A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers
- PDF / 584,235 Bytes
- 12 Pages / 595.276 x 790.866 pts Page_size
- 28 Downloads / 142 Views
(2020) 20:1139
RESEARCH ARTICLE
Open Access
A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers on family planning outcomes in India Nadia Diamond-Smith1* , Claire McDonell1, Ananta Basudev Sahu2, Kali Prasad Roy2 and Katie Giessler1
Abstract Background: Person-centered quality for family planning has been gaining increased attention, yet few interventions have focused on this, or measured associations between person-centered quality for family planning and family planning outcomes (uptake, continuation, etc.). In India, the first point of contact for family planning is often the community health care worker, in this case, Accredited Social Health Activists (ASHAs). Methods: In this study, we evaluate a training on person-centered family planning as an add-on to a training on family planning provision for urban ASHAs in Varanasi, India in 2019 using mixed methods. We first validate a scale to measure person-centered family planning in a community health worker population and find it to be valid. Higher person-centered family planning scores are associated with family planning uptake. Results: Comparing women who saw intervention compared to control ASHAs, we find that the intervention had no impact on overall person-centered family planning scores. Women in the intervention arm were more likely to report that their ASHA had a strong preference about what method they choose, suggesting that the training increased provider pressure. However, qualitative interviews with ASHAs suggest that they value person-centered care for their interactions and absorbed the messages from the intervention. Conclusions: More research is needed on how to intervene to change behaviors related to person-centered family planning. Trial registration: This study received IRB approval from the University of California, San Francisco (IRB # 15–25,950) and was retrospectively registered at clinicaltrials.gov (NCT04206527). Keywords: Person-centered care, Family planning, India, Community health workers
* Correspondence: [email protected] 1 Department of Epidemiology and Biostatistics, Institute for Global Health Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA 94158, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds t
Data Loading...
