Cluster Randomized Trial of Peer Health Education in Malaria in The Gambia

This study has been completed.
Sponsor:
Collaborators:
Gates Malaria Partnership
Medical Research Council Unit, The Gambia
Nova Scotia Gambia Association, The Gambia
Centre for Innovation Against Malaria, The Gambia
Information provided by:
London School of Hygiene and Tropical Medicine
ClinicalTrials.gov Identifier:
NCT00269178
First received: December 22, 2005
Last updated: January 31, 2006
Last verified: March 2003
  Purpose

Health promotion in schools aims to improve the health and well being of students by empowering them with the knowledge, skills and confidence to take responsibility for their own health. We incorporated a malaria component to an established peer health education programme in schools in The Gambia, and evaluated its impact on knowledge attitudes and practice (KAP) of school students and their families using a cluster randomized design. Since malaria is a particular problem among children under 5 and pregnant women, students were encouraged to explain what they learned to their families, and we sought to evaluate whether the malaria messages were taken up by the students’ families. Evaluation endpoints are KAP in students, and KAP in women living in the school students’ home compound.


Condition Intervention Phase
Malaria
Behavioral: Peer Health Education Programme
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Educational/Counseling/Training
Official Title: Cluster Randomized Trial of the Impact of a Peer-Health Education Programme on Malaria Knowledge Attitudes and Practice in Students and Their Families

Resource links provided by NLM:


Further study details as provided by London School of Hygiene and Tropical Medicine:

Primary Outcome Measures:
  • 1. Bednet use among children under 5yrs of age living in the household of peer health educators 10 wweks and 6 months after the start of the intervention
  • 2. Malaria knowledge attitudes and practice among women in the family of peer health educators 10 week and 6 months after the start of the intervention
  • 3. Malaria knowledge attitudes and practice among school students 10 weeks and 6 months after the start of the intervention

Estimated Enrollment: 960
Study Start Date: August 2003
Estimated Study Completion Date: October 2004
Detailed Description:

12 communities in The Gambia, each including an upper basic and/or a senior secondary school, were pair-matched on urban/rural location and school type, and one community in each pair randomly selected to receive the peer-health education programme immediately or after a delay, to permit evaluation. The intervention programme comprised training of peer health educators, teacher coordinators, and members of drama troupes, in key malaria messages and principles of health education. The peer educators then conducted a rolling programme of presentations to children and youth in their own schools using drama, puppetry, small group and in-class presentations about malaria, as well as community outreach programs targeting out-of-school youth and the general public. In each school a systematic sample of 75 students were interviewed 10 weeks and 6 months after the start of the programme, and in each school catchment area a sample of 80 women were interviewed at the same time, and bednet use by children under 5 yrs in their care was recorded. From the interviews scores were derived for knowledge about malaria treatment and prevention and knowledge scores and net coverage in children compared between intervention and control schools.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Woman caring for a child under 5 years of age, living in the compound of one of the peer health educators
  • Student attending school

Exclusion Criteria:

  • Not caring for a child under 5 years (for women)
  • Not living in a compound of a peer health educator (for women)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00269178

Locations
Gambia
Medical Research Council Laboratories
Banjul, Gambia
Sponsors and Collaborators
London School of Hygiene and Tropical Medicine
Gates Malaria Partnership
Medical Research Council Unit, The Gambia
Nova Scotia Gambia Association, The Gambia
Centre for Innovation Against Malaria, The Gambia
Investigators
Principal Investigator: Paul JM Milligan, PhD London School of Hygiene and Tropical Medicine
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00269178     History of Changes
Other Study ID Numbers: SCC L2002.69, SSC L2002.69
Study First Received: December 22, 2005
Last Updated: January 31, 2006
Health Authority: Gambia: Department of State for Health and Social Welfare

Keywords provided by London School of Hygiene and Tropical Medicine:
malaria
knowledge attitudes and practice (KAP)
bednets
peer health education

Additional relevant MeSH terms:
Malaria
Protozoan Infections
Parasitic Diseases

ClinicalTrials.gov processed this record on April 23, 2014