Quality Improvement of Person-Centered Care for Maternal Health in Public Facilities in India, Phase 2 (SPARQINDIA2)

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

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

Study Overview

• Status: Completed
• Conditions: Reproductive Health
• Intervention / Treatment: Behavioral: Person-Centered Care Quality Improvement Collaborative Sustain; Behavioral: Person-Centered Care Quality Improvement Collaborative Spread

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 1971
• 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 and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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

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

6

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control - Patient; Participants who receive maternal health services at a facility not participating in the Quality Improvement Intervention or implementing the change package
Experimental: Sustaining - Patients; 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; Sustain improvements during QI collaborative focused on PCC
Experimental: Spread - Patients; 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; Implement change package developed during QI Collaborative
No Intervention: Control - Providers; Providers who work at a facility not participating in the Quality Improvement Intervention or implementing the change package
Experimental: Sustaining - Providers; Providers who work at a facility where a quality improvement collaborative had been implemented	Behavioral: Person-Centered Care Quality Improvement Collaborative Sustain; Sustain improvements during QI collaborative focused on PCC
Experimental: Spread - Providers; 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; Implement change package developed during QI Collaborative

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: University of California, San Francisco
• Collaborators: Population Services International
• Investigators: Principal Investigator: Dominic Monatgu, DrPH, University of California, San Francisco

Publications and helpful links

General Publications

• Sudhinaraset M, Giessler K, Nakphong MK, Roy KP, Sahu AB, Sharma K, Montagu D, Green C. Can changes to improve person-centred maternity care be spread across public health facilities in Uttar Pradesh, India? Sex Reprod Health Matters. 2021 Dec;29(1):1-15. doi: 10.1080/26410397.2021.1892570.
• Montagu D, Giessler K, Nakphong MK, Green C, Roy KP, Sahu AB, Sharma K, Sudhinarset M. A comparison of intensive vs. light-touch quality improvement interventions for maternal health in Uttar Pradesh, India. BMC Health Serv Res. 2020 Dec 4;20(1):1121. doi: 10.1186/s12913-020-05960-6.

Study record dates

Study Major Dates

• Study Start (Actual): May 14, 2018
• Primary Completion (Actual): June 29, 2019
• Study Completion (Actual): June 29, 2019

Study Registration Dates

• First Submitted: December 18, 2019
• First Submitted That Met QC Criteria: December 19, 2019
• First Posted (Actual): December 23, 2019

Study Record Updates

• Last Update Posted (Actual): December 23, 2019
• Last Update Submitted That Met QC Criteria: December 19, 2019
• Last Verified: December 1, 2019

More Information

Terms related to this study

• Keywords: India; Quality Improvement; Maternal Health; Person-Centered Care
• Additional Relevant MeSH Terms: Anti-Infective Agents; Sulfamethazine
• Other Study ID Numbers: 15-18008_QI India_Phase2

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