Quality Improvement Project for Reproductive Health Services in India, Phase 1 (SPARQ_QII1)

Strengthening People-centered Accessibility, Respect, and Quality for Reproductive Health Services in Uttar Pradesh, India, Phase 1

Evaluation of a quality improvement (QI) collaborative aimed at improving person-centered care (PCC) for reproductive health (RH) services.

Study Overview

• Status: Completed
• Conditions: Maternal Health; Delivery; Reproductive Health
• Intervention / Treatment: Behavioral: QI Collaborative

Detailed Description

Evaluation of a quality improvement (QI) collaborative in public facilities in Uttar Pradesh, India aimed at improving person-centered care (PCC) for reproductive health (RH) services.

• Study Type: Interventional
• Enrollment (Actual): 2989
• 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
• Agree/consent to participate
• Delivered a baby at the facility within 7 days (or adopted a family planning method at time of visit (baseline only, not part of intervention))

Exclusion Criteria for Women:

• Not a women aged 18-49
• Did not agree/consent to participate
• Did not deliver a baby at the facility within 7 days (or adopted a family planning method at time of visit (baseline only, not part of intervention))

Inclusion Criteria for Providers:

• Agreed/consented to participate
• Staff at facility

Exclusion Criteria for Provider:

• Did not agree/consent to participate
• Not Staff at 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

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention - Women; Women who receive MH services from a facility participating in the QI collaborative to improve PCC	Behavioral: QI Collaborative; Facilities that participated in a QI collaborative to improve PCC for MH services
No Intervention: Control - Women; Women who receive MH services from a facility not participating in the QI collaborative to improve PCC
Experimental: Intervention - Provider; Provider working at a facility participating in the QI collaborative to improve PCC	Behavioral: QI Collaborative; Facilities that participated in a QI collaborative to improve PCC for MH services
No Intervention: Control - Provider; Provider working at a facility not participating in the QI collaborative to improve PCC

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 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	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	2-weeks post basline
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	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 12 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 14 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 24 months after 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 24.5 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	25 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	26.5 months past baseline
Attitude toward Person-Centered Care	Survey and in-depth interviews conducted with providers; perceptions of person-centered care	About 12 months post baseline
Attitude toward Person-Centered Care	Survey and in-depth interviews conducted with providers; perceptions of person-centered care	About 24 months post baseline

Collaborators and Investigators

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

Publications and helpful links

General Publications

• 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): September 16, 2016
• Primary Completion (Actual): December 6, 2018
• Study Completion (Actual): December 6, 2018

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: Delivery; India; Maternal Health; Family Planning; Person-centered Care
• Other Study ID Numbers: 15-18008_IndiaQI1

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