Evaluation of a gender synchronized family planning intervention for married couples in rural India: The CHARM2 cluster randomized control trial.

Cluster randomized controlled trial Contraceptive use Family planning Gender equity

Journal

EClinicalMedicine
ISSN: 2589-5370
Titre abrégé: EClinicalMedicine
Pays: England
ID NLM: 101733727

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 22 11 2021
revised: 27 01 2022
accepted: 16 02 2022
entrez: 11 3 2022
pubmed: 12 3 2022
medline: 12 3 2022
Statut: epublish

Résumé

Despite calls for gender transformative family planning interventions to increase male engagement and female reproductive agency, there is limited research involving rigorous evaluation of the integration of these approaches. CHARM2 (counseling Husbands and wives to Achieve Reproductive Health and Marital Equity) builds upon a prior three-session male engagement intervention by integrating female-focused sessions emphasizing women's choice and agency (i.e., gender synchronization). We hypothesized that CHARM2 participants will be more likely to report marital contraceptive use and communication and women's contraceptive agency, and less likely to report unintended pregnancy, relative to participants in the control condition. We conducted a two-armed cluster randomized controlled trial evaluating the effects of CHARM2 on marital contraceptive use, communication, decision-making; women's contraceptive agency, and pregnancy among young married couples in rural Maharashtra, India (ClinicalTrials.gov #NCT03514914, complete). 40 geographic clusters, defined based on the catchment areas of subcenter health facilities (the most proximal level of community health care within India's public health system) were randomized to control ( 1201 couples were recruited between September 2018 and June 2019; 600 intervention and 601 control. All couples were included in outcome analyses. Full couple retention was 90·2% ( The CHARM2 intervention offers a scalable model to improve contraceptive use, communication, and agency and possibly decrease unplanned pregnancies for couples in rural India.

Sections du résumé

Background UNASSIGNED
Despite calls for gender transformative family planning interventions to increase male engagement and female reproductive agency, there is limited research involving rigorous evaluation of the integration of these approaches. CHARM2 (counseling Husbands and wives to Achieve Reproductive Health and Marital Equity) builds upon a prior three-session male engagement intervention by integrating female-focused sessions emphasizing women's choice and agency (i.e., gender synchronization). We hypothesized that CHARM2 participants will be more likely to report marital contraceptive use and communication and women's contraceptive agency, and less likely to report unintended pregnancy, relative to participants in the control condition.
Methods UNASSIGNED
We conducted a two-armed cluster randomized controlled trial evaluating the effects of CHARM2 on marital contraceptive use, communication, decision-making; women's contraceptive agency, and pregnancy among young married couples in rural Maharashtra, India (ClinicalTrials.gov #NCT03514914, complete). 40 geographic clusters, defined based on the catchment areas of subcenter health facilities (the most proximal level of community health care within India's public health system) were randomized to control (
Findings UNASSIGNED
1201 couples were recruited between September 2018 and June 2019; 600 intervention and 601 control. All couples were included in outcome analyses. Full couple retention was 90·2% (
Interpretation UNASSIGNED
The CHARM2 intervention offers a scalable model to improve contraceptive use, communication, and agency and possibly decrease unplanned pregnancies for couples in rural India.

Identifiants

pubmed: 35274093
doi: 10.1016/j.eclinm.2022.101334
pii: S2589-5370(22)00064-5
pmc: PMC8902598
doi:

Banques de données

ClinicalTrials.gov
['NCT03514914']

Types de publication

Journal Article

Langues

eng

Pagination

101334

Subventions

Organisme : NICHD NIH HHS
ID : K12 HD001259
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD084453
Pays : United States

Informations de copyright

© 2022 The Author(s).

Déclaration de conflit d'intérêts

The authors have nothing to disclose.

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Auteurs

Anita Raj (A)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.
Department of Education Studies, University of California, 3350 La Jolla Village Dr, San Diego, CA 92161, United States.

Mohan Ghule (M)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.

Nicole E Johns (NE)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.

Madhusudana Battala (M)

Population Council, Zone 5A, Ground Floor, India Habitat Center, Lodi Road, New Delhi 110003, India.

Shahina Begum (S)

Department of Biostatistics, ICMR-National Institute for Research in Reproductive Health, J.M Street, Parel, Mumbai 400012, India.

Anvita Dixit (A)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.
Joint Doctoral Program in Public Health (Global Health Track), University of California San Diego/San Diego State University, UC San Diego 9500 Gilman Dr., La Jolla, CA 92093-0725, USA.

Florin Vaida (F)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.
Division of Biostatistics and Bioinformatics, Herbert Wertheim School of Public Health, University of California San Diego, 9500 Gilman Drive, La Jolla, CA 92093, United States.

Niranjan Saggurti (N)

Population Council, Zone 5A, Ground Floor, India Habitat Center, Lodi Road, New Delhi 110003, India.

Jay G Silverman (JG)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.

Sarah Averbach (S)

Center on Gender Equity and Health, University of California San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 92093, United States.
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego School of Medicine, 9300 Campus Point Drive #7433, La Jolla, CA 92037, USA.

Classifications MeSH