Study of Post-Training Supports for Health Workers in Benin

This study has been completed.
Sponsor:
Collaborator:
Ministry of Health of Benin
Information provided by:
Centers for Disease Control and Prevention
ClinicalTrials.gov Identifier:
NCT00510679
First received: August 1, 2007
Last updated: NA
Last verified: August 2007
History: No changes posted
  Purpose

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 Intervention
Malaria
Pneumonia
Diarrhea
Measles
Malnutrition
Behavioral: Health worker supports (supervision, job aids, incentives)

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: 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

Resource links provided by NLM:


Further study details as provided by Centers for Disease Control and Prevention:

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

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

Enrollment: 1577
Study Start Date: July 1999
Study Completion Date: October 2004
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.

  Eligibility

Ages Eligible for Study:   up to 59 Months
Genders Eligible for Study:   Both
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).
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00510679

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

Publications:
Additional 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
Study First Received: August 1, 2007
Last Updated: August 1, 2007
Health Authority: United States: Federal Government

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:
Diarrhea
Malaria
Measles
Pneumonia
Malnutrition
Signs and Symptoms, Digestive
Signs and Symptoms
Protozoan Infections
Parasitic Diseases
Morbillivirus Infections
Paramyxoviridae Infections
Mononegavirales Infections
RNA Virus Infections
Virus Diseases
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Nutrition Disorders

ClinicalTrials.gov processed this record on April 17, 2014