Community-Based Distribution of Misoprostol for the Prevention of ...

INFORMED CONSENT (VERBAL)
(INSTRUCTIONS FOR THE MODERATOR: All of the field workers who will be contacted about participating
in the FGD will be asked to give their informed consent, using the following standardized statement. Please
read the following statement before starting FGD.)
(Greet the person—Hello/Salam/Aasalaamu Aleikum). My name is .........................……. I am with the Mayer
Hashi project of EngenderHealth, an international NGO. I hope you know that a pilot project on misoprostol
use during home delivery to prevent postdelivery excessive vaginal bleeding has been implemented at eight
upazilas of Tangail District during the period of November 2008-June 2009, by EngenderHealth in
collaboration with the Directorate General of Health Services and Directorate General of Family Planning. We
are conducting a study to understand why some women have taken the misoprostol drug immediately after
delivery of their baby and why some women did not take it. Also, we would like to know individuals’ opinions
and suggestions about the distribution and follow-up system of misoprostol tablets at the community levels.
Findings of this study will help the government make policy decisions to reduce maternal deaths and to achieve
MDG 5 in Bangladesh.
As a part of this study, we would like to conduct a small group discussion with all of you to know your opinions,
experience, and suggestions. This small group will consist of 7-10 persons. The discussion will continue for one
and one-half hours. The risk of your participation in this study is minimal. Your participation in this interview is
completely voluntary and you will not be penalized if you decide not to participate or refuse to respond to any
question; you can even keep silent. You will not receive any direct benefit or money for your participation in
the discussion. Your responses will be kept confidential. We will not share your information with anyone, nor
will we identify you in any way when the study findings are published. If you permit, the discussion between
you and me will be tape recorded with voices only, to help us recall what has been discussed when preparing
the report. Only the researchers will have access to your responses, which they will utilize to prepare the
report.
You may ask any questions or clarifications before giving your consent for FGD. You may also contact Dr.
Halim (01712094176) or Mr. Mahboob (8112334/36) with any questions before or after the FGD.
Do you have any questions? Yes _____ No_____
If you do not have any questions, do I have your permission to continue? Yes _____ No_____
Moderator’s Statement
I, the undersigned, have explained the consent form to the FGD participants in a language s/he understands.
S/he has given her/his consent to conduct the FGD and has fully agreed to participate in the FGD.
_________________________________
Signature of Moderator
___________________
Date
50 Community-Based Distribution of Misoprostol for the Prevention of PPH
Mayer Hashi project