A gender synchronized family planning intervention for married couples in rural India: study protocol for the CHARM2 cluster randomized controlled trial evaluation

Reproductive Health

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[1] 0000 0000 9090 0571, grid.482915.3, Population Council, Zone 5A, Ground Floor, India Habitat Center, Lodi Road, 110003, New Delhi, India;0000 0001 2107 4242, grid.266100.3, Center on Gender Equity and Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Center on Gender Equity and Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Department of Economics, Division of Social Sciences, University of California San Diego, 9500 Gilman Drive #0507 La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Center on Gender Equity and Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Department of Education Studies, Division of Social Sciences, University of California San Diego, San Diego, USA;0000 0001 2107 4242, grid.266100.3, Center on Gender Equity and Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California San Diego, 9300 Campus Point Drive, La Jolla, 92037, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Center on Gender Equity and Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Division of Biostatistics, Department of Family Medicine and Public Health, University of California San Diego, 9500 Gilman Drive #0507 La Jolla, 92093-0507, San Diego, CA, USA;0000 0001 2107 4242, grid.266100.3, Joint Doctoral Program in Public Health (Global Health track), University of California San Diego/San Diego State University, San Diego, USA;0000 0001 2107 4242, grid.266100.3, Center on Gender Equity and Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, 92093-0507, San Diego, CA, USA;0000 0004 1766 871X, grid.416737.0, Department of Biostatistics, ICMR-National Institute for Research in Reproductive Health, J.M Street, Parel, 400012, Mumbai, India;

关键词: Family planning;    Cluster randomized controlled trial;    Intervention;    Contraceptive use;    Gender equity;    Marital sexual violence;   

DOI  :  10.1186/s12978-019-0744-3

来源: publisher

【 摘 要 】

BackgroundPrior research from India demonstrates a need for family planning counseling that engages both women and men, offers complete family planning method mix, and focuses on gender equity and reduces marital sexual violence (MSV) to promote modern contraceptive use. Effectiveness of the three-session (two male-only sessions and one couple session) Counseling Husbands to Achieve Reproductive Health and Marital Equity (CHARM) intervention, which used male health providers to engage and counsel husbands on gender equity and family planning (GE + FP), was demonstrated by increased pill and condom use and a reduction in MSV. However, the intervention had limited reach to women and was therefore unable to expand access to highly effective long acting reversible contraceptives such as the intrauterine device (IUD). We developed a second iteration of the intervention, CHARM2, which retains the three sessions from the original CHARM but adds female provider- delivered counseling to women and offers a broader array of contraceptives including IUDs. This protocol describes the evaluation of CHARM2 in rural Maharashtra.MethodsA two-arm cluster randomized controlled trial will evaluate CHARM2, a gender synchronized GE + FP intervention. Eligible married couples (n = 1200) will be enrolled across 20 clusters in rural Maharashtra, India. Health providers will be gender-matched to deliver two GE + FP sessions to the married couples in parallel, and then a final session will be delivered to the couple together. We will conduct surveys on demographics as well as GE and FP indicators at baseline, 9-month, and 18-month follow-ups with both men and women, and pregnancy tests at each time point from women. In-depth interviews will be conducted with a subsample of couples (n = 50) and providers (n = 20). We will conduct several implementation and monitoring activities for purposes of assuring fidelity to intervention design and quality of implementation, including recruitment and tracking logs, provider evaluation forms, session observation forms, and participant satisfaction surveys.DiscussionWe will complete the recruitment of participants and collection of baseline data by July 2019. Findings from this work will offer important insight for the expansion of the national family planning program and improving quality of care for India and family planning interventions globally.Trial registrationClinicalTrial.gov, NCT03514914.

【 授权许可】

CC BY