Can Mass Media Campaigns Reduce Child Mortality

This study is currently recruiting participants. (see Contacts and Locations)
Verified December 2012 by London School of Hygiene and Tropical Medicine
Sponsor:
Collaborators:
Development Media International
Centre Muraz
Wellcome Trust
Planet Wheeler Foundation
Information provided by (Responsible Party):
London School of Hygiene and Tropical Medicine
ClinicalTrials.gov Identifier:
NCT01517230
First received: January 9, 2012
Last updated: December 10, 2012
Last verified: December 2012
  Purpose

A cluster-randomised trial will be undertaken in Burkina Faso to investigate whether a comprehensive mass media campaign using local radio stations can change behaviours on a scale large enough to result in measurable and sustainable reductions in under-five child mortality.

It is hypothesised that as a result of the scale and multi-pronged nature of the campaign, reductions of between 10% and 20% in child mortality will be achieved.


Condition Intervention
Diarrhoea
Malaria
Pneumonia
Breastfeeding
Under-nutrition
Behavioral: Local radio campaign to reduce under-five child mortality

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Can Mass Media Campaigns Reduce Child Mortality

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Post neonatal under-five all cause mortality [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Under-5 child all cause mortality [ Time Frame: 1year ] [ Designated as safety issue: No ]
  • Preventive behaviours for main causes of under-five children mortality [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    1. Antenatal consultations during the last pregnancy which lasts more than 6 months and place of delivery
    2. Breastfeeding practices for the youngest under-five child
    3. Behaviours to prevent cases of diarrhoea and malaria in the youngest under-five child

  • Knowledge [ Time Frame: 30-36 months after the start of the intervention ] [ Designated as safety issue: No ]
    1. Knowledge about danger signs during pregnancy, delivery and in young ill children
    2. Knowledge about preventive measure against malaria during pregnancy
    3. Knowledge about recommended breastfeeding behaviours
    4. Knowledge about transmission of malaria and diarrhoea
    5. Knowledge about health care seeking behaviours in young children suffering from diarrhoea, bad cough

  • Cost-effectiveness of mass media campaigns in terms of dollars per disability-adjusted life year (DALY) averted [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Curative behaviours for main causes of under-five children mortality [ Time Frame: 15 days ] [ Designated as safety issue: No ]
    Health care behaviours to treat cases of diarrhoea, fever, cough and respiratory difficulties in the youngest under-five child during the 15 previous days


Estimated Enrollment: 100000
Study Start Date: March 2012
Estimated Study Completion Date: May 2015
Estimated Primary Completion Date: May 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: intervention
seven clusters where radio media campaign will be broadcast.
Behavioral: Local radio campaign to reduce under-five child mortality
The media campaign is designed by Development Media International. It includes short "spots" and long format programs broadcast by rural community radios. Major topics to be addressed include: diarrhoea, water and sanitation, acute respiratory infections, fever/malaria, antenatal consultations, delivery in health facilities, breastfeeding, and child nutrition. The intervention is planned to start in March 2012 after completion of fieldwork for the baseline survey and will continue for 2.5 years.
Other Name: Local radio campaign to reduce under-five child mortality
No Intervention: control
Seven clusters where radio media campaign won't be broadcast.

Detailed Description:

The evaluation is conducted in 14 geographical locations throughout Burkina Faso. Seven of these 14 clusters have been randomly allocated to receive the mass media intervention while the remaining 7 clusters will serve as controls.

Data collection includes household surveys in all 14 clusters at three "key" times:

  • At baseline: Before the implementation of the intervention, between December 2011 and February 2012 to measure the current level of child mortality and evaluate current knowledge and behaviours of relevance to child health.
  • At midline: Fifteen months after implementation of the intervention to evaluate the coverage of the intervention (in the intervention clusters) and, in each cluster, knowledge and behaviours.
  • At endline: Two and a half years after implementation of the intervention to evaluate intervention coverage (in the intervention clusters), knowledge and behaviours and child mortality.
  Eligibility

Ages Eligible for Study:   up to 5 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Residence in study clusters

Exclusion Criteria:

  • None
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01517230

Contacts
Contact: Simon N Cousens, MA +44 20 7927 2422 simon.cousens@lshtm.ac.uk
Contact: Sophie Sarrassat, PhD +44 20 7927 8198 sophie.sarrassat@lshtm.ac.uk

Locations
Burkina Faso
Centre Muraz Recruiting
Bobo-Dioulasso, Burkina Faso, BP 390
Sponsors and Collaborators
London School of Hygiene and Tropical Medicine
Development Media International
Centre Muraz
Wellcome Trust
Planet Wheeler Foundation
Investigators
Principal Investigator: Simon N Cousens, MA London School of Hygiene and Tropical Medicine
Principal Investigator: Nicolas Meda, MD, PhD Centre Muraz
Study Director: Sophie Sarrassat, PhD London School of Hygienne and Tropical Medicine
Study Director: Moctar Ouedraogo, MsD Centre MURAZ / AfricSanté, Burkina Faso
  More Information

No publications provided

Responsible Party: London School of Hygiene and Tropical Medicine
ClinicalTrials.gov Identifier: NCT01517230     History of Changes
Other Study ID Numbers: 2011-9-56, 6028
Study First Received: January 9, 2012
Last Updated: December 10, 2012
Health Authority: United Kingdom: Research Ethics Committee
Burkina Faso: Ministry of Health

Keywords provided by London School of Hygiene and Tropical Medicine:
Cluster-randomised trial
Comprehensive mass media campaign
Rural community radio
Under-five child mortality
Preventive and curative behaviours
Burkina Faso
Health care seeking behavior
Childbirth

Additional relevant MeSH terms:
Nutrition Disorders
Malnutrition

ClinicalTrials.gov processed this record on October 16, 2014