Trial record 2 of 18 for:    experience corps

The Impact of Community Health Worker Training by US Health Volunteers on the Health of Rural Ugandans

This study has been completed.
Sponsor:
Collaborators:
Washington University School of Medicine
Makerere University
United States Peace Corps
Uganda Chartered Health Net
University of Illinois at Urbana-Champaign
Information provided by (Responsible Party):
Edward O'Neil Jr, M.D., Omni Med
ClinicalTrials.gov Identifier:
NCT02045706
First received: January 22, 2014
Last updated: NA
Last verified: January 2014
History: No changes posted
  Purpose

There are many trials measuring the impact of service work on volunteers themselves, but few studies measuring the impact of service on the local people. The purpose of this trial is to determine whether US and Ugandan health volunteers can make a measurable impact on the health of rural Ugandan villagers.


Condition Intervention
Health Knowledge, Attitudes, Practice
Other: Community Health Worker Trainings

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: A Randomized Prospective Trial to Measure Health-Related Behavioral Changes in Local Villagers Following The Implementation of a Village Health Team Program Facilitated by The Ugandan Ministry of Health and US Health Volunteers

Resource links provided by NLM:


Further study details as provided by Omni Med:

Primary Outcome Measures:
  • Questionnaire on health behaviors before and after implementation of a community health worker program [ Time Frame: One year ] [ Designated as safety issue: No ]
    A detailed questionnaire about local health behaviors was employed by Uganda Chartered Health Net in villages randomized to control and intervention areas in two parishes in rural Uganda. Data was collected in both areas before and after implementation of a Ministry of Health mandated community health worker program over a one year period. Key outcome measures were then plugged into the Lives Saved Tool (LIST) to determine changes in infant and under-5 mortality.


Enrollment: 1419
Study Start Date: March 2011
Study Completion Date: March 2012
Primary Completion Date: March 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Community Health Worker Trainings
Trained community health workers (CHW) (one per 25 households), conducted a focus group and four quarterly meetings. CHWs were then responsible for 25 households where they would teach preventive health, track health data for the Ministry, and refer sick cases (700 households total). Staff and volunteers also conducted home visits and handed out printed summaries. We also worked with the local villagers and community health workers to construct 3 protected water sources in the Intervention areas.
Other: Community Health Worker Trainings
Other Names:
  • United States Peace Corps
  • Uganda Ministry of Health
  • Village Health Teams
No Intervention: Control Group
The Control Group was comprised of similar households to the Intervention Group (n = 700). In these villages, however, we did not instill the community health worker program until after the trial was completed.

Detailed Description:

The goal of this research is to measure a change in the behaviors of local villagers in the Mukono District (just east of Kampala, Uganda) following the implementation of the Ministry of Health's Village Health Team Program facilitated by US Health Volunteers. Our NGO (non-governmental organization), Omni Med, has partnered with the Ministry of Health in Kampala and Mukono to facilitate its Village Health Team (VHT) program. Our volunteers facilitate training of VHTs and then conduct follow up home visits with these VHTs. During the trainings and follow up visits we stress the health practices in the Ministry's training program that have been shown to make the biggest impact on local health such as: exclusive breast-feeding for 9 months, use of oral rehydration therapy (ORT), antibiotics for pneumonia, timely antimalarial use, use of insecticide treated nets (ITNs), clean water, improved sanitation, Vitamin A supplementation and vaccination, antenatal visits and tetanus immunization for pregnant women, etc. Our pre-trial assumption is that local villagers will use this knowledge to improve their own health; and that the VHTs are the ideal messengers to deliver this knowledge. While the Ministry has trained over 83,000 VHTs nationally, there are no objective studies measuring impact on host communities. This will be the first and could prove an important means to promote the program nationally and internationally.

The primary objective of this research is to measure the efficacy of the VHT program in Uganda. While this program has become a priority of the Ministry of Health, there is to date no clear randomized, prospective trial measuring its impact. This will thus fill a current gap using data obtained from 1190 households. A second objective is to demonstrate measurable results of a global service program. There is very little impact data despite huge interest in service from many in the world's wealthiest countries. A third objective is to provide an objective measure of efficacy to the United States Peace Corps, which despite 50 years of activities, has little data demonstrating its true value; several Peace Corps Volunteers are working in this program in Mukono.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria: Household with children under age five -

Exclusion Criteria: No children under age five in the household

-

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT02045706

Locations
United States, Massachusetts
Omni Med
Newton, Massachusetts, United States, 02468
Uganda
Uganda Chartered Health Net
Kampala, Uganda
Sponsors and Collaborators
Edward O'Neil Jr, M.D.
Washington University School of Medicine
Makerere University
United States Peace Corps
Uganda Chartered Health Net
University of Illinois at Urbana-Champaign
Investigators
Principal Investigator: Edward J O'Neil Jr, MD Omni Med
  More Information

No publications provided

Responsible Party: Edward O'Neil Jr, M.D., President of Omni Med, Omni Med
ClinicalTrials.gov Identifier: NCT02045706     History of Changes
Other Study ID Numbers: SS 2486, #81090
Study First Received: January 22, 2014
Last Updated: January 22, 2014
Health Authority: Uganda: National Council for Science and Technology
United States: Institutional Review Board

Keywords provided by Omni Med:
Community Health Workers
Service
Volunteerism
Health Behaviors

ClinicalTrials.gov processed this record on April 15, 2014