Improving Person-Centered Care for Family Planning in India (SPARQ_FPI)

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

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

Study Overview

• Status: Completed
• Conditions: Family Planning
• Intervention / Treatment: Behavioral: Training of AHSAs on PCC for FP; Behavioral: Enhanced FP training

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 1104
• Phase: Not Applicable

Contacts and Locations

Study Locations

• India
  • Uttar Pradesh
    • Lucknow, Uttar Pradesh, India
      • Population Services International

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 49 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

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

Study Plan

How is the study designed?

Design Details

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

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention - Women; Women who receive enhanced FP counseling from an ASHA	Behavioral: Training of AHSAs on PCC for FP; ASHAs provided with training on FP methods and counseling plus PCC for FP
No Intervention: Control - Women; Women who receive standard FP counseling from an ASHA
Experimental: Intervention - ASHA; ASHA who receive enhanced FP counseling training	Behavioral: Enhanced FP training; Participation in an enhanced FP training including PCC
No Intervention: Control ASHA; ASHA who receive standard FP training

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: University of California, San Francisco
• Collaborators: Population Services International
• Investigators: Study Director: Nadia Diamond-Smith, PhD, University of California, San Francisco

Publications and helpful links

General Publications

• Diamond-Smith N, McDonell C, Sahu AB, Roy KP, Giessler K. A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers on family planning outcomes in India. BMC Health Serv Res. 2020 Dec 11;20(1):1139. doi: 10.1186/s12913-020-05995-9.

Study record dates

Study Major Dates

• Study Start (Actual): April 26, 2019
• Primary Completion (Actual): June 24, 2019
• Study Completion (Actual): June 24, 2019

Study Registration Dates

• First Submitted: December 17, 2019
• First Submitted That Met QC Criteria: December 18, 2019
• First Posted (Actual): December 20, 2019

Study Record Updates

• Last Update Posted (Actual): December 20, 2019
• Last Update Submitted That Met QC Criteria: December 18, 2019
• Last Verified: December 1, 2019

More Information

Terms related to this study

• Keywords: Person-Centered Care
• Other Study ID Numbers: 18-25950

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No