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Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

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ClinicalTrials.gov Identifier: NCT00673166
Recruitment Status : Completed
First Posted : May 7, 2008
Last Update Posted : January 26, 2017
Information provided by (Responsible Party):

Study Description
Brief Summary:
We observed in a randomised intervention trial in Bissau that mortality due to malaria could be reduced by half by adding a small monetary incentive to the staff and strict follow-up of a standard protocol for available drugs. The Government and donors are not able to sustain such incentives. We intend to evaluate whether strict organisation of a cost recovery system and the use of part of the funds for staff incentives would improve performance of the staff and contribute to reduction of hospital and post-discharge mortality.

Condition or disease Intervention/treatment
Hospital Mortality Malaria Procedure: Staff incentive & supervision Behavioral: Staff motivation

Detailed Description:
A committee will organise collection and use of the money, and decide on incentives to be paid to the staff based on performance indicators. All children < 5 years of age admitted to the ward will be registered and followed-up until two months after the consultation. Data on the level of mortality before and after the study period will be collected. Furthermore, interviews on quality perception of the parents will be carried out before and after the study.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 900 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Evaluation of Local Mechanisms for Staff Motivation to Improve Treatment and Reduce Mortality Due to Malaria at the Paediatric Ward
Study Start Date : January 2008
Primary Completion Date : December 2008
Study Completion Date : December 2008

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arms and Interventions

Intervention Details:
    Procedure: Staff incentive & supervision
    Control & management of funds for incentive of staff; supervision
    Behavioral: Staff motivation
    Supervision, control of funds

Outcome Measures

Primary Outcome Measures :
  1. Overall hospital and malaria mortality [ Time Frame: One year ]

Secondary Outcome Measures :
  1. Parent's perception of the quality of care received [ Time Frame: One year ]

Eligibility Criteria

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

Inclusion Criteria:

  • Children under five years of age admitted to the ward
  • Parents of these children
Contacts and Locations

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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): NCT00673166

Paediatric department at the national hospital
Bissau, Guinea-Bissau, 50
Sponsors and Collaborators
London School of Hygiene and Tropical Medicine
Statens Serum Institut
Principal Investigator: Amabelia Rodrigues, PhD Bandim Health Project & Gates Malaria Partnership
More Information

Responsible Party: Brian Greenwood, Professor, London School of Hygiene and Tropical Medicine
ClinicalTrials.gov Identifier: NCT00673166     History of Changes
Other Study ID Numbers: HMTV
First Posted: May 7, 2008    Key Record Dates
Last Update Posted: January 26, 2017
Last Verified: January 2017

Keywords provided by Brian Greenwood, London School of Hygiene and Tropical Medicine:
Staff motivation
Hospital mortality
Perception of quality of care

Additional relevant MeSH terms:
Protozoan Infections
Parasitic Diseases