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Community-Effectiveness of the Distribution of Insecticide-Treated Bed Nets Through Social Marketing Antenatal Care Services in Malaria Control in Rural Burkina Faso

This study has been completed.
Information provided by:
Heidelberg University Identifier:
First received: July 19, 2006
Last updated: October 6, 2006
Last verified: July 2006
The study aims at assessing which of two distribution channels for insecticide treated bendnets (ITNs), social marketing vs. social marketing coupled with free distribution through ante-natal care, is most effective in reaching groups at high risk of malaria, i.e. pregnant women and children under 5.

Condition Intervention
Procedure: ITN distribution channel

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Educational/Counseling/Training

Resource links provided by NLM:

Further study details as provided by Heidelberg University:

Primary Outcome Measures:
  • ITN coverage in households 12 and 24 months after the start of the interventions
  • ITN use during pregnancy and infancy

Secondary Outcome Measures:
  • Costs per malaria case and per DALY prevented
  • Self-reported information on ANC visits
  • Insecticide content on ITN and mortality of vector mosquitoes over time
  • Acceptance of health staff and population

Detailed Description:
The hypothesis that insecticide-treated bed net (ITN) effects may not be long-lasting in young children living in areas of intense malaria transmission due to interactions with the immunologi-cal development has now been refuted in a number of studies including the D4 study. The highly controversial question remains how African programmes can best reach a sustainable high coverage with ITNs in young children and pregnant women. Against this background it is planned to implement a cluster randomised controlled trial in Nouna Health District in Burkina Faso. Twenty-two peripheral health centres and their catchment areas will be randomised to (1) ITN provision to the general population through social marketing and (2) ITN provision to the general population through social marketing plus free provision to all pregnant women through antenatal services. The primary outcomes are ITN coverage in households and ITN use during pregnancy and infancy.

Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All

Inclusion Criteria:

  • Being one of 25 primary health facility catchment areas in the Nouna Health District, Burkina Faso

Exclusion Criteria:

  • Being outside one of 25 primary health facility catchment areas in the Nouna Health District, Burkina Faso
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Please refer to this study by its identifier: NCT00355225

Sponsors and Collaborators
Heidelberg University
Principal Investigator: Olaf Mueller, MD, MPH Heidelberg University
  More Information Identifier: NCT00355225     History of Changes
Other Study ID Numbers: SFB544D4
Study First Received: July 19, 2006
Last Updated: October 6, 2006

Keywords provided by Heidelberg University:
insecticide-treated bednets
social marketing
ante-natal care
ITN coverage
ITn use

Additional relevant MeSH terms:
Protozoan Infections
Parasitic Diseases processed this record on April 28, 2017