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Study of Post-Training Supports for Health Workers in Benin

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ClinicalTrials.gov Identifier: NCT00510679
Recruitment Status : Completed
First Posted : August 2, 2007
Last Update Posted : August 2, 2007
Sponsor:
Collaborator:
Ministry of Health, Benin
Information provided by:
Centers for Disease Control and Prevention

Brief Summary:
The objective of this study was to determine the effectiveness and cost-effectiveness of a package of interventions to support health workers in Benin (in West Africa) who had been trained to use Integrated Management of Childhood Illness guidelines (i.e., guidelines intended to improve the treatment of childhood illnesses).

Condition or disease Intervention/treatment Phase
Malaria Pneumonia Diarrhea Measles Malnutrition Behavioral: Health worker supports (supervision, job aids, incentives) Not Applicable

Detailed Description:
Integrated Management of Childhood Illness (IMCI) is a child health strategy in developing countries with a goal of improving the treatment of illnesses at first-level health facilities through the use of clinical practice guidelines. The World Health Organization (WHO) recommends implementing the guidelines with an 11-day training course. There is a concern that health workers might not master all aspects of the guidelines and that health worker performance may deteriorate over time. In 1999, Benin (in West Africa) was planning to implement IMCI. In response to concerns about how well health workers would follow IMCI guidelines, interventions were designed to support health workers after IMCI training: 1) regular supervision of health workers; 2) supervision of supervisors; 3) job aids; and 4) non-financial incentives for health workers. These interventions were intended to be used together. The objective of this study was to determine the effectiveness and cost-effectiveness of the package of interventions to support IMCI-trained health workers in Benin.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1577 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: A Randomized Controlled Trial of Post-Training Supports for Health Workers Trained in the Use of Integrated Management of Childhood Illness Guidelines in Ouémé Department, Benin
Study Start Date : July 1999
Actual Study Completion Date : October 2004

Resource links provided by the National Library of Medicine

U.S. FDA Resources




Primary Outcome Measures :
  1. Proportion of children with potentially life-threatening illnesses who received recommended treatment, according to Integrated Management of Childhood Illness guidelines. [ Time Frame: 3 years ]
  2. Proportion of children with potentially life-threatening illnesses who received recommended treatment, according to Integrated Management of Childhood Illness guidelines, or adequate treatment. [ Time Frame: 3 years ]
  3. Mean proportion of needed case management tasks that were performed during consultations. [ Time Frame: 3 years ]

Secondary Outcome Measures :
  1. Proportion of children with pneumonia who received recommended treatment, according to Integrated Management of Childhood Illness guidelines. [ Time Frame: 3 years ]
  2. Proportion of children with malaria who received recommended treatment, according to Integrated Management of Childhood Illness guidelines. [ Time Frame: 3 years ]


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Ages Eligible for Study:   up to 59 Months   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Inclusion criteria for health facilities were: 1) public and licensed private health facilities providing outpatient services, and 2) the level of care was appropriate for use of Integrated Management of Childhood Illness (IMCI) guidelines.
  • Inclusion criteria for consultations were children 1 week - 59 months old seen for any illness during regular working hours (typically 8am-6pm) on weekdays.

Exclusion Criteria:

  • Health facilities in which the level of care was not appropriate for use of Integrated Management of Childhood Illness (IMCI) guidelines(i.e., one referral hospital and one sub-specialty hospital).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00510679


Locations
Benin
All eligible health facilities
Entire department of Oueme and Plateau, Oueme and Plateau, Benin
Sponsors and Collaborators
Centers for Disease Control and Prevention
Ministry of Health, Benin
Investigators
Principal Investigator: Rowe K Alexander, MD, MPH Centers for Disease Control and Prevention

Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00510679     History of Changes
Other Study ID Numbers: CDC-NCID-3279
First Posted: August 2, 2007    Key Record Dates
Last Update Posted: August 2, 2007
Last Verified: August 2007

Keywords provided by Centers for Disease Control and Prevention:
Benin
child health
developing country
health services research
health worker performance
Integrated Management of Childhood Illness

Additional relevant MeSH terms:
Pneumonia
Diarrhea
Malnutrition
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Signs and Symptoms, Digestive
Signs and Symptoms
Nutrition Disorders