Quality Improvement Project for Reproductive Health Services in India, Phase 1

Study Overview
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Brief Summary
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Evaluation of a quality improvement (QI) collaborative aimed at improving person-centered care (PCC) for reproductive health (RH) services.

Detailed Description
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Evaluation of a quality improvement (QI) collaborative in public facilities in Uttar Pradesh, India aimed at improving person-centered care (PCC) for reproductive health (RH) services.

Official Title
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Strengthening People-centered Accessibility, Respect, and Quality for Reproductive Health Services in Uttar Pradesh, India, Phase 1

Conditions
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Maternal Health, Delivery, Reproductive Health

Intervention / Treatment
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* Behavioral: QI Collaborative


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Women: Women aged 18-49 Agree/consent to participate Delivered a baby at the facility within 7 days (or adopted a family planning method at time of visit (baseline only, not part of intervention)) Exclusion Criteria for Women: Not a women aged 18-49 Did not agree/consent to participate Did not deliver a baby at the facility within 7 days (or adopted a family planning method at time of visit (baseline only, not part of intervention)) Inclusion Criteria for Providers: Agreed/consented to participate Staff at facility Exclusion Criteria for Provider: Did not agree/consent to participate Not Staff at facility

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention - Women<br>Women who receive MH services from a facility participating in the QI collaborative to improve PCC | Behavioral: QI Collaborative<br>* Facilities that participated in a QI collaborative to improve PCC for MH services<br>|
| No Intervention: Control - Women<br>Women who receive MH services from a facility not participating in the QI collaborative to improve PCC | |
| Experimental: Intervention - Provider<br>Provider working at a facility participating in the QI collaborative to improve PCC | Behavioral: QI Collaborative<br>* Facilities that participated in a QI collaborative to improve PCC for MH services<br>|
| No Intervention: Control - Provider<br>Provider working at a facility not participating in the QI collaborative to improve PCC | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | Baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | 2-weeks post basline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | 4 weeks post baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | 10 weeks post baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | About 12 months post baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | About 14 months post baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | about 24 months after baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | About 24.5 months post baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | 25 months post baseline | 
| Person Centered Maternal Health Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care | 26.5 months past baseline | 
| Person Centered Family Planning Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care | Baseline | 
| Person Centered Family Planning Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care | 4 weeks post baseline | 
| Person Centered Family Planning Scale Score | Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care | 10 weeks post baseline | 
| Attitude toward Person-Centered Care | Survey and in-depth interviews conducted with providers; perceptions of person-centered care | About 12 months post baseline | 
| Attitude toward Person-Centered Care | Survey and in-depth interviews conducted with providers; perceptions of person-centered care | About 24 months post baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Maternal Health, Delivery, Person-centered Care, India, Family Planning