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

Sponsor

University of California, San Francisco (Other)

Overall Status

Completed

CT.gov ID

NCT04208191

Collaborator

Innovations for Poverty Action (Other)

3,354

Enrollment

Location

Arms

32.1

Actual Duration (Months)

104.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Evaluation of a quality improvement (QI) collaborative aimed at improving person-centered care (PCC) for maternal health (MH) and family planning (FP) services

Condition or Disease	Intervention/Treatment	Phase
Maternal Health Family Planning Delivery	Behavioral: Quality Improvement Collaborative	N/A

Detailed Description

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

3354 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

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

Actual Study Start Date :

Aug 8, 2016

Actual Primary Completion Date :

Apr 12, 2019

Actual Study Completion Date :

Apr 12, 2019

Arms and Interventions

Arm	Intervention/Treatment
No Intervention: Control - Women Participants who delivered or received family planning services at a facility that was not implementing a QI project on PCC
Experimental: Intervention - Women Participants who delivered or received family planning services at a facility that was implementing a QI project on PCC	Behavioral: Quality Improvement Collaborative Facilities that participated in a QI collaborative to improve PCC for MH and FP services
No Intervention: Control - Provider Provider working in a facility that is not implementing a QI project on PCC
Experimental: Intervention - Provider Provider working in a facility that is implementing a QI project on PCC	Behavioral: Quality Improvement Collaborative Facilities that participated in a QI collaborative to improve PCC for MH and FP services

Outcome Measures

Primary Outcome Measures

Person Centered Maternal Health Scale Score [Baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [2-weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [4-weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [6-weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [10-weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [About 24 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [About 26 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [About 30 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [About 30.5 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [about 31 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [31.5 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [32 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Maternal Health Scale Score [32.5 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-100; higher the score the better the experience of care
Person Centered Family Planning Scale Score [Baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [4 weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [6 weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [8 weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [10 weeks post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 24 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 26 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 30 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 31 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 31.5 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 32 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Person Centered Family Planning Scale Score [About 32.5 months post baseline]
Survey conducted with women: self report of experiences of care. Possible range 0-43; higher the score the better the experience of care
Attitudes toward Person-Centered Care [Baseline]
Survey and In-depth interviews conducted with providers; perceptions of person-centered care
Attitudes toward Person-Centered Care [About 24 months post baseline]
Survey conducted with providers; perceptions of person-centered care
Attitudes toward Person-Centered Care [About 26 months post baseline]
Survey conducted with providers; perceptions of person-centered care
Attitudes toward Person-Centered Care [About 30 months post baseline]
Survey and In-depth interviews conducted with providers; perceptions of person-centered care
The Model for Understanding Success in Quality Survey [About 30 months post baseline]
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

Eligibility Criteria

Criteria

Ages Eligible for Study:

15 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Innovations for Poverty Action	Nairobi		Kenya

Sponsors and Collaborators

University of California, San Francisco
Innovations for Poverty Action

Investigators

Principal Investigator: Dominic Montagu, DrPH, University of California, San Francisco

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

University of California, San Francisco

ClinicalTrials.gov Identifier:

NCT04208191

Other Study ID Numbers:

15-18008_KenyaQI

First Posted:

Dec 23, 2019

Last Update Posted:

Dec 23, 2019

Last Verified:

Dec 1, 2019

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by University of California, San Francisco

Study Results

No Results Posted as of Dec 23, 2019