Quality Improvement of Person-Centered Care for Maternal Health in Public Facilities in India, Phase 2

Study Overview
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Brief Summary
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Evaluating the spread of a quality improvement (QI) change package working to improve person-centered care (PCC) for maternal health (MH) services.

Detailed Description
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After implementing a quality improvement (QI) collaborative in public facilities in Uttar Pradesh, India, a second phase was done to evaluate if the change package developed during phase one could be implemented in similar facilities to improve the quality of person-centered care (PCC) for a maternal health (MH) services.

Official Title
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Strengthening Person-centered Accessibility, Respect, and Quality of Maternal Health Services in India, Phase 2

Conditions
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Reproductive Health

Intervention / Treatment
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* Behavioral: Person-Centered Care Quality Improvement Collaborative Sustain
* Behavioral: Person-Centered Care Quality Improvement Collaborative Spread


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Women: Women aged 18-49 years old Who agreed to participate Who delivered a baby at the facility where data collection is taking place within the last 7 days Exclusion Criteria for Women: Not a women aged 18-49 Did not agree to participate Did not deliver a baby at the facility where data collection is taking place within the last 7 days Inclusion Criteria for Providers: Agreed to participate Purposive sampling Permanent staff at the facility Exclusion Criteria for Providers: Did not agree to participate Not permanent staff at the 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 |
| --- | --- |
| No Intervention: Control - Patient<br>Participants who receive maternal health services at a facility not participating in the Quality Improvement Intervention or implementing the change package | |
| Experimental: Sustaining - Patients<br>Participants who received maternal health services at a facility where a quality improvement collaborative had been implemented | Behavioral: Person-Centered Care Quality Improvement Collaborative Sustain<br>* Sustain improvements during QI collaborative focused on PCC<br>|
| Experimental: Spread - Patients<br>Participants who received maternal health services at a facility that was provided a change package of ideas developed during the quality improvement collaborative (in phase 1) and used to make improvements on person-centered care | Behavioral: Person-Centered Care Quality Improvement Collaborative Spread<br>* Implement change package developed during QI Collaborative<br>|
| No Intervention: Control - Providers<br>Providers who work at a facility not participating in the Quality Improvement Intervention or implementing the change package | |
| Experimental: Sustaining - Providers<br>Providers who work at a facility where a quality improvement collaborative had been implemented | Behavioral: Person-Centered Care Quality Improvement Collaborative Sustain<br>* Sustain improvements during QI collaborative focused on PCC<br>|
| Experimental: Spread - Providers<br>Participants who work at a facility that was provided a change package of ideas developed during the quality improvement collaborative (in phase 1) and used to make improvements on person-centered care | Behavioral: Person-Centered Care Quality Improvement Collaborative Spread<br>* Implement change package developed during QI Collaborative<br>|

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 | About 12 month post baseline | 
| Person-Centered Scale Score | Survey conducted with providers: self-report of perceptions of care. Possible range 0-100; higher the score the better the experience of care | baseline | 
| Person-Centered Scale Score | Survey conducted with providers: self-report of perceptions of care. Possible range 0-100; higher the score the better the experience of care | About 12 months post baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Maternal Health, India, Person-Centered Care, Quality Improvement