender and immunization activities and No intervention in Gender Equality and Its Impact on Immunization Uptake, sponsored by Jhpiego. Active, not recruiting at 19 sites in 2 countries. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-17.
Sponsored by Jhpiego · Not applicable, Interventional, and Other
The goal of this clinical trial is to test the role of community-based men's engagement interventions in improving immunization uptake and strengthening gender equity at the household level. The main questions it aims to answer are: (1) Does household and community engagement of male caregivers and couples improve equitable gender relations, including increased male involvement in household tasks and childcare, in Togo and Pakistan, compared with communities that did not receive an intervention? (2) Can household and community engagement of male caregivers and couples increase support for and rates of age-appropriate timely immunization among children under 12 months of age, in Togo and Pakistan, compared with communities that did not receive an intervention? (3) How feasible, acceptable, and appropriate is it for CSO staff/volunteers to engage female and male caregivers and community leaders using gender transformative approaches (including household visits and group discussions) as assessed over a seven-month period? (4) What is the cost of gender transformative engagement of male and female caregivers and community leaders by CSO staff/volunteers compared to standard childhood immunization outreach services over a seven-month period?
Participants (male and female caregivers of children under 12 months of age) will be sorted into intervention or comparison groups based on their community of residence. Participants in the intervention group will:
Researchers will compare the intervention group with comparison groups in similar communities to see if the intervention group demonstrates improved equitable gender relations and increased rates of immunization compared to the comparison group which does not receive the intervention.
Jhpiego is the lead sponsor of 32 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Caregivers Pakistan:
Caregivers Togo:
Community mobilizers Pakistan:
Papas Champions Togo:
CSO Leaders Pakistan:
CSO Leaders Togo:
Community Leaders Pakistan:
Community Leaders Togo:
EPI Stakeholders Pakistan/Togo:
Exclusion Criteria:
Any individuals that do not meet all of the above inclusion criteria or do not agree to participate in the study will be excluded from data collection. In addition, individuals who are unable to make decisions/respond to questions on their own without assistance by someone else will also be excluded from enrolment.
Participants in this arm will receive behavioral interventions, including household visits, participation in couples discussion groups, and messaging from community leaders.
Behavioral: Gender and immunization activities
Participants in this arm will not receive any interventions.
Other: No intervention
Household visits from community mobilizers, participation in couples communication groups, and messaging from community leaders.
Participants in the comparison group will not receive any intervention
Sharing of childcare and household tasks
Administered to all male caregivers via survey, sample of female caregivers via FGDs: How do you divide the following childcare and household tasks: (1) washing clothes/laundry; (2) cleaning the house and surroundings; (3) cooking for the household; (4) making the bed; (5) providing daily care of children; (6) bathing children. \[Gendered division of household labor\] Responses range from 1 = woman always does the task, 3 = shared equally or done together, 5 = man always does the task.
Time frame: 7 months
Couples' communication
Administered to all male caregivers via survey, sample of female caregivers via FGDs: In the last three months, how many times have you discussed with your partner about immunizing your child, and offered your opinion about immunizing your child as part of the discussion? \[MOMENTUM\] Responses range from 0 = never, 1 = rarely (1-2 times), 2 = sometimes (3-5 times), 3 = a lot (6 or more times)
Time frame: 7 months
Decision-making about child health practices, including vaccination
Administered to all male caregivers via survey, sample of female caregivers via FGDs: Did you take part in the decision to immunize your child? \[Adapted from Galle et al, 2011\] Responses range from 1 =I was the sole decision-maker; 2 = I made the decision jointly with my partner; 3 = I made the decision jointly with someone else; 4 = My partner was the sole decision-maker
Time frame: 7 months
Vaccination uptake
Review of vaccine cards or interviewee responses for date of the following vaccines: * Penta 1 (six weeks) * Penta 3 (14 weeks) * MCV 1 (9 months) * MCV 2 (15 months)
Time frame: 7 months
Acceptability of intervention
Measured through monthly pulse surveys to community mobilizers, through pre/post tests during the training of community mobilizers, and through a lessons learned workshop at the end of the intervention.
Time frame: Pre/post test: prior to intervention, as part of implementer training (month zero); pulse surveys: monthly; Lessons learned workshop: Month 4
Appropriateness of the intervention
Measured through monthly pulse surveys administered to community mobilizers as well as a lessons learned workshop immediately following the intervention
Time frame: Pulse surveys: monthly; Lessons learned workshop: Month 4
Feasibility of the intervention
Measured through monthly pulse surveys to community mobilizers, through pre/post tests during the training of community mobilizers, monthly supervision data, and through a lessons learned workshop at the end of the intervention
Time frame: Pre/post test: prior to intervention, as part of implementer training (month zero); pulse surveys and supervision data: monthly; Lessons learned workshop: Month 4
Cost of intervention
This will include analysis of: * CSO costs * Technology support costs * Materials and training costs * Other costs as appropriate
Time frame: Months 1-4
Plan to share: No — The de-identified data set will be uploaded in an online repository accessible to other researchers.
No publications or documents are linked to this record.
This study is active, not recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.
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