Research and Evaluation: Prospective Study on Family Planning Methods- Progestogen-only Pills and Centchroman in Six States- Chhattisgarh, Odisha, Bihar, Assam, Telangana and Maharashtra-Johns Hopkins Program for International Education in Gynecology and Obstetrics (Jhpiego)
Study on ‘Six Month Continuation Rates of Progestogen-only Pills and Centchroman as Family Planning Methods and Adherence to them among New Users: A Prospective Study in Chhattisgarh, Odisha, Assam, Telangana, Maharashtra and Bihar- Johns Hopkins Program for International Education in Gynecology and Obstetrics (Jhpiego).
The Maternal and Child Survival Program (MCSP) is a global U.S. Agency for International Development (USAID) cooperative agreement to introduce and support high impact health interventions in 26 priority countries with the ultimate goal of ending preventable maternal and child deaths (EPMCD) within a generation. In April 2015, USAID/India requested MCSP to support its commitment to EPCMD and to the Government of India’s (GoI’s) commitments to FP2020 through two key objectives out of which one was to expansion of the current basket of contraceptives available in public health system of India by advocating for and demonstrating the inclusion of proven modern contraceptive options. These options include Progesterone-Only Pills (POPs) and Centchroman pills in selected districts of 5 states of India. The current MCSP/India program will be demonstrating the inclusion of these two newer family planning methods approved for introduction by GoI in public health system in one district each of the following 5 states – Chhattisgarh, Odisha, Assam, Telangana and Maharashtra.
The program provides an opportunity to generate evidence regarding continuation of these methods after initiation, acceptance, adherence to the methods, level of satisfaction and switch over among clients who use these methods; and reasons for discontinuation. The program also provides an opportunity to identify and describe the perceptions and thoughts of public health administrators, health service providers and beneficiaries of the new methods on introduction of these two new family planning methods in the public health system.
To have an in-depth learning on this program, it is planned to conduct a mixed-methods study; the quantitative part of the study will have a prospective study design, where in women who opt for POPs or Centchroman as a family planning method at one of the study sites will be surveyed through exit interviews.
For the qualitative part, in-depth interviews (IDIs) will be done with
• Government health officials (at district and state level),
• Health service providers (doctors, staff nurses and family planning counselors of facilities where the two new methods were introduced,
• Continuous users and dis-continuing users of these two new methods.
TRIOs is conducting the study. A purposeful and saturated sampling method will be used across each group.