Improving Person-Centered Care for Family Planning in India

Study Overview
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Brief Summary
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To evaluate the impact of a training to ASHAs on person-centered care (PCC) for family planning (FP).

Detailed Description
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ASHAs will be provided with a training on family planning (FP) counseling and method options. Half of the group will receive additional trainings on person-centered care (PCC) principles and respectful care while the other half of the group will not receive this additional training. Women working with both the control ASHAs (FP trained) and Interventions ASHAs (FP+PCC trained) will be surveyed following their interactions with the ASHA to understand the quality of their experience with the ASHA and whether the woman has taken up a FP method of her choice following interaction with the ASHA.

Official Title
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Strengthening People-centered Accessibility, Respect, and Quality for Family Planning Services in India

Conditions
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Family Planning

Intervention / Treatment
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* Behavioral: Training of AHSAs on PCC for FP
* Behavioral: Enhanced FP training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women aged 18-49 Consented/agreed to participate Has met with a control or intervention ASHA at least once in the previous three months Exclusion Criteria: Not a women aged 18-49 Did not consent/agree to participate Has not met with a control or intervention ASHA at least once in the previous three months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

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 enhanced FP counseling from an ASHA | Behavioral: Training of AHSAs on PCC for FP<br>* ASHAs provided with training on FP methods and counseling plus PCC for FP<br>|
| No Intervention: Control - Women<br>Women who receive standard FP counseling from an ASHA | |
| Experimental: Intervention - ASHA<br>ASHA who receive enhanced FP counseling training | Behavioral: Enhanced FP training<br>* Participation in an enhanced FP training including PCC<br>|
| No Intervention: Control ASHA<br>ASHA who receive standard FP training | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 3-months after first FP counseling with ASHA | 
| Experience of providing FP counseling | In-depth interviews with ASHAs from intervention and control arms to understand experience providing FP counseling | at least 3-months after FP training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Uptake of Family Planning | Self-report of uptake of a FP method; Yes/No/I Don't remember | 3-months after first FP counseling with ASHA | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Person-Centered Care