Quality Improvement Project for Maternal Health and Family Planning Services in Kenya

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 maternal health (MH) and family planning (FP) services

Detailed Description
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Evaluation of a quality improvement (QI) collaborative in public facilities in Nairobi and Kiambu Counties in Kenya aimed at improving person-centered care (PCC) for maternal health (MH) and family planning (FP) services.

Official Title
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Strengthening People-centered Accessibility, Respect, and Quality for Maternal Health and Family Planning Services in Nairobi, Kenya

Conditions
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Maternal Health, Family Planning, Delivery

Intervention / Treatment
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* Behavioral: Quality Improvement Collaborative


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Women: Women aged 15-49 years old Agreed/consented to participate Delivered at the facility within the last 7 days OR adopted a family planning method at their visit on day of survey Has a working mobile phone and specified service provider (airtel/safaricom) Exclusion Criteria for Women: Not a women aged 15-49 years old Did no agreed/consented to participate Did not deliver at the facility within the last 7 days OR adopted a family planning method at their visit on day of survey Does not have a working mobile phone or specified service provider (airtel/safaricom) Inclusion Criteria for Providers: Agreed/consented to participate Staff at facility Exclusion Criteria for Providers Did no agreed/consent to participate Not staff at facility

Ages Eligible for Study
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Minimum Age: 15 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 - Women<br>Participants who delivered or received family planning services at a facility that was not implementing a QI project on PCC | |
| Experimental: Intervention - Women<br>Participants who delivered or received family planning services at a facility that was implementing a QI project on PCC | Behavioral: Quality Improvement Collaborative<br>* Facilities that participated in a QI collaborative to improve PCC for MH and FP services<br>|
| No Intervention: Control - Provider<br>Provider working in a facility that is not implementing a QI project on PCC | |
| Experimental: Intervention - Provider<br>Provider working in a facility that is implementing a QI project on PCC | Behavioral: Quality Improvement Collaborative<br>* Facilities that participated in a QI collaborative to improve PCC for MH and FP services<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 | 2-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 | 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 | 6-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 24 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 26 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 30 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 30.5 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 | about 31 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 | 31.5 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 | 32 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 | 32.5 months 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 | 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 | 6 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 | 8 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 | 
| 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 | About 24 months 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 | About 26 months 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 | About 30 months 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 | About 31 months 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 | About 31.5 months 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 | About 32 months 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 | About 32.5 months post baseline | 
| Attitudes toward Person-Centered Care | Survey and In-depth interviews conducted with providers; perceptions of person-centered care | Baseline | 
| Attitudes toward Person-Centered Care | Survey conducted with providers; perceptions of person-centered care | About 24 months post baseline | 
| Attitudes toward Person-Centered Care | Survey conducted with providers; perceptions of person-centered care | About 26 months post baseline | 
| Attitudes toward Person-Centered Care | Survey and In-depth interviews conducted with providers; perceptions of person-centered care | About 30 months post baseline | 
| The Model for Understanding Success in Quality Survey | Survey conducted with intervention providers on facility readiness to implement QI; Possible range 0-154; higher the score the more ready facility is to participate in QI activities | About 30 months post baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Maternal Health, Family Planning, Quality Improvement, Person Centered Care, Kenya, Delivery